Evidence map›Paper›PMID 33606061›Full record

Trial reportAbdominal radiology (New York)2021

F-18 FDG perfusion PET: intraprocedural assessment of the liver tumor ablation margin.

Paul B Shyn, Alan J Cubre, Paul J Catalano, Leslie K Lee, Hyewon Hyun, Kemal Tuncali, Julia G Seol, Vincent M Levesque, Victor H Gerbaudo, Tina Kapur and 2 more

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Abdominal radiology (New York), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02018107 (PET/CT-Guided Liver Tumor Ablation), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

NCT02018107 nacompletednot on this map

PET/CT-Guided Liver Tumor Ablation: Intraprocedural Assessment of Results Using Ammonia Perfusion PET

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2014 to 2019Enrolled33ConditionsLiver Tumor, Liver NeoplasmsArmsN-13 ammonia or F-18 fluorodeoxyglucose, PET scan
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. PET/CT Fluoroscopy during PET/CT-Guided Interventions: Initial Experience.Journal of vascular and interventional radiology : JVIR · 2023
    Article
  4. Review
  5. Review
  6. 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

12 authors.

Paul B ShynBrigham and Women's Hospital, Boston, MA, USA. pshyn@bwh.harvard.edu.ORCID 0000-0003-0538-2151
Alan J CubreBrigham and Women's Hospital, Boston, MA, USA.
Paul J CatalanoHarvard Medical School, Boston, MA, USA.ORCID 0000-0002-1105-8852
Leslie K LeeBrigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-6132-1700
Hyewon HyunBrigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-9060-5489
Kemal TuncaliBrigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0003-2466-4787
Julia G SeolBrigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-9693-9340
Vincent M LevesqueBrigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-9283-420X
Victor H GerbaudoBrigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0002-6252-3427
Tina KapurBrigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0003-3646-9508
Ryan T ChaoBrigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0003-2778-942X
Stuart G SilvermanBrigham and Women's Hospital, Boston, MA, USA.ORCID 0000-0001-9461-8028

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate

methodsThis IRB-approved, HIPAA-compliant study included 20 adult patients (11 M, 9 F; mean age 65) undergoing FDG PET/CT-guided liver microwave ablation to treat 31 FDG-avid tumors. Intraprocedural FDG perfusion PET was performed to assess the ablation margin. Intraprocedural decisions regarding overlapping ablations were recorded. Two readers retrospectively interpreted intraprocedural perfusion PET and postprocedural contrast-enhanced MRI. Assessability of the ablation margin and minimum margin measurements were recorded. Imaging follow-up for local progression ranged from 30 to 574 days (mean 310). Regression modeling of minimum margin measurements was performed. Hazard ratios were calculated to correlate an ablation margin threshold of 5 mm with outcomes.

resultsIntraprocedural perfusion PET prompted additional overlapping ablations of two tumors, neither of which progressed. Incomplete ablation or local progression occurred in 8/31 (26%) tumors. With repeat ablation, secondary efficacy was 26 (84%) of 31. Both study readers deemed ablation margins fully assessable more often using perfusion PET than MRI (OR 69.7; CI 6.0, 806.6; p = 0.001). Minimum ablation margins ≥ 5 mm on perfusion PET correlated with a low risk of incomplete ablation/local progression by both study readers (HR 0.08 and 0.02, p < 0.001).

conclusionIntraprocedural FDG perfusion PET consistently enabled complete liver tumor microwave ablation margin assessments, and the perfusion PET minimum ablation margin measurements correlated well with local outcomes. Clinical trial registration clinicaltrials.gov (NCT02018107).

Indexed as

Fluorodeoxyglucose F18Liver NeoplasmsAdultAgedHumansPerfusionPositron-Emission TomographyPositron Emission Tomography Computed TomographyRetrospective StudiesFluorodeoxyglucose F18Ablation techniquesLiver neoplasmsPositron emission tomography

Identifiers

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Registered trials

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.