Evidence map›Paper›PMID 31776725›Full record

Trial reportAnnals of hematology2020

Visual and volumetric parameters by 18F-FDG-PET/CT: a head to head comparison for the prediction of outcome in patients with multiple myeloma.

Rosa Fonti, Sara Pellegrino, Lucio Catalano, Fabrizio Pane, Silvana Del Vecchio, Leonardo Pace

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Annals of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. The [European journal of nuclear medicine and molecular imaging · 2026
    Pooled it
  2. EANM guidelines on the use of [European journal of nuclear medicine and molecular imaging · 2024
    Guideline
  3. Prognostic value ofClinical and experimental medicine · 2023
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  4. Trial
  5. Trial
  6. Predictive values of baselineBone marrow transplantation · 2026
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  9. Artificial intelligence-based, volumetric assessment of the bone marrow metabolic activity in [European journal of nuclear medicine and molecular imaging · 2024
    Article
  10. Article
  11. A look into the future: the role of PSMA beyond prostate cancer.European journal of nuclear medicine and molecular imaging · 2023
    Article
  12. Article
  13. Radiomics Analysis of [Diagnostics (Basel, Switzerland) · 2022
    Review
  14. The prognostic significance of [EJNMMI research · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Cancers · 2020
    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

6 authors.

Rosa FontiInstitute of Biostructures and Bioimages, National Research Council, Via De Amicis 95, 80145, Naples, Italy. rosa.fonti@ibb.cnr.it.
Sara PellegrinoDepartment of Advanced Biomedical Sciences, University "Federico II", Naples, Italy.
Lucio CatalanoDepartment of Onco-Hematology, University "Federico II", Naples, Italy.
Fabrizio PaneDepartment of Onco-Hematology, University "Federico II", Naples, Italy.
Silvana Del VecchioDepartment of Advanced Biomedical Sciences, University "Federico II", Naples, Italy.
Leonardo PaceDepartment of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In multiple myeloma (MM) patients, 18F-FDG-PET/CT allows either the detection of disease spread by using visual parameters based on the Italian Myeloma criteria for PET Use (IMPeTUs) or the direct measurement of metabolic tumor burden by volume-based parameters such as metabolic tumor volume (MTV). The purpose is to evaluate the contribution of visual and volumetric parameters in the prediction of progression-free survival (PFS) and overall survival (OS) in MM patients. Forty-seven patients in stage IIIA who had undergone whole-body 18F-FDG-PET/CT were retrospectively evaluated. In each patient, visual parameters were determined and compared with volumetric parameters for PFS and OS prediction after a mean follow-up period of 53 months. Among the visual and volumetric parameters tested, a statistically significant difference was found between maximum standardized uptake value, MTV, total lesion glycolysis, and number of lytic lesions of patients with (n = 26) or without (n = 21) progression (p = 0.0400, p = 0.0065, p = 0.015, and p = 0.0220, respectively) and of dead (n = 24) vs survivors (n = 23) (p = 0.0171, p = 0.0037, p = 0.0060, and p = 0.0270, respectively). At univariate and multivariate analysis, MTV and hemoglobin were predictive of both PFS (p = 0.008) and OS (p = 0.0026). The best MTV discriminative value assessed by receiver operating characteristic curve analysis for predicting both PFS and OS was 39.4 ml. By Kaplan-Meier analysis and log-rank test, PFS and OS were significantly better in patients with MTV ≤ 39.4 ml (p = 0.0004 and p = 0.0001, respectively) as compared with those having an MTV higher than the cutoff. The volume-based parameter MTV determined by 18F-FDG-PET/CT may be used in the prediction of PFS and OS in myeloma patients.

Indexed as

Positron Emission Tomography Computed TomographyTomography, X-Ray ComputedAdultAgedFemaleFluorodeoxyglucose F18HumansMaleMiddle AgedMultiple MyelomaRetrospective StudiesFluorodeoxyglucose F1818F-FDG-PET/CTMTVMultiple myelomaPrognosisVisual PET parameters

Identifiers

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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.