Evidence map›Paper›PMID 32092901›Full record

ReviewCancers2020

Imaging of Monoclonal Gammapathy of Undetermined Significance and Smoldering Multiple Myeloma.

Bastien Jamet, Clément Bailly, Thomas Carlier, Cyrille Touzeau, Anne-Victoire Michaud, Mickael Bourgeois, Philippe Moreau, Caroline Bodet-Milin, Françoise Kraeber-Bodere

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. The "Undetermined Significance" ofMedicina (Kaunas, Lithuania) · 2021
    Article
  5. 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 1 institution in 1 country.

Bastien JametNuclear Medicine Unit, University Hospital, 44093 Nantes, France.ORCID 0000-0002-2145-9182
Clément BaillyNuclear Medicine Unit, University Hospital, 44093 Nantes, France.ORCID 0000-0001-8313-3287
Thomas CarlierNuclear Medicine Unit, University Hospital, 44093 Nantes, France.ORCID 0000-0002-6932-7322
Cyrille TouzeauHaematology Department, University Hospital, 44093 Nantes, France.ORCID 0000-0003-0275-2575
Anne-Victoire MichaudNuclear Medicine Unit, University Hospital, 44093 Nantes, France.
Mickael BourgeoisNuclear Medicine Unit, University Hospital, 44093 Nantes, France.ORCID 0000-0002-5463-8187
Philippe MoreauHaematology Department, University Hospital, 44093 Nantes, France.
Caroline Bodet-MilinNuclear Medicine Unit, University Hospital, 44093 Nantes, France.
Françoise Kraeber-BodereNuclear Medicine Unit, University Hospital, 44093 Nantes, France.
Centre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple myeloma (MM) is always preceded by an initial monoclonal gammopathy of undetermined significance (MGUS) that then develops into asymptomatic or smoldering multiple myeloma (SMM), which constitutes an intermediate clinical stage between MGUS and MM. According to a recent study, risk factors for faster MGUS to MM progression include an M protein of 1.5 g/dL or more and an abnormal free light chain ratio in patients with non-IgM MGUS. Therefore, the International Myeloma Working Group (IMWG) decided to recommend whole-body computed tomography (WBCT) for patients with high-risk MGUS in order to exclude early bone destruction. Studies evaluating magnetic resonance imaging (MRI) in SMM found an optimal cutoff of two or more focal lesions to be of prognostic significance for fast progression into symptomatic disease and considered this biomarker as a myeloma-defining event (MDE) needing to start therapy with the aim to avoid progression to harmful bone lesions. Moreover, studies assessing positron emission tomography (PET) with computed tomography (CT) using 18F-deoxyglucose (FDG) (FDG-PET/CT) in SMM showed that presence of focal bone lesion without underlying osteolysis is associated with a rapid progression to symptomatic MM. Latest IMWG guidelines recommended to perform WBCT (either CT alone or as part of an FDG-PET/CT protocol) as the first imaging technique at suspected SMM and, if these images are negative or inconclusive, to perform whole-body MRI. The goal of this paper is to clarify the role of different imaging modalities in MGUS and SMM workups.

Indexed as

FDG-PET/CTimagingMGUSMRISMMWBCT

Identifiers

PMID32092901
PMCPMC7072331
OpenAlexW3007372883

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.