Evidence map›Paper›PMID 35115619›Full record

ArticleScientific reports2022

Diagnostic value of F-18 FDG PET/CT in fever or inflammation of unknown origin in a large single-center retrospective study.

Friedrich Weitzer, Tina Nazerani Hooshmand, Birgit Pernthaler, Erich Sorantin, Reingard Maria Aigner

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 24 citations in OpenAlex.

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  7. EANM consensus document on the use of [European journal of nuclear medicine and molecular imaging · 2024
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  9. [American journal of nuclear medicine and molecular imaging · 2024
    Review
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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

5 authors at 1 institution in 1 country.

Friedrich WeitzerDivision of Nuclear Medicine, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9A, 8036, Graz, Austria. friedrich.weitzer@medunigraz.at.
Tina Nazerani HooshmandDivision of Nuclear Medicine, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9A, 8036, Graz, Austria.
Birgit PernthalerDivision of Nuclear Medicine, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9A, 8036, Graz, Austria.
Erich SorantinDivision of Pediatric Radiology, Department of Radiology, Medical University of Graz, Auenbruggerplatz 34, 8036, Graz, Austria.
Reingard Maria AignerDivision of Nuclear Medicine, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9A, 8036, Graz, Austria.
Medical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cause determination is challenging in fever or inflammation of unknown origin (FUO/IUO) despite today's diagnostic modalities. We evaluated the value of F-18 FDG PET/CT in an unselected patient collective. This retrospective nonrandomized single-center study enrolled 300 male and female patients with FUO/IUO. PET/CT findings were compared with final clinical outcomes to determine the sensitivity, specificity, clinical significance, etiological distribution of final diagnoses, impact on treatment, role of white-blood cell count (WBC), and C-reactive protein (CRP). In 54.0% (162/300) PET/CT was the decisive exanimation for establishing the final diagnosis, in 13.3% (40/300) the findings were equivocal and indecisive, in 3.3% (10/300) PET/CT findings were false positive, while in 29.3% (88/300) a normal F-18 FDG pattern was present. Statistical analysis showed a sensitivity of 80.2% and a specificity of 89.8% for the contribution of PET/CT to the final diagnosis. CRP levels and WBC were not associated with PET/CT outcome. PET/CT let to new treatment in 24.0% (72/300), treatment change in 18.0% (54/300), no treatment change in 49.6% (149/300), and in 8.3% (25/300) no data was available. Our study demonstrates the utility of F-18 FDG PET/CT for source finding in FUO/IUO if other diagnostic tools fail.

Indexed as

Fluorodeoxyglucose F18Positron Emission Tomography Computed TomographyRadiopharmaceuticalsWhole Body ImagingAdolescentAdultAgedAged, 80 and overC-Reactive ProteinFemaleFever of Unknown OriginHumansInflammationInflammation MediatorsLeukocyte CountMaleC-Reactive ProteinFluorodeoxyglucose F18Inflammation MediatorsRadiopharmaceuticals

Identifiers

PMID35115619
PMCPMC8813902
OpenAlexW4210514243

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.