Evidence map›Paper›PMID 33837843›Full record

Observational studyEuropean journal of nuclear medicine and molecular imaging2021

FDG-PET/CT in colorectal cancer: potential for vascular-metabolic imaging to provide markers of prognosis.

Shih-Hsin Chen, Kenneth Miles, Stuart A Taylor, Balaji Ganeshan, Manuel Rodriquez, Francesco Fraioli, Simon Wan, Asim Afaq, Robert Shortman, Darren Walls and 15 more

Erratum issuedOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in European journal of nuclear medicine and molecular imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Added value of dual-phaseFrontiers in oncology · 2025
    Article
  5. Article
  6. Review
  7. Noninvasive Stratification of Colon Cancer by Multiplex PET Imaging.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  8. Preoperative metabolic parameters ofQuantitative imaging in medicine and surgery · 2024
    Article
  9. Association of dynamic contrast-enhanced MRI andEuropean journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2023
    Article
  10. Review
  11. Review
  12. Review
  13. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 14 institutions in 3 countries.

Shih-Hsin ChenDivision of Medicine, Research Department of Imaging, University College London (UCL), London, UK.
Kenneth MilesDivision of Medicine, Research Department of Imaging, University College London (UCL), London, UK.
Stuart A TaylorDivision of Medicine, Research Department of Imaging, University College London (UCL), London, UK.
Balaji GaneshanDivision of Medicine, Research Department of Imaging, University College London (UCL), London, UK.
Manuel RodriquezUniversity College London Hospitals (UCLH) NHS Foundation Trust, Surgery and Cancer Board, Imaging Division, University College Hospital (UCH), London, UK.
Francesco FraioliUniversity College London Hospitals (UCLH) NHS Foundation Trust, Surgery and Cancer Board, Imaging Division, University College Hospital (UCH), London, UK.
Simon WanUniversity College London Hospitals (UCLH) NHS Foundation Trust, Surgery and Cancer Board, Imaging Division, University College Hospital (UCH), London, UK.
Asim AfaqUniversity College London Hospitals (UCLH) NHS Foundation Trust, Surgery and Cancer Board, Imaging Division, University College Hospital (UCH), London, UK.
Robert ShortmanDepartment of Nuclear Medicine, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.
Darren WallsDivision of Medicine, Research Department of Imaging, University College London (UCL), London, UK.
Luke HoyDivision of Medicine, Research Department of Imaging, University College London (UCL), London, UK.
Raymond EndozoUniversity College London Hospitals (UCLH) NHS Foundation Trust, Surgery and Cancer Board, Imaging Division, University College Hospital (UCH), London, UK.
Aman BhargavaInstitute of Health Barts and London Medical School, Queen Mary University of London (QMUL), London, UK.
Matthew HansonBarking, Havering and Redbridge University Hospitals NHS Trust, Division of Cancer and Clinical Support, Queens and King George Hospitals, Essex, UK.
Joseph HuangBarking, Havering and Redbridge University Hospitals NHS Trust, Division of Cancer and Clinical Support, Queens and King George Hospitals, Essex, UK.
Sherif RaoufBarking, Havering and Redbridge University Hospitals NHS Trust, Division of Cancer and Clinical Support, Queens and King George Hospitals, Essex, UK.
Daren FrancisRoyal Free London NHS Foundation Trust, Department of Colorectal Surgery, Barnet and Chase Farm Hospitals, London, UK.
Shahab SiddiqiMid Essex Hospital Services NHS Trust, Department of Lower GI Surgery and Coloproctology, Broomfield Hospital, Essex, UK.
Tan ArulampalamEast Suffolk and North Essex NHS Foundation Trust, Department of Surgery & Department of Clinical Oncology, Colchester General Hospital, Essex, UK.
Bruce SizerEast Suffolk and North Essex NHS Foundation Trust, Department of Surgery & Department of Clinical Oncology, Colchester General Hospital, Essex, UK.
Michael MachesneyBarts Health NHS Trust, Cancer Clinical Board, Colorectal Surgery, Whipps Cross Hospital, London, UK.
Nicholas Reay-JonesEast and North Hertfordshire NHS Trust, Colorectal Surgery, Queen Elizabeth II Hospital, Hertfordshire, UK.
Sanjay DindyalEast and North Hertfordshire NHS Trust, Colorectal Surgery, Lister Hospital, Hertfordshire, UK.
Tony NgSchool of Cancer & Pharmaceutical Sciences, Kings College London (KCL), London, UK. tony.ng@kcl.ac.uk.
Ashley M GrovesDivision of Medicine, Research Department of Imaging, University College London (UCL), London, UK. a.groves@ucl.ac.uk.
University College London · GBKeelung Chang Gung Memorial Hospital · TWKing George Hospital · GBBarking, Havering And Redbridge University Hospitals NHS Trust · GBBroomfield Hospital · GBColchester Hospital · GBEast and North Hertfordshire NHS Trust · GBEast Suffolk and North Essex NHS Foundation Trust · GBKing's College London · GBQueen Elizabeth II Hospital · GBQueen Mary University of London · GBRoyal Free London NHS Foundation Trust · GBUniversity College London Hospitals NHS Foundation Trust · GBWhipps Cross University Hospital · GB

Funding

Cancer Research UK 16463Cancer Research UK 27375Cancer Research UK 28682
6 · The paper itself

Abstract

purposeThis study assesses the potential for vascular-metabolic imaging with FluoroDeoxyGlucose (FDG)-Positron Emission Tomography/Computed Tomography (PET/CT) perfusion to provide markers of prognosis specific to the site and stage of colorectal cancer.

methodsThis prospective observational study comprised of participants with suspected colorectal cancer categorized as either (a) non-metastatic colon cancer (M0colon), (b) non-metastatic rectal cancer (M0rectum), or (c) metastatic colorectal cancer (M+). Combined FDG-PET/CT perfusion imaging was successfully performed in 286 participants (184 males, 102 females, age: 69.60 ± 10 years) deriving vascular and metabolic imaging parameters. Vascular and metabolic imaging parameters alone and in combination were investigated with respect to overall survival.

resultsA vascular-metabolic signature that was significantly associated with poorer survival was identified for each patient group: M0colon - high Total Lesion Glycolysis (TLG) with increased Permeability Surface Area Product/Blood Flow (PS/BF), Hazard Ratio (HR) 3.472 (95% CI: 1.441-8.333), p = 0.006; M0rectum - high Metabolic Tumour Volume (MTV) with increased PS/BF, HR 4.567 (95% CI: 1.901-10.970), p = 0.001; M+ participants, high MTV with longer Time To Peak (TTP) enhancement, HR 2.421 (95% CI: 1.162-5.045), p = 0.018. In participants with stage 2 colon cancer as well as those with stage 3 rectal cancer, the vascular-metabolic signature could stratify the prognosis of these participants.

conclusionVascular and metabolic imaging using FDG-PET/CT can be used to synergise prognostic markers. The hazard ratios suggest that the technique may have clinical utility.

Indexed as

Colorectal NeoplasmsFluorodeoxyglucose F18AgedFemaleGlycolysisHumansMaleMiddle AgedPositron-Emission TomographyPositron Emission Tomography Computed TomographyPrognosisRadiopharmaceuticalsRetrospective StudiesTumor BurdenFluorodeoxyglucose F18RadiopharmaceuticalsColorectal cancerCT perfusionFDG-PETMetabolismSurvivalVascular

Identifiers

PMID33837843
PMCPMC8712298
OpenAlexW3139606168

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.