Evidence map›Paper›PMID 31048902›Full record

Trial reportPloS one2019

Hybrid FDG PET/MRI vs. FDG PET and CT in patients with suspected dementia - A comparison of diagnostic yield and propagated influence on clinical diagnosis and patient management.

Nicolai Stefan Kaltoft, Lisbeth Marner, Vibeke Andree Larsen, Steen Gregers Hasselbalch, Ian Law, Otto Mølby Henriksen

Abstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Feasibility Study for a Microstrip Transmission Line RF Coil Integrated with a PET Detector Module in a 7T Human MR Imaging System.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
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  8. Multimodal analysis using [EJNMMI research · 2020
    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

6 authors.

Nicolai Stefan KaltoftDepartment of Radiology, Rigshospitalet Blegdamsvej, Copenhagen University Hospital, Copenhagen, Denmark.
Lisbeth MarnerDepartment of Clinical Physiology, Nuclear Medicine and PET, Rigshospitalet Blegdamsvej, Copenhagen University Hospital, Copenhagen, Denmark.
Vibeke Andree LarsenDepartment of Radiology, Rigshospitalet Blegdamsvej, Copenhagen University Hospital, Copenhagen, Denmark.
Steen Gregers HasselbalchDanish Dementia Research Centre, Dept. of Neurology, Rigshospitalet Blegdamsvej, Copenhagen University Hospital, Copenhagen, Denmark.
Ian LawDepartment of Clinical Physiology, Nuclear Medicine and PET, Rigshospitalet Blegdamsvej, Copenhagen University Hospital, Copenhagen, Denmark.
Otto Mølby HenriksenDepartment of Clinical Physiology, Nuclear Medicine and PET, Rigshospitalet Blegdamsvej, Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0002-1011-6934

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBoth 18F-fluoro-deoxy-glucose (FDG) positron emission tomography (PET), computed tomography (CT) and magnetic resonance imaging (MRI) are routinely used in the evaluation of memory clinic patients. Hybrid PET/MR systems now allow simultaneous PET and MRI imaging within the duration of the PET emission scan. PURPOSE: To compare the diagnostic yield of PET/MRI using an abbreviated MR protocol with that of separate PET and CT in a mixed memory clinic population, and the propagated influences on clinical diagnosis and patient management. MATERIAL AND

methodsConsecutive memory clinic patients (n = 78) undergoing both CT and hybrid FDG PET/MRI scans were identified retrospectively. MRI and CT were separately evaluated for vascular and structural pathology. PET scans were classified according to the presence of neurodegenerative or vascular disease using CT or MRI, respectively, for anatomical guiding. A memory clinic expert assessed the clinical impact of the additional findings and/or change of PET classification achieved by MRI anatomical guiding as compared to CT guiding.

resultsMRI lead to significantly higher Fazekas scores, higher medial temporal and global cortical atrophy scores, and identified more patients with infarcts (28 vs 8, p<0.001) compared to CT. MRI changed PET classification in 13 (17%) patients. Addition of MRI to CT had minor clinical impact in 4/78 (5%) and major clinical impact in 13/78 (17%) of patients.

conclusionThe study demonstrates the capabilities of PET/MRI systems for routine clinical imaging of memory clinic patients, and that even an abbreviated hybrid PET/MRI protocol provides significant additional information influencing clinical diagnosis and patient management in a substantial fraction of patients when compared to separate PET and CT.

Indexed as

Positron-Emission TomographyTomography, X-Ray ComputedAdolescentAdultDementiaFemaleFluorodeoxyglucose F18HumansMaleRetrospective StudiesFluorodeoxyglucose F18

Identifiers

PMID31048902
PMCPMC6497285

What Socratic holds

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LicenceCC BY
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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 Socratic graph.