Evidence map›Paper›PMID 30176828›Full record

ArticleBMC cancer2018

The plasma glutamate concentration as a complementary tool to differentiate benign PET-positive lung lesions from lung cancer.

K Vanhove, P Giesen, O E Owokotomo, L Mesotten, E Louis, Z Shkedy, M Thomeer, P Adriaensens

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07087080 (Combining PET-CT With a Glutamate-based Blood Test Improves Cancer Diagnosis in Solitary Pulmonary Nodules), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 21% 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.

NCT07087080 narecruitingnot on this mapstarted 2022, after this paper: background citation

Combining PET-CT With a Glutamate-based Blood Test Improves Cancer Diagnosis in Solitary Pulmonary Nodules

TypeinterventionalSponsorHasselt UniversityRan2022 to 2027Enrolled350ConditionsSolitary Pulmonary Nodules, Lung CancerArmsBlood sampling
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  4. Review
  5. Characteristics of Cancer Epidemiology Studies That Employ Metabolomics: A Scoping Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  6. Review
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  8. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

K VanhoveFaculty of Medicine and Life Sciences, Hasselt University, Martelarenlaan 42, B-3500, Hasselt, Belgium.
P GiesenInstitute for Biostatistics and Statistical Bioinformatics, Hasselt University, Agoralaan Building D, B-3590, Diepenbeek, Belgium.
O E OwokotomoInstitute for Biostatistics and Statistical Bioinformatics, Hasselt University, Agoralaan Building D, B-3590, Diepenbeek, Belgium.
L MesottenFaculty of Medicine and Life Sciences, Hasselt University, Martelarenlaan 42, B-3500, Hasselt, Belgium.
E LouisDepartment of Respiratory Medicine, University Hospital Leuven, Herestraat 49, B-3000, Leuven, Belgium.
Z ShkedyInstitute for Biostatistics and Statistical Bioinformatics, Hasselt University, Agoralaan Building D, B-3590, Diepenbeek, Belgium.
M ThomeerFaculty of Medicine and Life Sciences, Hasselt University, Martelarenlaan 42, B-3500, Hasselt, Belgium.
P AdriaensensApplied and Analytical Chemistry, Institute for Materials Research, Hasselt University, Agoralaan Building D, B-3590, Diepenbeek, Belgium. peter.adriaensens@uhasselt.be.
Hasselt University · BEKU Leuven · BEOnze Lieve Vrouwziekenhuis Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary imaging often identifies suspicious abnormalities resulting in supplementary diagnostic procedures. This study aims to investigate whether the metabolic fingerprint of plasma allows to discriminate between patients with lung inflammation and patients with lung cancer.

methodsMetabolic profiles of plasma from 347 controls, 269 cancer patients and 108 patients with inflammation were obtained by

resultsSensitivity, specificity, PPV and NPV of PET-CT to diagnose cancer are 96, 23, 76 and 71%. Metabolic profiles differentiate between cancer and inflammation with a sensitivity of 89%, a specificity of 87% and a MCE of 12%. Removal of the glutamate metabolite results in an increase of MCE (38%) and a decrease of both sensitivity and specificity (62%), demonstrating the importance of glutamate for discrimination. At the cut-off point 0.31 on the ROC curve, the relative glutamate concentration discriminates between cancer and inflammation with a sensitivity of 85%, a specificity of 81%, and an AUC of 0.88. PPV and NPV are 92 and 69%. In PET-positive patients with a relative glutamate level ≤ 0.31 the sensitivity to diagnose cancer reaches 100% with a PPV of 94%. In PET-negative patients, a relative glutamate level > 0.31 increases the specificity of PET from 23% to 58% and results in a high NPV of 100%. In case of discrepancy between SUV

conclusionThis study indicates that the

Indexed as

Diagnosis, DifferentialAdultAgedFemaleGlutamic AcidHumansLung NeoplasmsMaleMiddle AgedNeoplasmsPositron-Emission TomographyRadiopharmaceuticalsSolitary Pulmonary NoduleTomography, X-Ray ComputedGlutamic AcidRadiopharmaceuticals1H-NMRGlutamateLung cancerLung inflammationMetabolic phenotypeROC

Identifiers

PMID30176828
PMCPMC6122613
OpenAlexW2889186063

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.