Evidence map›Paper›PMID 30359275›Full record

Observational studyRadiation oncology (London, England)2018

Does baseline [18F] FDG-PET/CT correlate with tumor staging, response after neoadjuvant chemoradiotherapy, and prognosis in patients with rectal cancer?

Letizia Deantonio, Angela Caroli, Erinda Puta, Daniela Ferrante, Francesco Apicella, Lucia Turri, Gianmauro Sacchetti, Marco Brambilla, Marco Krengli

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Radiation oncology (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.0field-weighted citation impact, top 19% 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

18 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Predictive value ofReports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    Article
  9. Article
  10. Article
  11. The reduction ofFrontiers in oncology · 2022
    Article
  12. Predictive value ofF1000Research · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. The Impact of Primary Tumor and Locoregional Metastatic Lymph Node SUVMolecular imaging and radionuclide therapy · 2020
    Article
  17. Recent advances of PET imaging in clinical radiation oncology.Radiation oncology (London, England) · 2020
    Review
  18. Article
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

9 authors at 2 institutions in 1 country.

Letizia DeantonioRadiotherapy, University Hospital "Maggiore della Carità", Novara, Italy.
Angela CaroliRadiotherapy, University Hospital "Maggiore della Carità", Novara, Italy.
Erinda PutaNuclear Medicine, University Hospital "Maggiore della Carità", Novara, Italy.
Daniela FerranteDepartment of Translational Medicine, Unit of Medical Statistics and Cancer Epidemiology, CPO Piemonte and University of "Piemonte Orientale", Novara, Italy.
Francesco ApicellaRadiotherapy, University Hospital "Maggiore della Carità", Novara, Italy.
Lucia TurriRadiotherapy, University Hospital "Maggiore della Carità", Novara, Italy.
Gianmauro SacchettiNuclear Medicine, University Hospital "Maggiore della Carità", Novara, Italy.
Marco BrambillaMedical Physics, University Hospital "Maggiore della Carità", Novara, Italy.
Marco KrengliRadiotherapy, University Hospital "Maggiore della Carità", Novara, Italy. marco.krengli@med.uniupo.it.
Università degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITAzienda Ospedaliero Universitaria Maggiore della Carita · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background[18F] fluorodeoxyglucose positron emission tomography/computed tomography ([18F] FDG-PET/CT) may be used for tumor staging and prognosis in several tumors but its role in rectal cancer is still debated. The aim of the present study was to assess the correlation of baseline [18F] FDG-PET parameters with tumor staging, tumor response (tumor regression grade (TRG)), and outcome in a series of patients affected by locally advanced rectal cancer (LARC) treated with neoadjuvant chemoradiotherapy (CRT).

methodsOne hundred patients treated with neoadjuvant CRT and radical surgery were enrolled in the present study. Maximum standardized uptake value (SUVmax), SUVmean, metabolic tumor volume (MTV), and total lesion glycolysis (TLG) at the baseline [18F] FDG-PET were calculated. These PET parameters were correlated with tumor staging, histopathological data (TRG1 vs. TRG2-5 and TRG1-2 vs. TRG3-5), disease-free survival, and overall survival.

resultsSUVmax and SUVmean of primary tumor were statistically associated with T4-stage. SUVmax, SUVmean, and TLG did not result statistically associated with TRG (TRG1 or TRG1-2). MTV resulted statistically associated with TRG1-2 group (OR 2.9; 95% CI 1.2-7.1). Finally, no PET parameter was significantly associated with disease-free or overall survival.

conclusionOur results showed that baseline [18F] FDG-PET parameters correlated with tumor staging, and only MTV correlated with TRG 1-2. PET parameters failed to predict disease-free and overall survival after treatment completion. The results leave open to further studies the issue of identifying patients suitable for conservative approaches.

Indexed as

Positron Emission Tomography Computed TomographyAdultAgedAged, 80 and overChemoradiotherapy, AdjuvantDisease-Free SurvivalFemaleFluorodeoxyglucose F18HumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm StagingPrognosisRectal NeoplasmsTreatment OutcomeFluorodeoxyglucose F18[18F] fluorodeoxyglucose positron emission tomographyMetabolic tumor volumePredictive valueRectal cancerStandardized uptake valueTotal lesion glycolysis

Identifiers

PMID30359275
PMCPMC6202838
OpenAlexW2898238916

What OpenQuestion holds

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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.