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ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2022

Comparison of PET-CT, CT and MRI scan in initial staging and management of head and neck cancers.

Shoaib Ahmad, Manish Mair, Puteri Abdul Haris, Abbas Haider, Andrew Baker, Peter Conboy, Harriet Walter, Lakshmiah Raj, Simon Wright, Ram Vaidhyanath and 1 more

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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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. Review
  3. Imaging of Tumor Stroma UsingJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
    Article
4 · The record

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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

11 authors.

Shoaib AhmadClinical Oncology, University Hospital of Leicester, Leicester, UK.
Manish MairHead and Neck Surgery, University Hospital of Leicester, NHS Trust, Leicester, UK. manishmair@gmail.com.ORCID http://orcid.org/0000-0003-3957-2738
Puteri Abdul HarisClinical Oncology, University Hospital of Leicester, Leicester, UK.
Abbas HaiderClinical Oncology, University Hospital of Leicester, Leicester, UK.
Andrew BakerMaxillofacial Department, University Hospital of Leicester, Leicester, UK.
Peter ConboyENT Department, University Hospital of Leicester, Leicester, UK.
Harriet WalterMedical Oncology, University Hospital of Leicester, Leicester, UK.
Lakshmiah RajHead and Neck Surgery, University Hospital of Leicester, NHS Trust, Leicester, UK.
Simon WrightUniversity Hospital of Leicester, Leicester, UK.
Ram VaidhyanathRadiology Department, University Hospital of Leicester, Leicester, UK.
Sridhar ThiagarajanClinical Oncology, University Hospital of Leicester, Leicester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the utility of positron-emission tomography (FDG PET) in initial staging and management of head and neck cancers.

methodsThis is a retrospective study of 99 treatment naïve head and neck cancer patients treated between January 2017 and December 2020 at a tertiary teaching centre. Change in initial staging and management was noted based on PET scan compared to cross-sectional imaging (CT and MRI).

resultsThere were 73 (73.7%) males and 26 (26.2%) females with male-to-female ratio of 2.8:1.Overall, change in management was seen in 36/99 (36.4%) patients due to PET scan. With regards to initial staging, T, N and M stage was changed in 14/99 (14.1%), 19/99 (19.1%) and 3/99 (3%) patients, respectively. These changes were significantly higher in patients with unknown primary (63.3%, p value -0.001) and N3 (41%, p -0.045) nodal disease.

conclusionPET-CT plays an important role in appropriate initial staging and subsequent treatment planning of head and neck cancers. ADVANCES IN KNOWLEDGE: Initial staging PETCT changes management in 36.4% cases. Accuracy of various different imaging modalities have been compared.

Indexed as

Head and Neck NeoplasmsPositron Emission Tomography Computed TomographyFemaleFluorodeoxyglucose F18HumansMagnetic Resonance ImagingMaleNeoplasm StagingPositron-Emission TomographyRadiopharmaceuticalsRetrospective StudiesTomography, X-Ray ComputedFluorodeoxyglucose F18RadiopharmaceuticalsCT/MRIHead and neck cancersManagementPET scanStaging

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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.