Evidence map›Paper›PMID 19727718›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2010

Individualized dosimetry in patients undergoing therapy with (177)Lu-DOTA-D-Phe (1)-Tyr (3)-octreotate.

Mattias Sandström, Ulrike Garske, Dan Granberg, Anders Sundin, Hans Lundqvist

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing 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

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

  1. Guideline
  2. PersonalizedEuropean journal of nuclear medicine and molecular imaging · 2019
    Trial
  3. Trial
  4. Trial
  5. OptimizingNuclear medicine and molecular imaging · 2026
    Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Pre-treatmentAnnals of nuclear medicine · 2025
    Article
  11. Impact of extended [European journal of nuclear medicine and molecular imaging · 2025
    Article
  12. Article
  13. Estimation of kidney doses from [EJNMMI physics · 2024
    Article
  14. Review
  15. Article
  16. [Theranostics · 2024
    Article
  17. Review
  18. Review
  19. Article
  20. Article

28 more citing papers are in PubMed but not listed here.

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

5 authors.

Mattias SandströmDepartment of Oncology, Radiology and Clinical Immunology, Uppsala University Hospital, 751 85, Uppsala, Sweden. mattias.sandstrom@akademiska.se
Ulrike Garske
Dan Granberg
Anders Sundin
Hans Lundqvist

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn recent years, targeted radionuclide therapy with [(177)Lu-DOTA(0), Tyr(3)]octreotate for neuroendocrine tumours has yielded promising results. This therapy may be further improved by using individualized dosimetry allowing optimization of the absorbed dose to the tumours and the normal organs. The aim of this study was to investigate the feasibility and reliability of individualized dosimetry based on SPECT in comparison to conventional planar imaging.

methodsAttenuation-corrected SPECT data were analysed both by using organ-based volumes of interest (VOIs) to obtain the total radioactivity in the organ, and by using small VOIs to measure the tissue radioactivity concentration. During the first treatment session in 24 patients, imaging was performed 1, 24, 96 and 168 h after [(177)Lu-DOTA(0), Tyr(3)]octreotate infusion. Absorbed doses in non tumour-affected kidney, liver and spleen were calculated and compared for all three methods (planar imaging, SPECT organ VOIs, SPECT small VOIs).

resultsPlanar and SPECT dosimetry were comparable in areas free of tumours, but due to overlap the planar dosimetry highly overestimated the absorbed dose in organs with tumours. Furthermore, SPECT dosimetry based on small VOIs proved to be more reliable than whole-organ dosimetry.

conclusionWe conclude that SPECT dosimetry based on small VOIs is feasible and more accurate than conventional planar dosimetry, and thus may contribute towards optimising targeted radionuclide therapy.

Indexed as

Feasibility StudiesFemaleHumansImage Interpretation, Computer-AssistedMaleNeuroendocrine TumorsOctreotideRadiometryRadiopharmaceuticalsRadiotherapy DosageReproducibility of ResultsSensitivity and SpecificityTomography, Emission-Computed, Single-Photon177Lu-octreotide, DOTA(0)-Tyr(3)-OctreotideRadiopharmaceuticals

Identifiers

What OpenQuestion holds

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Registered trials

None linked

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.