Evidence map›Paper›PMID 32571221›Full record

ArticleBMC medical imaging2020

Utility of FDG PET/CT for assessment of lung nodules identified during low dose computed tomography screening.

Sarah Hadique, Pranav Jain, Yousaf Hadi, Aneeqah Baig, John E Parker

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Heterogeneous uptake ofBMC pulmonary medicine · 2023
    Article
  5. Article
  6. Enhancement ofDiagnostics (Basel, Switzerland) · 2022
    Article
  7. Chronic Obstructive Pulmonary Disease and Lung Cancer: A Review for Clinicians.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2022
    Article
  8. 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

5 authors at 1 institution in 1 country.

Sarah HadiqueSection of Pulmonary, Critical Care & Sleep Medicine, West Virginia University, 1 medical center drive, HSC-N 9166, Morgantown, WV, 26506, USA. shadique@hsc.wvu.edu.ORCID 0000-0003-3140-4529
Pranav JainFourth year Medical student, West Virginia University, Morgantown, WV, USA.
Yousaf HadiDepartment of Internal Medicine, West Virginia University, Morgantown, WV, USA.
Aneeqah BaigSection of Pulmonary, Critical Care & Sleep Medicine, West Virginia University, 1 medical center drive, HSC-N 9166, Morgantown, WV, 26506, USA.
John E ParkerSection of Pulmonary, Critical Care & Sleep Medicine, West Virginia University, 1 medical center drive, HSC-N 9166, Morgantown, WV, 26506, USA.
West Virginia University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundMany clinical guidelines recommend FDG PET/CT for the evaluation of pulmonary nodules ≥8 mm detected during low dose computed tomography (LDCT) lung cancer screening. However, its added value in this setting requires confirmation. We evaluated the clinical utility of FDG PET/CT, including incidental findings, during the evaluation of lung nodules detected on LDCT screening.

methodsA retrospective cohort study was performed among 75 patients who completed FDG PET/CT between January 2010 and December 2017, after lung nodules > 8 mm had been detected on LDCT lung cancer screening. We report demographic variables, characteristics of the initial nodules on LDCT and FDG PET/CT, incidental findings on FDG PET/CT, as well as further work up performed and the influence of FDG PET/CT findings on management.

resultsNodules were reported to be benign on FDG PET/CT in 38/75 (50.6%) patients. Physicians chose either radiological follow-up or no further work up in all 38. FDG PET/CT was indeterminate or suggested malignancy in 37 (49.3%) patients. Biopsy was performed in 32 (86%) of these patients. Incidental findings on FDG PET/CT were reported in 37/75 (49%) patients. Further work-up of incidental findings was performed in 21/75 (28%) of patients.

conclusionsIn this study, for majority of individuals with lung nodules identified during LDCT lung cancer screening, FDG PET/CT results were able to guide physicians in choosing between routine follow up or invasive biopsies. Conversely, 28% of these patients required additional investigations to address incidental findings.

Indexed as

AgedBiopsyClinical Decision-MakingEarly Detection of CancerFemaleFluorodeoxyglucose F18HumansIncidental FindingsLung NeoplasmsMaleMiddle AgedMultiple Pulmonary NodulesPositron Emission Tomography Computed TomographyRadiation DosageRetrospective StudiesTomography, X-Ray ComputedFluorodeoxyglucose F18FDG PET/CTLDCTLung cancerPulmonary nodule

Identifiers

PMID32571221
PMCPMC7309986
OpenAlexW3035793115

What OpenQuestion holds

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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.