Evidence map›Paper›PMID 30730936›Full record

ArticlePloS one2019

Comparison of therapeutic evaluation criteria in FDG-PET/CT in patients with diffuse large-cell B-cell lymphoma: Prognostic impact of tumor/liver ratio.

Mathieu N Toledano, Pierre Vera, Hervé Tilly, Fabrice Jardin, Stéphanie Becker

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The prognostic utility ofFrontiers in immunology · 2024
    Pooled it
  2. Pooled it
  3. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Trial
  4. Article
  5. Prognostic significance of pretransplantBritish journal of haematology · 2025
    Article
  6. Article
  7. Article
  8. BaselineHemaSphere · 2023
    Article
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  10. Review
  11. Article
  12. Article
  13. [European journal of nuclear medicine and molecular imaging · 2022
    Article
  14. Article
  15. Review
  16. Article
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  18. Review
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

5 authors.

Mathieu N ToledanoNuclear Medicine Department, Henri Becquerel Cancer Center, Rouen, France.
Pierre VeraNuclear Medicine Department, Henri Becquerel Cancer Center, Rouen, France.
Hervé TillyINSERM U1245, Centre Henri Becquerel, Rouen, France.
Fabrice JardinINSERM U1245, Centre Henri Becquerel, Rouen, France.
Stéphanie BeckerNuclear Medicine Department, Henri Becquerel Cancer Center, Rouen, France.ORCID 0000-0002-8621-9622

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study objective was to compare the prognostic value of interim and end-of-treatment FDG PET/CT using five therapeutic evaluation criteria in patients with diffuse large B cell lymphoma (DLBCL).

methods181 patients were retrospectively analysed. All patients underwent FDG-PET at baseline and after four cycles (iPET4) of first-line chemotherapy and 165 at the end-of-treatment (PET-eot). Ratio Deauville score (rDS) (SUVmax-target residual lesion/SUVmax-liver) was measured in iPET4 and PET-eot, and its optimal threshold was determined using receiver operating characteristic (ROC) curve analysis. Deauville score (DS) (iPET4 and PET-eot), ΔSUVmax, ΔSUVmax determined according to Menton 2011 criteria (ΔSUVmax+DS) and ΔSUVmax+rDS were also evaluated (iPET4 only). Median follow-up was 44 months.

resultsROC analysis revealed the optimal cut-off value was 1.4-fold of SUVmax-liver on iPET4 and PET-eot. On iPET4, positive predictive value (PPV) of rDS was significantly better than DS: 81.58% vs. 67.79%. In univariate analysis, the five interpretation methods were statistically significant (p<0.0001 for progression-free survival [PFS] and overall survival [OS]). In multivariate analysis, only rDS was an independent prognostic factor (p = 0.0002 and p<0.0001 for PFS and OS, respectively). On PET-eot, similarly, the two therapeutic evaluation criteria analysed (rDS and DS) were statistically significant at the univariate level (p<0.0001). rDS was the only significant prognostic factor in multivariate analysis (p<0.0001). PPV and accuracy of rDS were also better than DS.

conclusionsrDS with a tumor/liver ratio of 1.4 is a robust prognostic factor in patients with DLBCL on iPET4 and PET-eot.

Indexed as

AdolescentAdultAgedAged, 80 and overDisease-Free SurvivalFemaleHumansLiverLiver NeoplasmsLymphoma, Large B-Cell, DiffuseMaleMiddle AgedPositron Emission Tomography Computed TomographyPrognosisRetrospective StudiesROC Curve

Identifiers

PMID30730936
PMCPMC6366736

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Registered trials

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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.