Evidence map›Paper›PMID 40369385›Full record

ArticleMolecular imaging and biology2025

[18 F]-Fluoroestradiol PET (FES-PET) and [18 F] Flurodeoxyglucose PET (FDG-PET) Imaging May Aid in Managing Therapy in Patients with Metastatic Lobular Breast Cancer.

Poorni M Manohar, Lanell M Peterson, Isaac C Jenkins, Qian Vicky Wu, Brenda F Kurland, Alena Novakova-Jiresova, Mark Muzi, Delphine L Chen, Jennifer M Specht, Suzanne Dintzis and 3 more

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Article in Molecular imaging and biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

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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

13 authors.

Poorni M ManoharUniversity of Washington, Seattle, WA, USA.
Lanell M PetersonUniversity of Washington, Seattle, WA, USA. lanell@uw.edu.ORCID http://orcid.org/0000-0002-1613-5909
Isaac C JenkinsFred Hutchinson Cancer Research Center, FHCC 1144 Eastlake (LG-200), Seattle, WA, 98109-1023, USA.
Qian Vicky WuFred Hutchinson Cancer Research Center, FHCC 1144 Eastlake (LG-200), Seattle, WA, 98109-1023, USA.
Brenda F KurlandGSK, Philadelphia, PA, USA.
Alena Novakova-JiresovaCharles University and Thomayer Hospital, Prague, Czech Republic.
Mark MuziUniversity of Washington, Seattle, WA, USA.
Delphine L ChenUniversity of Washington, Seattle, WA, USA.
Jennifer M SpechtUniversity of Washington, Seattle, WA, USA.
Suzanne DintzisUniversity of Washington, Seattle, WA, USA.
Paul E KinahanUniversity of Washington, Seattle, WA, USA.
David A MankoffUniversity of Pennsylvania, Philadelphia, PA, USA.
Hannah M LindenUniversity of Washington, Seattle, WA, USA.

Funding

Core Laboratory for Advanced PET and MRI image analysisR50CA211270 · NCI · UNIVERSITY OF WASHINGTON · PI Mark Muzi · 2017 to 2026
$2.6M
NCI NIH HHS R50 CA211270
6 · The paper itself

Abstract

aimThis study examines the combination of FES-PET and FDG-PET as complementary imaging for detection of metastatic ILC.

methodsWe retrospectively evaluated FES and FDG uptake in patients with metastatic ILC from an estrogen receptor (ER) positive primary tumor. We classified lesions into three categories (FES high/FDG low, FES high/FDG high, FES low/FDG low) using SUVmax cut-off values of 1.5 for FES and 5.0 for FDG. Qualitative evaluation included examination of the difference in the extent of disease between FES and FDG.

resultsOf the 38 patients, 82% had FES uptake in all tumor sites identified by FDG, with 18% lacking FES uptake in at least one lesion. Mean (range) SUVmax for FES and FDG was 4.0 (0.67-10.6) and 4.6 (1.3-12.5), respectively. The majority of ILC patients (25/38), had lesions with FES high/FDG low uptake, consistent with the strongly ER + indolent nature of ILC. Patients with disease classified as FES high/FDG low had longer median overall survival (OS) (3.2 years) and progression-free survival (PFS) (1.5 years) than FES high/FDG high (OS = 2.1 years and PFS = 0.46 years). The median overall OS for all patients was 3.0 years (95% CI 2.5, 4.8) and PFS of 1.3 years (95% CI 0.6, 2.5). 8 patients (21%) had qualitatively more extensive disease by FES-PET.

conclusionsOur findings suggest that both FES-PET and FDG-PET can identify metastatic ILC and be useful in detecting the pattern and extent of disease. The imaging combination provides additional information for prognosis and clinical decision making, balancing suitability for endocrine therapy and aggressiveness/indolence of disease.

Indexed as

Breast NeoplasmsCarcinoma, LobularEstradiolFluorodeoxyglucose F18Positron-Emission TomographyAdultAgedAged, 80 and overFemaleHumansMiddle AgedNeoplasm MetastasisRetrospective Studies16-fluoroestradiolEstradiolFluorodeoxyglucose F18FDGFESLobular breast cancer

Identifiers

PMID40369385
PMCPMC12162187

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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.