Evidence map›Paper›PMID 34298781›Full record

ReviewCancers2021

PET/MRI for Staging the Axilla in Breast Cancer: Current Evidence and the Rationale for SNB vs. PET/MRI Trials.

Rosa Di Micco, Letizia Santurro, Maria Luisa Gasparri, Veronica Zuber, Giovanni Cisternino, Sara Baleri, Manuela Morgante, Nicole Rotmensz, Carla Canevari, Francesca Gallivanone and 12 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. [Breast (Edinburgh, Scotland) · 2026
    Trial
  2. Hybrid [Bioengineering (Basel, Switzerland) · 2026
    Article
  3. Article
  4. Article
  5. Baseline [European journal of nuclear medicine and molecular imaging · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Breast PET/MRI Hybrid Imaging and Targeted Tracers.Journal of magnetic resonance imaging : JMRI · 2023
    Review
  10. Review
  11. Review
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

22 authors at 3 institutions in 2 countries.

Rosa Di MiccoBreast Surgery Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.ORCID 0000-0002-2575-8729
Letizia SanturroBreast Surgery Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Maria Luisa GasparriDepartment of Gynecology and Obstetrics, Ente Ospedaliero Cantonale, Ospedale Regionale di Lugano, Via Tesserete 46, 6900 Lugano, Switzerland.ORCID 0000-0002-9482-9527
Veronica ZuberBreast Surgery Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Giovanni CisterninoBreast Surgery Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Sara BaleriBreast Surgery Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Manuela MorganteBreast Surgery Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Nicole RotmenszBreast Surgery Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Carla CanevariNuclear Medicine Department, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Francesca GallivanoneInstitute of Molecular Bioimaging and Physiology, National Research Council (IBFM-CNR), Via Fratelli Cervi, 20090 Milan, Italy.ORCID 0000-0001-6559-6157
Paola ScifoNuclear Medicine Department, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Annarita SaviNuclear Medicine Department, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.ORCID 0000-0001-6347-632X
Patrizia MagnaniNuclear Medicine Department, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Ilaria NeriNuclear Medicine Department, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Nadia FerjaniNuclear Medicine Department, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Elena VenturiniBreast Radiology Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Claudio LosioBreast Radiology Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Isabella SassiPathology Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Giampaolo BianchiniBreast Cancer Group, Department of Medical Oncology, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Pietro PanizzaBreast Radiology Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Luigi GianolliNuclear Medicine Department, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.
Oreste Davide GentiliniBreast Surgery Unit, San Raffaele University and Research Hospital, Via Olgettina 60, 20132 Milan, Italy.ORCID 0000-0002-4489-1867
San Raffaele University of Rome · ITInstitute of Molecular Bioimaging and Physiology · ITOspedale regionale di Lugano · CH

Funding

Associazione Italiana per la Ricerca sul Cancro IG21840Ministero della Salute RF-2018-12368096
6 · The paper itself

Abstract

Axillary surgery in breast cancer (BC) is no longer a therapeutic procedure but has become a purely staging procedure. The progressive improvement in imaging techniques has paved the way to the hypothesis that prognostic information on nodal status deriving from surgery could be obtained with an accurate diagnostic exam. Positron emission tomography/magnetic resonance imaging (PET/MRI) is a relatively new imaging tool and its role in breast cancer patients is still under investigation. We reviewed the available literature on PET/MRI in BC patients. This overview showed that PET/MRI yields a high diagnostic performance for the primary tumor and distant lesions of liver, brain and bone. In particular, the results of PET/MRI in staging the axilla are promising. This provided the rationale for two prospective comparative trials between axillary surgery and PET/MRI that could lead to a further de-escalation of surgical treatment of BC. • SNB vs. PET/MRI 1 trial compares PET/MRI and axillary surgery in staging the axilla of BC patients undergoing primary systemic therapy (PST). • SNB vs. PET/MRI 2 trial compares PET/MRI and sentinel node biopsy (SNB) in staging the axilla of early BC patients who are candidates for upfront surgery. Finally, these ongoing studies will help clarify the role of PET/MRI in BC and establish whether it represents a useful diagnostic tool that could guide, or ideally replace, axillary surgery in the future.

Indexed as

breast cancerPET/MRIsentinel node biopsy

Identifiers

PMID34298781
PMCPMC8303241
OpenAlexW3185542694

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.