Evidence map›Paper›PMID 35235951›Full record

ArticleBlood advances2022

Utility of PET/CT in assessing early treatment response in patients with newly diagnosed multiple myeloma.

Charalampos Charalampous, Utkarsh Goel, Stephen M Broski, David Dingli, Prashant Kapoor, Morie A Gertz, Martha Q Lacy, Angela Dispenzieri, Suzanne R Hayman, Francis Buadi and 12 more

Abstract read
In one paragraph

Article in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The [European journal of nuclear medicine and molecular imaging · 2026
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Prognostic value ofAnnals of hematology · 2024
    Article
  11. Article
  12. Review
  13. New Developments in Myeloma Treatment and Response Assessment.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  14. Review
  15. Review
  16. Review
  17. First-in-Humans Evaluation of Safety and Dosimetry ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  18. The burden of myeloma: novel approaches to disease assessment.Hematology. American Society of Hematology. Education Program · 2022
    Review
  19. Review
  20. 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

22 authors.

Charalampos CharalampousDivision of Hematology, Department of Internal Medicine.
Utkarsh GoelDivision of Hematology, Department of Internal Medicine.ORCID 0000-0003-1663-0325
Stephen M BroskiDepartment of Radiology, and.ORCID 0000-0001-5391-9537
David DingliDivision of Hematology, Department of Internal Medicine.
Prashant KapoorDivision of Hematology, Department of Internal Medicine.
Morie A GertzDivision of Hematology, Department of Internal Medicine.ORCID 0000-0002-3853-5196
Martha Q LacyDivision of Hematology, Department of Internal Medicine.ORCID 0000-0003-1193-1559
Angela DispenzieriDivision of Hematology, Department of Internal Medicine.ORCID 0000-0001-8780-9512
Suzanne R HaymanDivision of Hematology, Department of Internal Medicine.
Francis BuadiDivision of Hematology, Department of Internal Medicine.ORCID 0000-0003-3214-0203
Lisa HwaDivision of Hematology, Department of Internal Medicine.
Nelson LeungDivision of Nephrology and Hypertension, Department of Internal Medicine, Mayo Clinic, Rochester, MN.ORCID 0000-0002-5651-1411
Yi LinDivision of Hematology, Department of Internal Medicine.
Wilson I GonsalvesDivision of Hematology, Department of Internal Medicine.
Taxiarchis V KourelisDivision of Hematology, Department of Internal Medicine.ORCID 0000-0001-8573-9434
Rahma WarsameDivision of Hematology, Department of Internal Medicine.ORCID 0000-0003-0240-0326
Amie FonderDivision of Hematology, Department of Internal Medicine.ORCID 0000-0001-9488-8212
Miriam HobbsDivision of Hematology, Department of Internal Medicine.
Moritz BinderDivision of Hematology, Department of Internal Medicine.ORCID 0000-0001-9014-9658
Robert A KyleDivision of Hematology, Department of Internal Medicine.
S Vincent RajkumarDivision of Hematology, Department of Internal Medicine.
Shaji K KumarDivision of Hematology, Department of Internal Medicine.ORCID 0000-0001-5392-9284

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Rafael Fonseca · 2015 to 2026
$25.5M
NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

Multiple myeloma (MM) is a plasma cell malignancy that is characterized by diverse clinical presentations. Although biochemical assessment of disease activity is commonly used to monitor treatment response, findings on magnetic resonance imaging and positron emission tomography (PET)/computed tomography (CT), among other imaging modalities, have proven to harbor prognostic value. We sought to corroborate these findings by examining the prognostic significance of fluorodeoxyglucose PET/CT scanning in the setting of newly diagnosed MM. We retrospectively analyzed 195 patients with a PET/CT available at diagnosis and at 6 months posttreatment to examine their value as an adjuvant metric to conventional hematologic responses in terms of time to next treatment (TTNT) and overall survival (OS). The median TTNT and OS for the entire cohort were 24.6 months (95% confidence interval [CI], 20.4-29.1) and 79 months (95% CI, 63.1-119.1), respectively. When comparing PET/CT negative (-) with PET/CT positive (+) patients, we found significantly prolonged median TTNT (55.2 vs 17.8 months, P < .0001) and OS (unreached vs 60.8 months, P < .0001) in the former group. We then examined the additive value of PET/CT on the hematologic response achieved at 6 months and found that PET/CT (-) is associated with significantly increased median TTNT and OS for the very good partial response (VGPR) group and the less than VGPR group. Importantly, PET/CT retained prognostic significance after adjusting for multiple other predictive variables. We conclude that a PET/CT (-) at 6 months confers a significant prognostic advantage for patients with newly diagnosed MM and adds significant value to the hematologic response assessment.

Indexed as

Multiple MyelomaPositron Emission Tomography Computed TomographyFluorodeoxyglucose F18HumansRadiopharmaceuticalsRetrospective StudiesFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID35235951
PMCPMC9092399

What OpenQuestion holds

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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.