Evidence map›Paper›PMID 34063555›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Malignancy Rate of Indeterminate Findings on FDG-PET/CT in Cutaneous Melanoma Patients.

Ken Kudura, Florentia Dimitriou, Daniela Mihic-Probst, Urs J Muehlematter, Tim Kutzker, Lucas Basler, Robert Förster, Reinhard Dummer, Joanna Mangana, Lars Husmann and 2 more

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Melanin-targeted [European journal of nuclear medicine and molecular imaging · 2023
    Observational
  3. 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.

Ken KuduraDepartment of Nuclear Medicine, University Hospital Zurich, 8006 Zurich, Switzerland.
Florentia DimitriouFaculty of Medicine, University of Zurich, 8091 Zurich, Switzerland.
Daniela Mihic-ProbstFaculty of Medicine, University of Zurich, 8091 Zurich, Switzerland.
Urs J MuehlematterDepartment of Nuclear Medicine, University Hospital Zurich, 8006 Zurich, Switzerland.
Tim KutzkerFaculty of Applied Statistics, Humboldt University Berlin, 10117 Berlin, Germany.
Lucas BaslerFaculty of Medicine, University of Zurich, 8091 Zurich, Switzerland.
Robert FörsterFaculty of Medicine, University of Zurich, 8091 Zurich, Switzerland.ORCID 0000-0002-7664-9207
Reinhard DummerFaculty of Medicine, University of Zurich, 8091 Zurich, Switzerland.
Joanna ManganaFaculty of Medicine, University of Zurich, 8091 Zurich, Switzerland.
Lars HusmannDepartment of Nuclear Medicine, University Hospital Zurich, 8006 Zurich, Switzerland.
Irene A BurgerDepartment of Nuclear Medicine, University Hospital Zurich, 8006 Zurich, Switzerland.
Michael Christoph KreisslDivision of Nuclear Medicine, Department of Radiology and Nuclear Medicine, University Hospital Magdeburg, 39120 Magdeburg, Germany.ORCID 0000-0001-5905-6015

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of PURPOSE: We aimed to investigate the malignancy rate of indeterminate findings on FDG-PET/CT in metastatic cutaneous melanoma patients.

methodsThis single-center retrospective study included cutaneous melanoma patients who underwent FDG-PET/CT in clinical routine between 2015 and 2017 with findings reported as indeterminate and therefore requiring further evaluation. The dignity of the included findings was determined by subsequent imaging and, if required, additional histopathology. The impact of the outcome on the clinical management was also reported.

resultsA total of 842 FDG-PET/CT reports of 244 metastatic cutaneous melanoma patients were reviewed. Sixty indeterminate findings were included. Almost half of all indeterminate findings were lymph nodes, lung nodules and cerebral lesions. In total, 43.3% of all included findings proved to be malignant. 81% of all malignant lesions were metastases of cutaneous melanoma, while 19% of all malignant lesions could be attributed to other primary malignancies, such as lung, breast, thyroid and colorectal cancers. Malignant findings influenced clinical management in 60% of the cases.

conclusionIndeterminate findings on FDG-PET/CT in metastatic cutaneous melanoma patients should be further investigated. Almost one out of every two indeterminate findings on FDG-PET/CT is malignant. The majority of the findings are melanoma manifestations, however, in a significant percentage, other primary tumors are found. Upon verification, patient management is changed in most cases.

Indexed as

computed tomographyimmunotherapymelanomapositron emission tomography

Identifiers

PMID34063555
PMCPMC8156636

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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.