Evidence map›Paper›PMID 31689275›Full record

Trial reportClinical nuclear medicine2019

18F-FDG PET Imaging Features of Patients With Autoimmune Lymphoproliferative Syndrome.

Jorge A Carrasquillo, Clara C Chen, Susan Price, Millie Whatley, Nilo A Avila, Stefania Pittaluga, Elaine S Jaffe, V Koneti Rao

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Clinical nuclear medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Predicting treatment outcomes usingTherapeutic advances in medical oncology · 2022
    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

8 authors at 3 institutions in 1 country.

Jorge A CarrasquilloFrom the Nuclear Medicine Division, Department of Radiology & Imaging Science, Warren Grant Magnuson Clinical Center, National Institutes of Health, Bethesda, MD.
Clara C ChenFrom the Nuclear Medicine Division, Department of Radiology & Imaging Science, Warren Grant Magnuson Clinical Center, National Institutes of Health, Bethesda, MD.
Susan PriceLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases.
Millie WhatleyFrom the Nuclear Medicine Division, Department of Radiology & Imaging Science, Warren Grant Magnuson Clinical Center, National Institutes of Health, Bethesda, MD.
Nilo A AvilaDepartment of Radiology &Imaging Sciences, Warren Grant Magnuson Clinical Center, National Institutes of Health.
Stefania PittalugaHematopathology Section, Laboratory of Pathology, National Cancer Institute, Bethesda, MD.
Elaine S JaffeHematopathology Section, Laboratory of Pathology, National Cancer Institute, Bethesda, MD.
V Koneti RaoLaboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases.
National Institutes of Health Clinical Center · USNational Cancer Institute · USNational Institute of Allergy and Infectious Diseases · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Lymphoma Disease Discovery and DefintionZ01SC000550 · SC · DIVISION OF CLINICAL SCIENCES - NCI · PI JAFFE, ELAINE · 1996 to 2008
$2.3M
Intramural NIH HHS Z01 SC000550NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

introductionAutoimmune lymphoproliferative syndrome (ALPS) is a rare immune dysregulatory condition, usually presenting in childhood with massive lymphadenopathy, splenomegaly, and an increased incidence of lymphoma. Methods to differentiate between benign ALPS adenopathy and lymphoma are needed. To this end, we evaluated the usefulness of FDG PET.

methodsWe prospectively evaluated 76 ALPS/ALPS-like patients including FS-7-associated surface antigen (FAS) germline mutation with (n = 4) and without lymphoma (n = 50), FAS-somatic (n = 6), ALPS-unknown (n = 6), and others (n = 10) who underwent FDG PET. Uptakes in 14 nodal sites, liver, and spleen were determined.

resultsIn 76 ALPS patients, FDG PET showed uptake in multiple nodal sites in all but 1 patient. The highest SUVmax values in FAS mutation without lymphoma, FAS mutation with lymphoma, FAS somatic, ALPS-unknown, and other genetic mutations were a median (range) 9.2 (4.3-25), 16.2 (10.7-37.2), 7.6 (4.6-18.1), 11.5 (4.8-17.2), and 5.5 (0-15.3), respectively. Differences between uptake in the FAS group with and without lymphoma were statistically significant, but overlapped, making discrimination between individuals with/without lymphoma impossible. The spleen:liver uptake ratio was greater than 1 in 82% of patients.

conclusionsWhile statistically significant differences were observed in FAS mutation ALPS with and without lymphoma, the significant overlap in FDG uptake and visual appearance in many patients prevents discrimination between patients with and without lymphoma. Similar patterns of FDG biodistribution were noted between the various ALPS subgroups.

Indexed as

Fluorodeoxyglucose F18Positron-Emission TomographyAdolescentAdultAutoimmune Lymphoproliferative SyndromeChildChild, Preschoolfas ReceptorFemaleHumansLymphomaMaleMutationSplenomegalyTissue DistributionYoung Adultfas ReceptorFluorodeoxyglucose F18

Identifiers

PMID31689275
PMCPMC8189160
OpenAlexW2984473065

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.