Evidence map›Paper›PMID 40629066›Full record

ArticleLeukemia2025

Integration of [

Riccardo Dondolin, Federico Garrou, Mohammad Almasri, Lodovico Terzi Di Bergamo, Chiara Cosentino, Alessio Bruscaggin, Matin Salehi, Donatella Talotta, Riccardo Bruna, Giulia Maria Rivolta and 27 more

Abstract read
In one paragraph

Article in Leukemia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Trial
  5. Review
  6. BMC medical imaging · 2026
    Article
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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

37 authors.

Riccardo DondolinDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Federico GarrouDivision of Nuclear Medicine, AOU Maggiore della Carità, Novara, Italy.ORCID 0009-0002-0873-4247
Mohammad AlmasriDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0000-0002-0048-3845
Lodovico Terzi Di BergamoLaboratory of Experimental Hematology, Institute of Oncology Research, Bellinzona, Switzerland.
Chiara CosentinoDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0000-0001-8199-4593
Alessio BruscagginLaboratory of Experimental Hematology, Institute of Oncology Research, Bellinzona, Switzerland.
Matin SalehiLaboratory of Experimental Hematology, Institute of Oncology Research, Bellinzona, Switzerland.
Donatella TalottaDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Riccardo BrunaDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Giulia Maria RivoltaDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Matteo BelliaDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Jana NabkiDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0009-0008-6891-4825
Bashar Al DeebanDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0000-0002-4218-1917
Luca CividiniDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0009-0007-8096-7391
Samir MouhssineDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0000-0002-0389-3268
Nawar MaherDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0009-0007-9307-1965
Joseph GhanejDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Francesca MaiellaroDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0009-0003-0725-2876
Annalisa AndornoDivision of Pathology, Department of Health Sciences, Università del Piemonte Orientale, Novara, Italy.
Francesca MercalliDivision of Pathology, Department of Health Sciences, Università del Piemonte Orientale, Novara, Italy.
Monica LeutnerDivision of Pathology, Azienda Sanitaria Locale del VCO, Verbania, Italy.
Angela LorenziDivision of Hematology, Azienda Sanitaria Locale del VCO, Verbania, Italy.
Abdurraouf Mokhtar MahmoudDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Wael Al EssaDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Ndeye Marie DiopDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Eleonora SecomandiDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Clara DeambrogiDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Silvia RasiDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Renzo Luciano BoldoriniDivision of Pathology, Department of Health Sciences, Università del Piemonte Orientale, Novara, Italy.
Massimo GentileHematology Unit AO of Cosenza, Cosenza, Italy.
Giuseppe Alberto PalumboDipartimento di Scienze Mediche, Chirurgiche e Tecnologie Avanzate "G.F. Ingrassia", University of Catania, Catania, Italy.ORCID 0000-0003-1859-6319
Valter GatteiClinical and Experimental Onco-Hematology Unit, Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Aviano, Italy.ORCID 0000-0001-5933-9680
Robin FoàHematology, Department of Translational and Precision Medicine, 'Sapienza' University, Rome, Italy.ORCID 0000-0002-5021-3026
Davide RossiLaboratory of Experimental Hematology, Institute of Oncology Research, Bellinzona, Switzerland.
Gian Mauro SacchettiDivision of Nuclear Medicine, AOU Maggiore della Carità, Novara, Italy.
Gianluca GaidanoDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.ORCID 0000-0002-4681-0151
Riccardo MoiaDivision of Hematology, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy. riccardo.moia@uniupo.it.ORCID 0000-0001-7393-1138

Funding

Associazione Italiana per la Ricerca sul Cancro (Italian Association for Cancer Research) 21198Ministero della Salute (Ministry of Health, Italy) PNRR-MCNT2-2023-12378037
6 · The paper itself

Abstract

Early identification of relapsing/refractory diffuse large B-cell lymphoma (DLBCL) represents an unmet clinical need. A real-life cohort of newly diagnosed DLBCL (n = 120) treated with R-CHOP was investigated. Using the standardized uptake value (SUV) threshold of 4.0, PET/CT radiomics variables (SUVmax, tMTV, tTLG and Dmax) were collected. Circulating tumor DNA (ctDNA) analysis by CAPP-seq yielded baseline ctDNA levels and LymphGen molecular clustering. The best cut-off for both PET/CT parameters and ctDNA levels were identified by max-stat statistics. tMTV, tTLG and Dmax retained independent prognostic value when adjusted for ctDNA levels and were grouped together in a variable named high-risk PET. By multivariate analysis, ctDNA-high and high-risk PET independently predicted PFS and were combined into a 2-factor prognostic model (C-indices: 0.712 for PFS and 0.696 for OS). Molecular clustering, by capturing high-risk biological features of DLBCL, further improved outcome prediction. Consistently, BN2/EZB/ST2 clusters maintained an independent association with better PFS when adjusted for the 2-factor model variables and were therefore included in a 3-factor prognostic score (C-indices: 0.745 for PFS and 0.746 for OS), that identified a very high-risk group of patients (n = 22, 40-month PFS 12.1%) which should be prioritized for early response evaluation and for access to novel agents.

Indexed as

Fluorodeoxyglucose F18Lymphoma, Large B-Cell, DiffusePositron Emission Tomography Computed TomographyAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCirculating Tumor DNACyclophosphamideDoxorubicinFemaleFollow-Up StudiesHumansLiquid BiopsyMaleBiomarkers, TumorCirculating Tumor DNACyclophosphamideDoxorubicinFluorodeoxyglucose F18PrednisoneR-CHOP protocolRituximabVincristine

Identifiers

PMID40629066
PMCPMC12380602

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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.