Evidence map›Paper›PMID 42189229›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2026

Beyond target lesions: Prognostic value of longitudinal AI-derived whole-body [

Christos Sachpekidis, Theodoros P Vagenas, Marilena Müller, Dimitrios Strauss, Annette Kopp-Schneider, Leyun Pan, Jessica C Hassel, George K Matsopoulos, Antonia Dimitrakopoulou-Strauss

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

9 authors.

Christos Sachpekidis *Clinical Cooperation Unit Nuclear Medicine, German Cancer Research Center - Deutsches Krebsforschungszentrum (DKFZ), Im Neuenheimer Feld 280, 69210, Heidelberg, Germany. christos_saxpe@yahoo.gr.ORCID 0000-0001-8739-8741
Theodoros P Vagenas *School of Electrical and Computer Engineering, National Technical University of Athens, Athens, Greece.
Marilena MüllerDepartment of Biostatistics, German Cancer Research Center - Deutsches Krebsforschungszentrum (DKFZ), Heidelberg, Germany.
Dimitrios StraussClinical Cooperation Unit Nuclear Medicine, German Cancer Research Center - Deutsches Krebsforschungszentrum (DKFZ), Im Neuenheimer Feld 280, 69210, Heidelberg, Germany.
Annette Kopp-SchneiderDepartment of Biostatistics, German Cancer Research Center - Deutsches Krebsforschungszentrum (DKFZ), Heidelberg, Germany.
Leyun PanClinical Cooperation Unit Nuclear Medicine, German Cancer Research Center - Deutsches Krebsforschungszentrum (DKFZ), Im Neuenheimer Feld 280, 69210, Heidelberg, Germany.
Jessica C HasselMedical Faculty Heidelberg, Department of Dermatology, Heidelberg University, Heidelberg, Germany.
George K MatsopoulosSchool of Electrical and Computer Engineering, National Technical University of Athens, Athens, Greece.
Antonia Dimitrakopoulou-StraussClinical Cooperation Unit Nuclear Medicine, German Cancer Research Center - Deutsches Krebsforschungszentrum (DKFZ), Im Neuenheimer Feld 280, 69210, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the prognostic value of an artificial intelligence (AI)-based semi-automated tool for longitudinal whole-body quantification of total metabolic tumor volume (TMTV) and total lesion glycolysis (TLG) on [

methodsForty-three patients with unresectable metastatic melanoma treated with ICIs underwent [

resultsMedian follow up [95% CI] of the patient cohort from the date of baseline PET/CT was 97.8 months [90.1-134.5 months]. Automated whole-body segmentation and volumetric quantification were feasible in all examinations. In univariable Cox analysis, baseline TMTV and TLG showed non-significant associations with OS. At interim and late PET/CT, higher TMTV and TLG were significantly associated with worse OS (interim: p = 0.04 for both; late: p = 0.03 for TMTV, p = 0.02 for TLG). Median-based dichotomization confirmed shorter OS in patients with elevated volumetric parameters with a statistically significant association for TLG (logrank p = 0.021) and a trend toward significance for TMTV (logrank p = 0.10) at baseline. At interim imaging, both TMTV (logrank p = 0.01) and TLG (logrank p = 0.04) were significantly associated with worse OS, with the strongest associations observed at late follow-up (both logrank p = 0.009). In multivariable analysis, elevated late TMTV and TLG remained independently associated with poorer OS, alongside increased LDH, whereas lower ECOG performance status independently predicted improved survival. Among the applied metabolic response criteria, at both interim and late PET/CT, survival curves demonstrated a non-significant trend toward longer OS in responders (CMR + PMR) compared with non-responders (SMD + PMD), with this trend being most pronounced for PERCIMT.

conclusionAI-based longitudinal whole-body quantification of TMTV and TLG on [

Indexed as

Artificial IntelligenceFluorodeoxyglucose F18MelanomaPositron Emission Tomography Computed TomographyWhole Body ImagingAdultAgedFemaleHumansImage Processing, Computer-AssistedLongitudinal StudiesMaleMiddle AgedNeoplasm MetastasisPrognosisFluorodeoxyglucose F18[18F]FDG PET/CTArtificial intelligenceImage segmentationImmune checkpoint inhibitors (ICIs)Longitudinal analysisMetastatic melanomaRepresentation learningTreatment response evaluation

Identifiers

PMID42189229
PMCPMC13421226

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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.