Evidence map›Paper›PMID 30327856›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2019

FET PET reveals considerable spatial differences in tumour burden compared to conventional MRI in newly diagnosed glioblastoma.

Philipp Lohmann, Pantelis Stavrinou, Katharina Lipke, Elena K Bauer, Garry Ceccon, Jan-Michael Werner, Bernd Neumaier, Gereon R Fink, Nadim J Shah, Karl-Josef Langen and 1 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
–field-weighted citation impact
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

72 citing papers in PubMed.

  1. Article
  2. Review
  3. Multimodal PET-MR segmentation for glioblastoma: complementarity for treatment planning and recurrence definition.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Article
  4. Review
  5. [Journal of neuro-oncology · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
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  11. Article
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  13. Comparison ofClinical and translational radiation oncology · 2025
    Article
  14. EJNMMI research · 2025
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review

12 more citing papers are in PubMed but not listed here.

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

11 authors.

Philipp LohmannInstitute of Neuroscience and Medicine (INM-3, -4, -5), Forschungszentrum Juelich, 52425, Juelich, Germany. p.lohmann@fz-juelich.de.ORCID http://orcid.org/0000-0002-5360-046X
Pantelis StavrinouDepartment of Neurosurgery, University of Cologne, Cologne, Germany.
Katharina LipkeInstitute of Neuroscience and Medicine (INM-3, -4, -5), Forschungszentrum Juelich, 52425, Juelich, Germany.
Elena K BauerDepartment of Neurology, University of Cologne, Cologne, Germany.
Garry CecconDepartment of Neurology, University of Cologne, Cologne, Germany.
Jan-Michael WernerDepartment of Neurology, University of Cologne, Cologne, Germany.
Bernd NeumaierInstitute of Neuroscience and Medicine (INM-3, -4, -5), Forschungszentrum Juelich, 52425, Juelich, Germany.
Gereon R FinkInstitute of Neuroscience and Medicine (INM-3, -4, -5), Forschungszentrum Juelich, 52425, Juelich, Germany.
Nadim J ShahInstitute of Neuroscience and Medicine (INM-3, -4, -5), Forschungszentrum Juelich, 52425, Juelich, Germany.
Karl-Josef LangenInstitute of Neuroscience and Medicine (INM-3, -4, -5), Forschungszentrum Juelich, 52425, Juelich, Germany.
Norbert GalldiksInstitute of Neuroscience and Medicine (INM-3, -4, -5), Forschungszentrum Juelich, 52425, Juelich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAreas of contrast enhancement (CE) on MRI are usually the target for resection or radiotherapy target volume definition in glioblastomas. However, the solid tumour mass may extend beyond areas of CE. Amino acid PET can detect parts of the tumour that show no CE. We systematically investigated tumour volumes delineated by amino acid PET and MRI in patients with newly diagnosed, untreated glioblastoma.

methodsPreoperatively, 50 patients with neuropathologically confirmed glioblastoma underwent O-(2-[

resultsIn 43 patients (86%), the FET tumour volume was significantly larger than the CE volume (21.5 ± 14.3 mL vs. 9.4 ± 11.3 mL; P < 0.001). Forty patients (80%) showed both increased uptake of FET and CE. In these 40 patients, the spatial similarity between FET uptake and CE was low (mean DSC 0.39 ± 0.21, mean JSC 0.26 ± 0.16). Ten patients (20%) showed no CE, and one of these patients showed no FET uptake. In five patients (10%), increased FET uptake was present outside areas of FLAIR hyperintensity.

conclusionOur results show that the metabolically active tumour volume delineated by FET PET is significantly larger than tumour volume delineated by CE. Furthermore, the results strongly suggest that the information derived from both imaging modalities should be integrated into the management of patients with newly diagnosed glioblastoma.

Indexed as

Magnetic Resonance ImagingPositron-Emission TomographyTumor BurdenAdultAgedBrain NeoplasmsFemaleGlioblastomaHumansImage Processing, Computer-AssistedMaleMiddle AgedTyrosine(18F)fluoroethyltyrosineTyrosineAmino acid PETFET PET tumour volumeFLAIR hyperintensityMRI contrast enhancementTarget volume definitionVolumetry

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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.