Evidence map›Paper›PMID 41609820›Full record

ReviewArchives of gynecology and obstetrics2026

Prognostic value of FDG-PET SUV changes in cervical cancer following radiation therapy: a retrospective cohort study.

Claudia A Bale, Janina V Pearce, Xiaoyan Deng, Dipankar Bandyopadhyay, Nophar Yarden, Catherine Sport, Devin T Miller, Leslie M Randall, Emma Fields, Stephanie A Sullivan

Abstract readReview
In one paragraph

Review in Archives of gynecology and obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Claudia A BaleVirginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23219, USA. baleca@vcu.edu.ORCID 0000-0001-8430-7066
Janina V PearceVirginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23219, USA.
Xiaoyan DengVirginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23219, USA.
Dipankar BandyopadhyayVirginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23219, USA.
Nophar YardenVirginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23219, USA.
Catherine SportVirginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23219, USA.
Devin T MillerVirginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23219, USA.
Leslie M RandallVirginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23219, USA.
Emma FieldsVirginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23219, USA.
Stephanie A SullivanVirginia Commonwealth University Medical Center, 1250 E Marshall St, Richmond, VA, 23219, USA.

Funding

Virus Vector Shared ResourceP30CA016059 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Keri R Maher · 1985 to 2026
$51.0M
NCI NIH HHS P30 CA016059
6 · The paper itself

Abstract

purposeThis study sought to determine the relationship between cervical cancer recurrence and post-treatment change in standardized uptake value (SUV) of 18F-2-fluoro-2-deoxy-D-glucose-positron emission tomography (FDG-PET) in the cervix and lymph nodes.

methodsThis retrospective cohort study included patients who received curative intent radiation therapy for biopsy-proven stage I-IVA locally advanced cervical cancer at a single tertiary referral center from 2009 to 2021. The exposure was percent change in SUV from pre- to post-treatment FDG-PET scans at the cervix and lymph nodes. The primary outcome was recurrence rate, and secondary outcomes were overall and progression-free survival. Firth's penalized logistic regression and Cox proportional hazards models were used to assess associations.

results55 patients met eligibility criteria. Recurrence rate was 27% (15/55); of these, 33% had local recurrence (5/55) and 67% had distant recurrence (10/55). Median percent decrease of cervical SUV after treatment in those with and without recurrence was similar (71.4 vs 68.8, p = 0.89); this remained consistent when analyzing those with local recurrence only (70.5, p = 0.95). When the percent decrease in cervical SUV was examined in intervals (< 25%, 25-50%, 50-75%, > 75%), this was also not predictive of local (p = 0.91) or overall (p = 0.75) recurrence. Median percent decrease at the most avid and distant lymph node in those with and without recurrence was not significantly different (p > 0.05). Neither change in cervical nor lymph node SUV was associated with overall or progression-free survival.

conclusionChanges in SUV after treatment may not be a reliable stand-alone marker for predicting recurrence or survival in locally advanced cervical cancer after treatment with radiation therapy.

Indexed as

Fluorodeoxyglucose F18Neoplasm Recurrence, LocalPositron-Emission TomographyUterine Cervical NeoplasmsAdultAgedFemaleHumansLymphatic MetastasisLymph NodesMiddle AgedNeoplasm StagingPrognosisProgression-Free SurvivalRadiopharmaceuticalsRetrospective StudiesFluorodeoxyglucose F18RadiopharmaceuticalsCancer recurrenceLymph node avidityMetabolic imagingStandardized uptake valueSUV change

Identifiers

PMID41609820
PMCPMC12855343

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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.