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CompletedNCT04253574Updated Feb 5, 2020

Comparison of PET/CT and Ultrasound in Staging of Malignant Melanoma

An observational study in Malignant Melanoma, sponsored by University of Basel. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-02-05.

Sponsored by University of Basel · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
258
Ages
18 Years and older
Sex
All
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Study summary

This is the first study which evaluates the different staging modalities 18F-2-fluoro-2-deoxy-D-glucose PET/CT (PET/CT) and diagnostic ultrasound (US) in a single patient cohort with malignant melanoma (MM). Previous analyses are ambivalent regarding the modality of choice. These analyses, however, compared separate patient cohorts for each modality.

Inclusion criteria were a primary staging or re-staging of suspected or confirmed MM with one or more PET/CT and/or one or more US. Exclusion criteria were the non-existence of a malignancy or a malignancy other than MM, alone or in combination with an MM.

The analysis includes the calculation of sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy in a per-patient (PPA), per-examination (PEA) and per-lesion analysis (PLA). This was done individually for PET/CT and US, and in PLA also for the combination of these two radiological modalities. Furthermore, US was divided into US as a whole (wUS), peripheral lymph nodes (pUS) and/or abdomen (aUS).

The principle equivalence of the two imaging modalities is set up as a null hypothesis H0 in all three analyses. As a further null hypothesis H0, the equivalence of the combined application compared to the sole applications of the two imaging modalities is asserted. The aim is the refutation of the null hypothesis H0 by significant differences in sensitivity and specificity.

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Conditions studied

  • Malignant Melanoma

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Keywords

  • Malignant Melanoma
  • Staging
  • 18F-FDG PET/CT
  • Ultrasound
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In context

Melanoma

3,006 studies on the registry are indexed under Melanoma; 519 are open to participants now.

This study's enrollment of 258 is above the median of 182 across 438 observational studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

University of Basel is the lead sponsor of 61 studies on the registry; 9 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

258 patients (112 (43%) women, 146 (57%) men, mean age: 61 ± 16 years)

Melanoma subtypes:

  • nodular subtype (n = 68, 35% of the classified melanomas)
  • superficial-spreading subtype (n = 61, 32%)
  • acral lentiginous melanoma (n = 12, 6%)
  • lentigo maligna (n = 7, 4%)
  • rare subtypes (n = 44, 23%)
  • melanoma without characterisation (n = 66)

At first diagnosis:

  • 224 patients (87%) with a primary tumor only
  • 34 patients (13%) with metastases only

Location of the melanoma lesion:

  • head or neck: 48 patients
  • trunk: 102 patients
  • upper limbs: 42 patients
  • lower limbs: 66 patients

Inclusion criteria

  • the existence of malignant melanoma (MM) as primary tumour or metastases

Exclusion criteria

Exclusion Criteria:

  • the non-existence of a malignancy,
  • a malignancy other than MM, alone or in combination with an MM
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Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
258 participants (actual)
Patient registry
No

Groups and cohorts

  • Patients with malignant melanoma

    258 patients (w: 112, m: 146 age: 61±16 years) met the primary inclusion criteria. They were all examined by 18F-FDG PET/CT, 176 patients additionally by US (peripheral lymph nodes (pUS) and/or abdomen (aUS)).

    Diagnostic Test: Imaging with 18F-FDG PET/CT and/or Ultrasound

Interventions

  • Diagnostic testImaging with 18F-FDG PET/CT and/or Ultrasound

    All patients were all examined by 18F-FDG PET/CT, 176 patients additionally by US (peripheral lymph nodes (pUS) and/or abdomen (aUS)) in the search of primary tumors or metastases of their malignant melanomas.

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What researchers measure

Primary outcomes

  1. Comparison of 18F-FDG PET/CT and ultrasound regarding the detection of primary tumours and metastases of melanoma

    The principle equivalence of the two imaging modalities is set up as a null hypothesis H0 in a per-patient (PPA), per-examination (PEA) and per-lesion analysis (PLA). As a further null hypothesis H0, the equivalence of the combined application compared to the sole applications of the two imaging modalities is asserted. The aim is the refutation of the null hypothesis H0 by significant differences in sensitivity and specificity.

    Time frame: September 1998 - August 2014

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Xing Y, Bronstein Y, Ross MI, Askew RL, Lee JE, Gershenwald JE, Royal R, Cormier JN. Contemporary diagnostic imaging modalities for the staging and surveillance of melanoma patients: a meta-analysis. J Natl Cancer Inst. 2011 Jan 19;103(2):129-42. doi: 10.1093/jnci/djq455. Epub 2010 Nov 16. PubMed 21081714 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04253574
Lead sponsor
University of Basel
Collaborators
University Hospital, Basel, Switzerland
Responsible party
Joachim Hohmann (Associate Professor, University of Basel) — Principal investigator
First posted
Feb 5, 2020
Start date
Sep 1, 2014
Primary completion
Sep 1, 2017
Completion
Sep 1, 2018
Last update
Feb 5, 2020

Study contacts

Joachim Hohmann, MD MSc
principal investigator · University of Basel

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2020. You cannot join it, but the record below documents what was studied.

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