Evidence map›Paper›PMID 30118822›Full record

ArticleInternational journal of radiation oncology, biology, physics2019

FDG/PET-CT-Based Lymph Node Atlas in Breast Cancer Patients.

Kai Joachim Borm, Julia Voppichler, Mathias Düsberg, Markus Oechsner, Tibor Vag, Wolfgang Weber, Stephanie Elisabeth Combs, Marciana Nona Duma

Abstract read
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In one paragraph

Article in International journal of radiation oncology, biology, physics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Therapeutic impact ofBreast cancer research and treatment · 2024
    Article
  6. An interactive 3D atlas of sentinel lymph nodes in breast cancer developed using SPECT/CT.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. The current role of nuclear medicine in breast cancer.The British journal of radiology · 2023
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Kai Joachim BormDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University, Munich, Germany.
Julia VoppichlerDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University, Munich, Germany; Faculty of Medicine, Technical University, Munich, Germany.
Mathias DüsbergDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University, Munich, Germany.
Markus OechsnerDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University, Munich, Germany.
Tibor VagDiagnostik München, Munich, Germany.
Wolfgang WeberDepartment of Nuclear Medicine, Klinikum rechts der Isar, Technical University, Munich, Germany.
Stephanie Elisabeth CombsDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University, Munich, Germany; Deutsches Konsortium für Translationale Krebsforschung (DKTK)-Partner Site Munich, Munich, Germany; Institute of Innovative Radiohterapy, Helmholtzzentrum München, Munich, Germany.
Marciana Nona DumaDepartment of Radiation Oncology, Klinikum rechts der Isar, Technical University, Munich, Germany; Deutsches Konsortium für Translationale Krebsforschung (DKTK)-Partner Site Munich, Munich, Germany; Institute of Innovative Radiohterapy, Helmholtzzentrum München, Munich, Germany. Electronic address: Marciana.Duma@mri.tum.de.
Klinikum rechts der Isar · DEGerman Marine Research Consortium · DEMünchen Klinik · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to localize locoregional lymph node metastases using positron emission tomography with fluorine 18-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) data sets in a large cohort of patients and to evaluate the existing Radiation Therapy Oncology Group (RTOG) clinical target volume (CTV) and the European Society for Radiation Therapy & Oncology (ESTRO) CTV contouring guidelines. METHODS AND MATERIALS: A total of 235 patients with 580 FDG/PET-CT positive locoregional lymph node metastases were included in our analysis. The patients were divided into 4 groups according to their course of disease (primary vs recurrent breast cancer) and the presence or absence of distant metastasis at the time of the FDG-PET/CT staging (distant metastasis vs no distant metastasis). All imaging data were imported into the planning system, and each lymph node was manually contoured. A patient with "standard anatomy" was chosen as a template, and all contoured structures were registered rigidly and nonrigidly to this patient. A comprehensive 3-dimensional atlas was created, including all identified lymph node metastases. The incidences of lymph node metastases were analyzed and are presented with color coding in the atlas. Lymph node levels (axillary, internal mammary, supraclavicular) were contoured according to RTOG and ESTRO guidelines and evaluated.

resultsThe mean volume of the lymph nodes was 1.7 ± 2.6 cm

conclusionsThe provided lymph node atlas illustrates where lymph node metastases occur in different clinical situations and presents areas at high risk (ie "hot spots" of lymph node metastases).

Indexed as

Positron Emission Tomography Computed TomographyBreastBreast NeoplasmsDisease-Free SurvivalFemaleFluorodeoxyglucose F18HumansLymphatic MetastasisLymph NodesMiddle AgedNeoplasm MetastasisNeoplasm Recurrence, LocalNeoplasm StagingRadiation OncologyRadiopharmaceuticalsRadiotherapyFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID30118822
OpenAlexW2885222790

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.