Evidence map›Paper›PMID 37029988›Full record

ArticleThe oncologist2023

Bone Metastases Detection in Patients with Breast Cancer: Does Bone Scintigraphy Add Information to PET/CT?

Joana Cristo Santos, Miguel Henriques Abreu, Miriam Seoane Santos, Hugo Duarte, Tiago Alpoim, Inês Próspero, Susana Sousa, Pedro Henriques Abreu

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06205901 (A Prospective Comparison Study Between 18F-FDG PET/CT and Whole-Body Diffusion Weighted MRI in the Detection of Distant Malignancies in Patients With Various Cancers), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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.

NCT06205901 unknown statusnot on this mapstarted 2024, after this paper: background citation

A Prospective Comparison Study Between 18F-FDG PET/CT and Whole-Body Diffusion Weighted MRI in the Detection of Distant Malignancies in Patients With Various Cancers

TypeobservationalSponsorSohag UniversityRan2024 to 2025Enrolled50ConditionsDistant MetastasisArmsPET-CT, MRI
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Diagnostic accuracy of imaging modalities for detection of spinal metastases: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Pooled it
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  12. Prospective comparison ofFrontiers in oncology · 2024
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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

8 authors at 2 institutions in 1 country.

Joana Cristo SantosUniversity of Coimbra, CISUC, Department of Informatics Engineering, Coimbra 3030-290, Portugal.ORCID 0000-0002-7885-9697
Miguel Henriques AbreuDepartment of Medical Oncology, Portuguese Institute of Oncology of Porto Francisco Gentil, EPE, Porto, Portugal.
Miriam Seoane SantosUniversity of Coimbra, CISUC, Department of Informatics Engineering, Coimbra 3030-290, Portugal.
Hugo DuarteDepartment of Nuclear Medicine, Portuguese Institute of Oncology of Porto Francisco Gentil, EPE, Porto, Portugal.
Tiago AlpoimDepartment of Medical Oncology, Portuguese Institute of Oncology of Porto Francisco Gentil, EPE, Porto, Portugal.
Inês PrósperoDepartment of Nuclear Medicine, Portuguese Institute of Oncology of Porto Francisco Gentil, EPE, Porto, Portugal.
Susana SousaDepartment of Medical Oncology, Portuguese Institute of Oncology of Porto Francisco Gentil, EPE, Porto, Portugal.
Pedro Henriques AbreuUniversity of Coimbra, CISUC, Department of Informatics Engineering, Coimbra 3030-290, Portugal.
Instituto Português de Oncologia Francisco Gentil · PTUniversity of Coimbra · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPositron emission tomography/computed tomography (PET/CT) has become in recent years a tool for breast cancer (BC) staging. However, its accuracy to detect bone metastases is classically considered inferior to bone scintigraphy (BS). The purpose of this work is to compare the effectiveness of bone metastases detection between PET/CT and BS. MATERIALS AND

methodsProspective study of 410 female patients treated in a Comprehensive Cancer Center between 2014 and 2020 that performed PET/CT and BS for staging purposes. The image analysis was performed by 2 senior nuclear medicine physicians. The comparison was performed based on accuracy, sensitivity, and specificity on a patient and anatomical region level and was assessed using McNemar's Test. An average ROC was calculated for the anatomical region analysis.

resultsPET/CT presented higher values of accuracy and sensitivity (98.0% and 93.83%), surpassing BS (95.61% and 81.48%) in detecting bone disease. There was a significant difference in favor of PET/CT (sensitivity 93.83% vs. 81.48%), however, there is no significant difference in eliminating false positives (specificity 99.09% vs. 99.09%). PET/CT presented the highest accuracy and sensitivity values for most of the bone segments, only surpassed by BS for the cranium. There was a significant difference in favor of PET/CT in the upper limb, spine, thorax (sternum) and lower limb (pelvis and sacrum), and in favor of BS in the cranium. The ROC showed that PET/CT has a higher sensitivity and consistency across the bone segments.

conclusionWith the correct imaging protocol, PET/CT does not require BS for patients with BC staging.

Indexed as

Bone NeoplasmsBreast NeoplasmsFemaleFluorodeoxyglucose F18HumansPositron-Emission TomographyPositron Emission Tomography Computed TomographyProspective StudiesSensitivity and SpecificityFluorodeoxyglucose F18

Identifiers

PMID37029988
PMCPMC10400135
OpenAlexW4362715565

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.