Evidence map›Paper›PMID 41752900›Full record

ArticleLife (Basel, Switzerland)2026

18F-FDG PET-CT- vs. CT-Based Radiotherapy Treatment Planning for Head and Neck Cancer.

Admir Mulita, Eleni Bekou, Pipitsa Valsamaki, Ioannis M Koukourakis, Francesk Mulita, Elias Liolis, Athanasios Zissimopoulos, Alexandra Giatromanolaki, Michael I Koukourakis

Abstract read
In one paragraph

Article in Life (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

9 authors.

Admir MulitaDepartment of Radiotherapy/Oncology, School of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Eleni BekouMedical Physics Laboratory, School of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece.ORCID 0009-0002-1290-1802
Pipitsa ValsamakiDepartment of Nuclear Medicine, School of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece.ORCID 0000-0002-9928-6971
Ioannis M KoukourakisDepartment of Clinical Radiation Oncology, Attikon Hospital, School of Medicine, National and Kapodistrian, 12462 Athens, Greece.
Francesk MulitaDepartment of General Surgery, General Hospital of Eastern Achaia-Unit of Aigio, 25100 Aigio, Greece.ORCID 0000-0001-7198-2628
Elias LiolisDepartment of Oncology, University Hospital of Patras, 26504 Patras, Greece.
Athanasios ZissimopoulosDepartment of Nuclear Medicine, School of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Alexandra GiatromanolakiDepartment of Pathology, School of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Michael I KoukourakisDepartment of Radiotherapy/Oncology, School of Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece.ORCID 0000-0002-2324-699X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPrecise staging and tumor delineation are essential for optimizing treatment and enhancing outcomes of radiotherapy (RT). While computed tomography (CT)-based RT remains standard, fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) offers improved detection of primary and nodal disease. This study investigates the role of PET/CT in RT planning of HNSCC.

methodsFifty-one HNSCC patients underwent radical volumetric modulated arc RT with concurrent cisplatin chemotherapy in a prospective study. Two RT plans per patient were sequentially created by a single oncologist using CT-only and PET/CT data, respectively. Planning target volumes (PTVs) for primary and nodal regions were independently defined, and dose-volume histograms were analyzed and compared.

resultsPET/CT significantly affected TNM staging, increasing the T-stage in 11.8% of patients and the N-stage in 33.3%. Distant metastases were found in 9.8% of patients, leading to a redefinition of the overall treatment policy. PET/CT-based planning improved primary tumor PTV coverage (PTV4) in 37.2% (19/51) of cases. The tumor areas excluded from the CT-based planning received an average of 85.6% of the prescribed PTV4 dose (range 18-93%), while in PET/CT planning, they received 95.4% (range 93-99%) (

conclusionsPET/CT improves target delineation for primary tumors and lymph nodes, also allowing for dose escalation in metabolically highly active lesions in patients with HNSCC. The method also reveals occult distant metastases in a subset of patients, enabling personalized treatment strategies.

Indexed as

head–neck cancerPET/CTplanningradiotherapystaging

Identifiers

PMID41752900
PMCPMC12942427

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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.