Evidence map›Paper›PMID 36140197›Full record

ArticleBiomedicines2022

Real-Life Performance of F-18-FDG PET/CT in Patients with Cervical Lymph Node Metastasis of Unknown Primary Tumor.

Friederike Eilsberger, Friederike Elisabeth Noltenius, Damiano Librizzi, Joel Wessendorf, Markus Luster, Stephan Hoch, Andreas Pfestroff

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Utility ofClinical Medicine Insights. Oncology · 2024
    Article
  5. 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

7 authors at 1 institution in 1 country.

Friederike EilsbergerDepartment of Nuclear Medicine, University Hospital Marburg, Philipps University Marburg, 35043 Marburg, Germany.ORCID 0000-0003-3558-6817
Friederike Elisabeth NolteniusDepartment of Nuclear Medicine, University Hospital Marburg, Philipps University Marburg, 35043 Marburg, Germany.
Damiano LibrizziDepartment of Nuclear Medicine, University Hospital Marburg, Philipps University Marburg, 35043 Marburg, Germany.
Joel WessendorfDepartment of Nuclear Medicine, University Hospital Marburg, Philipps University Marburg, 35043 Marburg, Germany.
Markus LusterDepartment of Nuclear Medicine, University Hospital Marburg, Philipps University Marburg, 35043 Marburg, Germany.
Stephan HochDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps University Marburg, 35043 Marburg, Germany.
Andreas PfestroffDepartment of Nuclear Medicine, University Hospital Marburg, Philipps University Marburg, 35043 Marburg, Germany.
Philipps University of Marburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoplasms in the head and neck region possess higher glycolytic activity than normal tissue, showing increased glucose metabolism. F-18-Flourodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) can identify an unknown primary tumor (CUP).

aimThe aim of this study was to assess the real-life performance of F-18-FDG-PET/CT in detecting primary sites in patients with cervical lymph node metastasis of CUP.

methodsA retrospective data analysis of 31 patients who received FDG-PET/CT between June 2009 and March 2015 in a CUP context with histologically confirmed cervical lymph node metastasis was included.

resultsIn 48% of the patients (15/31), PET/CT showed suspicious tracer accumulation. In 52% of the patients (16/31), there was no suspicious radiotracer uptake, which was confirmed by the lack of identification of any primary tumor in 10 cases until the end of follow-up. FDG-PET/CT had a sensitivity of 67%, specificity of 91%, PPV of 92%, and NPV of 63% in detecting the primary tumor. Additionally, PET/CT showed suspicious tracer accumulation according to further metastasis in 32% of the patients (10/31).

conclusionFDG-PET/CT imaging is a useful technique for primary tumor detection in patients in a cervical CUP context. Furthermore, it provides information on the ulterior metastasis of the disease.

Indexed as

CUPFDG-PET/CTlymph node metastasisunknown primary tumor

Identifiers

PMID36140197
PMCPMC9495705
OpenAlexW4293414952

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.