Evidence map›Paper›PMID 32920740›Full record

ArticleBreast cancer research and treatment2021

FDG-PET/CT in high-risk primary breast cancer-a prospective study of stage migration and clinical impact.

Marianne Vogsen, Jeanette Dupont Jensen, Ivar Yannick Christensen, Oke Gerke, Anne Marie Bak Jylling, Lisbet Brønsro Larsen, Poul-Erik Braad, Katrine Lydolph Søe, Camilla Bille, Marianne Ewertz and 1 more

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In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Joint EANM-SNMMI guideline on the role of 2-[European journal of nuclear medicine and molecular imaging · 2024
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  14. Influence of [Diagnostics (Basel, Switzerland) · 2023
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  15. 2-[Scientific reports · 2023
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  16. Follow-Up Strategies and Detection of Recurrent Breast Cancer in the Modern Era.Asian Pacific journal of cancer prevention : APJCP · 2023
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  17. Response Monitoring in Metastatic Breast Cancer: A Prospective Study ComparingJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
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  18. Review
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  20. Locally advanced breast cancer.Breast (Edinburgh, Scotland) · 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

11 authors at 2 institutions in 1 country.

Marianne VogsenDepartment of Oncology, Odense University Hospital, Odense, Denmark. marianne.vogsen@rsyd.dk.ORCID http://orcid.org/0000-0002-6124-4063
Jeanette Dupont JensenDepartment of Oncology, Odense University Hospital, Odense, Denmark.
Ivar Yannick ChristensenDepartment of Radiology, Odense University Hospital, Odense, Denmark.
Oke GerkeDepartment of Nuclear Medicine, Odense University Hospital, Odense, Denmark.
Anne Marie Bak JyllingDepartment of Pathology, Odense University Hospital, Odense, Denmark.
Lisbet Brønsro LarsenDepartment of Radiology, Odense University Hospital, Odense, Denmark.
Poul-Erik BraadDepartment of Nuclear Medicine, Odense University Hospital, Odense, Denmark.
Katrine Lydolph SøeDepartment of Breast Surgery, Odense University Hospital, Odense, Denmark.
Camilla BilleDepartment of Plastic Surgery, Odense University Hospital, Odense, Denmark.
Marianne EwertzDepartment of Clinical Research, University of Southern Denmark, Odense, Denmark.
Malene Grubbe HildebrandtDepartment of Nuclear Medicine, Odense University Hospital, Odense, Denmark.
Odense University Hospital · DKUniversity of Southern Denmark · DK

Funding

Det Frie Forskningsråd DFF - 7016-00359
6 · The paper itself

Abstract

purposeTo investigate the clinical impact of FDG-PET/CT for staging and treatment planning in high-risk primary breast cancer.

methodsWomen with high-risk primary breast cancer were enrolled between September 2017 and August 2019 at Odense University Hospital, Denmark. Conventional mammography with/without MRI was performed before staging by FDG-PET/CT. We studied the accuracy of FDG-PET/CT for the detection of distant metastases, the effect on the change of treatment, and the prevalence of incidental findings. Biopsy and follow-up were used as a reference standard for the accuracy analysis.

resultsOf 103 women, 24 (23%) were diagnosed with distant metastases by FDG-PET/CT. Among these, breast surgery was omitted in 18 and could have been spared in six. Another sixteen (16%) patients were upstaged to more advanced loco-regional disease, leading to more extensive radiotherapy. Sensitivity and specificity for diagnosing distant metastases were 1.00 (95% confidence interval: 0.86-1.00) and 0.95 (0.88-0.99), respectively. Twenty-nine incidental findings were detected in 24 women (23%), leading to further examinations in 22 and diagnosis of eight (8/22, 36%) synchronous diseases: cancer (n = 4), thyroiditis (n = 2), aorta aneurysm (n = 1), and meningioma (n = 1).

conclusionsFDG-PET/CT had a substantial impact on staging and change of treatment in women with high-risk primary breast cancer, and further examination of incidental findings was considered clinically relevant. Our findings suggest that FDG-PET/CT should be considered for primary staging in high-risk primary breast cancer to improve treatment planning.

Indexed as

Breast NeoplasmsFluorodeoxyglucose F18FemaleHumansNeoplasm StagingPositron-Emission TomographyPositron Emission Tomography Computed TomographyProspective StudiesRadiopharmaceuticalsSensitivity and SpecificityFluorodeoxyglucose F18RadiopharmaceuticalsBreast cancerClinical impactFDG-PET/CTIncidental findingsStage migration

Identifiers

PMID32920740
OpenAlexW3086151901

What OpenQuestion holds

Textmetadata
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.