Evidence map›Paper›PMID 42620483›Full record

ArticleFrontiers in oncology2026

Baseline 18F-FDG PET/CT metabolic parameters and systemic inflammatory markers in advanced NSCLC treated with first-line immunotherapy: an exploratory retrospective analysis.

Blerina Resuli, Julia Walter, Friederike Völter, Diego Kauffmann-Guerrero, Paul Dahlmann, Raphael Hirner, Lena Unterrainer, Pontus Mertsch, Paola Arnold, Paula Mras and 5 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Blerina ResuliDepartment of Medicine V, LMU University Hospital of Munich, Munich, Germany.
Julia WalterDepartment of Medicine V, LMU University Hospital of Munich, Munich, Germany.
Friederike VölterDepartment of Nuclear Medicine, LMU University Hospital, Munich, Germany.
Diego Kauffmann-GuerreroDepartment of Medicine V, LMU University Hospital of Munich, Munich, Germany.
Paul DahlmannDepartment of Nuclear Medicine, LMU University Hospital, Munich, Germany.
Raphael HirnerDepartment of Nuclear Medicine, LMU University Hospital, Munich, Germany.
Lena UnterrainerDepartment of Nuclear Medicine, LMU University Hospital, Munich, Germany.
Pontus MertschDepartment of Medicine V, LMU University Hospital of Munich, Munich, Germany.
Paola ArnoldDepartment of Medicine V, LMU University Hospital of Munich, Munich, Germany.
Paula MrasDepartment of Medicine V, LMU University Hospital of Munich, Munich, Germany.
Gabriela LeuschnerDepartment of Medicine V, LMU University Hospital of Munich, Munich, Germany.
Johannes RübenthalerDepartment of Radiology, LMU University Hospital, Munich, Germany.
Christian SchneiderDepartment of Thoracic Surgery, Ludwig-Maximilian-University (LMU) University Hospital Munich, Munich, Germany.
Jürgen BehrDepartment of Medicine V, LMU University Hospital of Munich, Munich, Germany.
Amanda TufmanDepartment of Medicine V, LMU University Hospital of Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Predictive biomarkers for patients with advanced non-small cell lung cancer (NSCLC) treated with immune checkpoint inhibitors (ICIs) remain limited. Systemic inflammation plays a crucial role in cancer progression and immune regulation. We evaluated whether baseline 18F-FDG PET/CT metabolic parameters and systemic inflammatory markers are associated with treatment response and survival in patients with advanced NSCLC treated with first-line ICIs. Methods: Among 142 patients treated with first-line ICIs either as monotherapy or combined with chemotherapy, between October 2018 and December 2023, 116 had baseline PET/CT imaging. Quantitative analyses of standardized uptake value max (SUVmax) and metabolic tumor volume (MTV) were restricted to 71 patients whose scans were performed at our institution. Associations with response, progression free survival (PFS), and overall survival (OS) were analyzed. Results: In multivariable models including clinical variables, PET biomarkers and inflammatory markers, no individual PET or inflammatory biomarker remained independently associated with survival. Combined models suggested better prognostic discrimination compared with PET-only or inflammation-only models (OS C-index 0.745; PFS C-index 0.750). In contrast, sex, TTF-1 status, and the presence of adrenal and lung metastases emerged as independent predictors of OS and/or PFS. SUVmax correlated significantly with baseline CRP levels, while no significant associations were observed with LDH or NLR. MTV was associated with LDH but not with CRP or NLR. Conclusions: Baseline PET-derived metabolic parameters and systemic inflammatory biomarkers may provide complementary prognostic information in advanced NSCLC treated with first-line ICIs. Integrated clinical, metabolic, and inflammatory models showed improved prognostic performance, supporting further prospective validation of multimodal risk stratification strategies.

Indexed as

18F-FDG PET/CTinflammatory markerMTVNSCLCSUV

Identifiers

PMID42620483
PMCPMC13485752

What Socratic holds

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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.