Evidence map›Paper›PMID 40113643›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2025

Diagnostic accuracy in NSCLC lymph node staging with Total-Body and conventional PET/CT.

Clemens Mingels, Mohammad H Madani, Fatma Sen, Hande Nalbant, Jonathan W Riess, Yasser G Abdelhafez, Ahmadreza Ghasemiesfe, Axel Rominger, Michele Guindani, Ramsey D Badawi and 2 more

Abstract readComparative Study
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Predictive value of primary tumorCancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. [European journal of nuclear medicine and molecular imaging · 2026
    Article
  12. Lesion conspicuity by size in [EJNMMI research · 2026
    Article
  13. Article
  14. 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

12 authors.

Clemens MingelsDepartment of Radiology, University of California Davis, Sacramento, CA, USA. clemens.mingels@insel.ch.ORCID 0000-0001-6761-5323
Mohammad H MadaniDepartment of Radiology, University of California Davis, Sacramento, CA, USA.
Fatma SenDepartment of Radiology, University of California Davis, Sacramento, CA, USA.
Hande NalbantDepartment of Radiology, University of California Davis, Sacramento, CA, USA.
Jonathan W RiessDivision of Hematology/Oncology, Department of Internal Medicine, University of California Davis, Sacramento, CA, USA.
Yasser G AbdelhafezDepartment of Radiology, University of California Davis, Sacramento, CA, USA.
Ahmadreza GhasemiesfeDepartment of Radiology, University of California Davis, Sacramento, CA, USA.
Axel RomingerDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Michele GuindaniDepartment of Biostatistics, University of California Los Angeles, Los Angeles, CA, USA.
Ramsey D BadawiDepartment of Radiology, University of California Davis, Sacramento, CA, USA.
Benjamin A SpencerDepartment of Radiology, University of California Davis, Sacramento, CA, USA.
Lorenzo NardoDepartment of Radiology, University of California Davis, Sacramento, CA, USA.

Funding

Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI KC KENT LLOYD · 2002 to 2026
$84.9M
NCI NIH HHS P30 CA093373
6 · The paper itself

Abstract

introductionOur aim was to characterize the diagnostic accuracy indices for nodal (N)-staging with [

methodsIn this prospective single center cross-over head-to-head comparative study 48 patients underwent [

resultsTB and SAFOV PET/CT showed high diagnostic accuracy indices for patient-based N-staging. Sensitivity and specificity were 86.0% (CI: 77.0-95.0%) and 98.3% (CI: 97.3-99.3%) for TB; 77.2% (CI: 66.3-88.1%) and 97.4% (CI: 96.1-98.6%) for SAFOV PET. Positive predictive value was higher for TB (81.7%, CI: 71.9-91.5%) compared to SAFOV PET (72.1%, CI: 60.9-83.4%). However, this finding was not statistically significant (p = 0.08). Negative predictive values for TB (98.6%, CI: 97.9-99.6%) and SAFOV PET/CT (98.0%, CI: 96.9-99.1%) were comparable. Overall, NSCLC N-staging was affected in six cases on SAFOV and only in one case on TB PET/CT. Semi-quantitative analysis revealed a threshold of SUV

conclusionTB and SAFOV PET/CT showed high diagnostic accuracy indices for N-staging in NSCLC patients. Sensitivity and PPV on TB PET/CT were slightly higher, compared to SAFOV PET/CT without statistical significance. However, TB PET/CT showed lower rate of incorrect N-staging and lower semi-quantitative thresholds for the detection positive mediastinal lymph nodes. Therefore, TB PET/CT might be advantageous in detecting small and low [

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsLymph NodesPositron Emission Tomography Computed TomographyWhole Body ImagingAdultAgedAged, 80 and overFemaleFluorodeoxyglucose F18HumansLymphatic MetastasisMaleMiddle AgedNeoplasm StagingFluorodeoxyglucose F18[18F]FDGLung cancerN-stagingSAFOV PETTotal-body PET

Identifiers

PMID40113643
PMCPMC12222388

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.