Evidence map›Paper›PMID 22526961›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2012

A comparison of the performance of ⁶⁸Ga-DOTATATE PET/CT and ¹²³I-MIBG SPECT in the diagnosis and follow-up of phaeochromocytoma and paraganglioma.

J B Maurice, R Troke, Z Win, R Ramachandran, A Al-Nahhas, M Naji, W Dhillo, K Meeran, A P Goldstone, N M Martin and 3 more

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03206060 (Lu-177-DOTATATE), which is not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
11.5field-weighted citation impact, top 1% of its field
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.

NCT03206060 phase2recruitingnot on this mapstarted 2017, after this paper: background citation

Lu-177-DOTATATE (Lutathera) in Therapy of Inoperable Pheochromocytoma/ Paraganglioma

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2017 to 2033Enrolled130ConditionsPheochromocytoma, Paraganglioma, Neuroendocrine Tumors, Neuroendocrine NeoplasmsArmsLu-177-DOTATATE, Ga-68-DOTATATE
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 116 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Review
  6. Observational
  7. Review
  8. Review
  9. Head-to-head comparison between [European journal of nuclear medicine and molecular imaging · 2024
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  12. Review
  13. Review
  14. Synchronous carotid body and anterior mediastinal paraganglioma revealed byQuantitative imaging in medicine and surgery · 2023
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  15. Quantitative analysis ofQuantitative imaging in medicine and surgery · 2022
    Article
  16. Bladder paragangliomas: a pictorial review.Abdominal radiology (New York) · 2022
    Review
  17. Review
  18. Asia Oceania journal of nuclear medicine & biology · 2020
    Article
  19. A rare cause of severe Cushing's syndrome.Endocrinology, diabetes & metabolism case reports · 2020
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

J B MauriceImperial Centre for Endocrinology, Hammersmith, Charing Cross and St Mary's Hospitals, 6th Floor, Commonwealth Building, Du Cane Road, London W12 0HS, UK. jamesmaurice@nhs.net
R Troke
Z Win
R Ramachandran
A Al-Nahhas
M Naji
W Dhillo
K Meeran
A P Goldstone
N M Martin
J F Todd
F Palazzo
T Tan
Hammersmith Hospital · GBCharing Cross Hospital · GBImperial College Healthcare NHS Trust · GBSt. Mary's Hospital · GBSt Mary's Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the sensitivity of (123)I-metaiodobenzylguanidine (MIBG) SPECT and (68)Ga-DOTATATE PET/CT in detecting phaeochromocytomas (PCC) and paragangliomas (PGL) in the initial diagnosis and follow-up of patients with PCC and PGL disease.

methodsRetrospective analysis of 15 patients with PCC/PGL who had contemporaneous (123)I-MIBG and (68)Ga-DOTATATE imaging.

resultsOf the 15 patients in the series, 8 were concordant with both modalities picking up clinically significant lesions. There were no patients in whom both modalities failed to pick up clinically significant lesions. There was discordance in seven patients: 5 had positive (68)Ga-DOTATATE and negative (123)I-MIBG, and 2 (12 and 14) had negative (68)Ga-DOTATATE and positive (123)I-MIBG. Utilizing (123)I-MIBG as the gold standard, (68)Ga-DOTATATE had a sensitivity of 80 % and a positive predictive value of 62 %. The greatest discordance was in head and neck lesions, with the lesions in 4 patients being picked up by (68)Ga-DOTATATE and missed by (123)I-MIBG. On a per-lesion analysis, cross-sectional (CT and MRI) and (68)Ga-DOTATATE was superior to (123)I-MIBG in detecting lesions in all anatomical locations, and particularly bony lesions.

conclusionFirst, (68)Ga-DOTATATE should be considered as a first-line investigation in patients at high risk of PGL and metastatic disease, such as in the screening of carriers for mutations associated with familial PGL syndromes. Second, if (123)I-MIBG does not detect lesions in patients with a high pretest probability of PCC or PGL, (68)Ga-DOTATATE should be considered as the next investigation. Third, (68)Ga-DOTATATE hould be considered in preference to (123)I-MIBG in patients in whom metastatic spread, particularly to the bone, is suspected.

Indexed as

3-IodobenzylguanidineOrganometallic CompoundsPositron-Emission TomographyTomography, X-Ray ComputedAdolescentAdrenal Gland NeoplasmsAdultFollow-Up StudiesHumansMiddle AgedMultimodal ImagingParagangliomaPheochromocytomaRetrospective StudiesSensitivity and SpecificityTomography, Emission-Computed, Single-Photon3-Iodobenzylguanidinegallium Ga 68 dotatateOrganometallic Compounds

Identifiers

PMID22526961
OpenAlexW2047172426

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.