Evidence map›Paper›PMID 33482909›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2021

Diagnostic efficiency of whole-body

Aida Steiner, Sara Narva, Irina Rinta-Kiikka, Sakari Hietanen, Johanna Hynninen, Johanna Virtanen

Open access · goldAbstract read
In one paragraph

Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Diagnostic performance of quantitative measures from [European journal of nuclear medicine and molecular imaging · 2026
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  4. Clinical PET/MR.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2026
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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 at 4 institutions in 2 countries.

Aida SteinerDepartment of Radiology, Turku University Hospital and University of Turku, PO Box 52, 20521, Turku, Finland. aikast@utu.fi.ORCID http://orcid.org/0000-0002-5376-8270
Sara NarvaDepartment of Obstetrics and Gynecology, Turku University Hospital, PO Box 52, 20521, Turku, Finland.
Irina Rinta-KiikkaDepartment of Radiology, Tampere University Hospital, PO Box 2000, 33521, Tampere, Finland.
Sakari HietanenDepartment of Obstetrics and Gynecology, Turku University Hospital, PO Box 52, 20521, Turku, Finland.
Johanna HynninenDepartment of Obstetrics and Gynecology, Turku University Hospital, PO Box 52, 20521, Turku, Finland.
Johanna VirtanenDepartment of Radiology, Turku University Hospital and University of Turku, PO Box 52, 20521, Turku, Finland.
Turku University Hospital · FIBrigham and Women's Hospital · USTampere University Hospital · FIUniversity of Turku · FI

Funding

Instrumentariumin Tiedesäätiö n/aOrionin Tutkimussäätiö n/aSigrid Juséliuksen Säätiö n/a
6 · The paper itself

Abstract

backgroundThe use of PET/MRI for gynecological cancers is emerging. The purpose of this study was to assess the additional diagnostic value of PET over MRI alone in local and whole-body staging of cervical cancer, and to evaluate the benefit of standardized uptake value (SUV) and apparent diffusion coefficient (ADC) in staging.

methodsPatients with histopathologically-proven cervical cancer and whole-body

resultsIn total, 33 patients who underwent surgery (n = 23) or first-line chemoradiation (n = 10) were included. PET/MRI resulted in higher AUC compared with MRI alone in detecting parametrial (0.89 versus 0.73), vaginal (0.85 versus 0.74), and deep cervical stromal invasion (0.96 versus 0.74), respectively. PET/MRI had higher diagnostic confidence than MRI in identifying patients with radical cone biopsy and no residual at hysterectomy (sensitivity 89% versus 44%). PET/MRI and MRI showed equal AUC for pelvic nodal staging (both 0.73), whereas AUC for distant metastases was higher using PET/MRI (0.80 versus 0.67). Tumor SUVmax/ADC ratio, but not SUVmax or ADC alone, was significantly higher in the presence of metastatic pelvic lymph nodes (P < 0.05).

conclusionsPET/MRI shows higher accuracy than MRI alone for determining local tumor spread and distant metastasis emphasizing the added value of PET over MRI alone in staging of cervical cancer. Tumor SUVmax/ADC ratio may predict pelvic nodal involvement.

Indexed as

FemaleFluorodeoxyglucose F18HumansMagnetic Resonance ImagingNeoplasm StagingPositron-Emission TomographyReference StandardsTomography, X-Ray ComputedUterine Cervical NeoplasmsFluorodeoxyglucose F183 T MRIADCCervical cancerPET/MRIStagingSUV

Identifiers

PMID33482909
PMCPMC7821517
OpenAlexW3121287337

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.