Evidence map›Paper›PMID 31234933›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2019

Enhancing prognosis prediction using pre-treatment nodal SUVmax and HPV status in cervical squamous cell carcinoma.

Chae Moon Hong, Shin-Hyung Park, Gun Oh Chong, Yoon Hee Lee, Ju Hye Jeong, Sang-Woo Lee, Jaetae Lee, Byeong-Cheol Ahn, Shin Young Jeong

Abstract read
In one paragraph

Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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.

Chae Moon HongDepartment of Nuclear Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Shin-Hyung ParkDepartment of Radiation Oncology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Gun Oh ChongDepartment of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea. gochong@knu.ac.kr.
Yoon Hee LeeDepartment of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Ju Hye JeongDepartment of Nuclear Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Sang-Woo LeeDepartment of Nuclear Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Jaetae LeeDepartment of Nuclear Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Byeong-Cheol AhnDepartment of Nuclear Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Shin Young JeongDepartment of Nuclear Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea. syjeong@knu.ac.kr.

Funding

Ministry of Education 2016R1D1A1A02936968Ministry of Education (KR) 2014R1A5A2009242Ministry of Health and Welfare (KR) HI16C1501
6 · The paper itself

Abstract

backgroundThis study was to evaluate the prognostic value of metabolic parameters on F-18-FDG PET/CT and the status of human papillomavirus (HPV) infection and known prognostic variables for predicting tumor recurrence and investigating a prognostic model in patients with locally advanced cervical cancer treated with concurrent chemoradiotherapy (CCRT).

methodsA total of 129 patients with cervical squamous cell carcinoma who underwent initial CCRT were eligible for this study. Univariate and multivariate analyses were performed using traditional prognostic factors, metabolic parameters, and HPV infection. Classification and regression decision tree (CART) was used to establish new classification.

resultsAmong 129 patients, 29 patients (22.5%) had recurrence after a median follow-up of 60 months (range, 3-125 months). Tumor size, para-aortic lymph node metastasis, nodal SUVmax, and HPV infection status were identified as independent prognostic factors by multivariate analysis. The CART analysis classified the patients into three groups. The first node was nodal SUVmax, and HPV status was the second node for patients with nodal SUVmax ≤7.49; Group A (nodal SUVmax ≤7.49 and HPV positive, HR 1.0), Group B (nodal SUVmax ≤7.49 and HPV negative, HR 3.56), and Group C (nodal SUVmax > 7.49, HR 10.13). Disease-free survival was significantly different among the three groups (p < 0.001).

conclusionThe nodal SUVmax on F-18 FDG PET/CT and HPV infection status before CCRT are powerful independent prognostic factors for the prediction of disease-free survival in patients with cervical squamous cell carcinoma who underwent initial CCRT. We also suggest a simple prognosis prediction model using pre-treatment FDG PET/CT and HPV genotyping; however, it needs further validation in an independent dataset.

Indexed as

Positron Emission Tomography Computed TomographyAdultAgedAged, 80 and overAlphapapillomavirusCarcinoma, Squamous CellFemaleFluorodeoxyglucose F18HumansMiddle AgedPrognosisRadiopharmaceuticalsUterine Cervical NeoplasmsFluorodeoxyglucose F18RadiopharmaceuticalsCervical cancerClassification and regression treeConcurrent chemoradiotherapyFDG PET/CTHuman papilloma virusLymph nodePrognosis prediction

Identifiers

PMID31234933
PMCPMC6591806

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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.