Evidence map›Paper›PMID 39709461›Full record

Trial reportCancer imaging : the official publication of the International Cancer Imaging Society2024

Prognostic value of metabolic tumor volume on [

Alexander Brose, Isabelle Miederer, Jochem König, Eleni Gkika, Jörg Sahlmann, Tanja Schimek-Jasch, Mathias Schreckenberger, Ursula Nestle, Jutta Kappes, Matthias Miederer

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer imaging : the official publication of the International Cancer Imaging Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. [Predictive value ofZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Article
  4. Prognostic Role ofCancers · 2026
    Article
  5. Prognostic value ofCancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Molecular Insights into BZW1 Expression and [Molecular imaging and biology · 2026
    Article
  10. The Role of Molecular Imaging in Ion Beam Therapy.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2026
    Review
  11. 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

10 authors.

Alexander BroseDepartment of Translational Imaging in Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Medical Faculty and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, Dresden, 01307, Germany. alexander.brose@radiol.med.uni-giessen.de.
Isabelle MiedererDepartment of Nuclear Medicine, University Medical Center Mainz, Johannes Gutenberg-University Mainz, Mainz, Germany.
Jochem KönigInstitute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center Mainz, Johannes Gutenberg-University Mainz, Mainz, Germany.
Eleni GkikaDepartment of Radiation Oncology, University Hospital Bonn, Bonn, Germany.
Jörg SahlmannInstitute of Medical Biometry and Statistics (IMBI), Faculty of Medicine, University Medical Center Freiburg, Freiburg, Germany.
Tanja Schimek-JaschDepartment of Radiation Oncology, University Hospital Freiburg, Freiburg, Germany.
Mathias SchreckenbergerDepartment of Nuclear Medicine, University Medical Center Mainz, Johannes Gutenberg-University Mainz, Mainz, Germany.
Ursula NestleDepartment of Radiation Oncology, University Hospital Freiburg, Freiburg, Germany.
Jutta KappesDepartment of Pulmonary Medicine, Theresienkrankenhaus, Mannheim, Germany.
Matthias MiedererDepartment of Translational Imaging in Oncology, National Center for Tumor Diseases (NCT/UCC) Dresden, Medical Faculty and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, Dresden, 01307, Germany.

Funding

Deutsche Krebshilfe 70114389
6 · The paper itself

Abstract

purposeStaging of non-small cell lung cancer (NSCLC) is commonly based on [

methodsRetrospective evaluation of 235 patients with histologically proven, locally advanced NSCLC from the multi-centre randomized clinical PETPLAN trial and a clinical cohort from a hospital registry. The PET parameters SUVmax, SULpeak, MTV and TLG above liver background uptake were determined. Kaplan-Meier curves and stratified Cox proportional hazard regression models were used to investigate the prognostic value of PET parameters and TNM along with clinical variables. Subgroup analyses were performed to compare hazard ratios according to TNM, MTV, and the two variables combined.

resultsIn the multivariable Cox regression analysis, MTV was associated with significantly worse overall survival independent of stage and other prognostic variables. In locally advanced disease stages treated with chemoradiotherapy, higher MTV was significantly associated with worse survival (median 17 vs. 32 months). Using simple cut-off values (45 ml for stage IIIa, 48 ml for stage IIIb, and 105 ml for stage IIIc), MTV was able to further predict differences in survival for stages IIIa-c. The combination of TNM and MTV staging system showed better discrimination for overall survival in locally advanced disease stages, compared to TNM alone.

conclusionHigher metabolic tumor volume is significantly associated with worse overall survival and combined with TNM staging, it provides more precise information about the disease prognosis in locally advanced NSCLC treated with chemoradiotherapy compared to TNM alone. As a PET parameter with volumetric information, MTV represents a useful addition to TNM.

Indexed as

Carcinoma, Non-Small-Cell LungFluorodeoxyglucose F18Lung NeoplasmsNeoplasm StagingPositron Emission Tomography Computed TomographyTumor BurdenAdultAgedAged, 80 and overChemoradiotherapyFemaleHumansMaleMiddle AgedPrognosisRadiopharmaceuticalsFluorodeoxyglucose F18RadiopharmaceuticalsLung cancerMetabolic tumor volumeNSCLCPET/CTPrognosisTNM

Identifiers

PMID39709461
PMCPMC11662478

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.