Evidence map›Paper›PMID 34575018›Full record

ArticleLife (Basel, Switzerland)2021

When SUV Matters: FDG PET/CT at Baseline Correlates with Survival in Soft Tissue and Ewing Sarcoma.

Ruben I Hack, Anton S Becker, Beata Bode-Lesniewska, G Ulrich Exner, Daniel A Müller, Daniela A Ferraro, Geoffrey I Warnock, Irene A Burger, Christian Britschgi

Open access · goldAbstract read
In one paragraph

Article in Life (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Prognostic significance ofCancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Pooled it
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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

9 authors at 3 institutions in 1 country.

Ruben I HackDepartment of Nuclear Medicine, University Hospital Zürich, University of Zürich, 8091 Zürich, Switzerland.
Anton S BeckerDepartment of Interventional and Diagnostic Radiology, University Hospital Zürich, University of Zürich, 8091 Zürich, Switzerland.ORCID 0000-0001-8372-6496
Beata Bode-LesniewskaInstitute of Pathology and Molecular Pathology, University Hospital Zürich, University of Zürich, 8091 Zürich, Switzerland.
G Ulrich ExnerOrthopaedie Zentrum Zuerich, 8038 Zürich, Switzerland.
Daniel A MüllerBalgrist University Hospital Zürich, Forchstrasse 340, 8008 Zürich, Switzerland.
Daniela A FerraroDepartment of Nuclear Medicine, University Hospital Zürich, University of Zürich, 8091 Zürich, Switzerland.
Geoffrey I WarnockPMOD Technologies LLC, 8091 Zürich, Switzerland.
Irene A BurgerDepartment of Nuclear Medicine, University Hospital Zürich, University of Zürich, 8091 Zürich, Switzerland.ORCID 0000-0001-8029-8692
Christian BritschgiDepartment of Medical Oncology and Hematology, University Hospital Zürich, University of Zürich, 8091 Zürich, Switzerland.
University of Zurich · CHImmunologie-Zentrum Zürich · CHUniversitätsklinik Balgrist · CH

Funding

Stiftung Max und Sophielène Iten-Kohaut NA
6 · The paper itself

Abstract

introductionThe role of positron-emission tomography/computed-tomography (PET/CT) in the management of sarcomas and as a prognostic tool has been studied. However, it remains unclear which metric is the most useful. We aimed to investigate if volume-based PET metrics (Tumor volume (TV) and total lesions glycolysis (TLG)) are superior to maximal standardized uptake value (SUVmax) and other metrics in predicting survival of patients with soft tissue and bone sarcomas. MATERIALS AND

methodsIn this retrospective cohort study, we screened over 52'000 PET/CT scans to identify patients diagnosed with either soft tissue, bone or Ewing sarcoma and had a staging scan at our institution before initial therapy. We used a Wilcoxon signed-rank to assess which PET/CT metric was associated with survival in different patient subgroups. Receiver-Operating-Characteristic curve analysis was used to calculate cutoff values.

resultsWe identified a total of 88 patients with soft tissue (51), bone (26) or Ewing (11) sarcoma. Median age at presentation was 40 years (Range: 9-86 years). High SUVmax was most significantly associated with short survival (defined as <24 months) in soft tissue sarcoma (with a median and range of SUVmax 12.5 (8.8-16.0) in short (n = 18) and 5.5 (3.3-7.2) in long survival (≥24 months) (n = 31), with ( DISCUSSION: Our analysis shows that the outcome of soft tissue, bone and Ewing sarcomas is associated with different PET/CT metrics. We could not confirm the previously suggested superiority of volume-based metrics in soft tissue sarcomas, for which we found SUVmax to remain the best prognostic factor. However, bone sarcomas should probably be evaluated with tumor volume rather than FDG PET activity.

Indexed as

PET/CTsarcomastagingsurvivalSUVTLG

Identifiers

PMID34575018
PMCPMC8468558
OpenAlexW3196203421

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.