Evidence map›Paper›PMID 23414871›Full record

ArticleJournal of pediatric surgery2013

Accuracy of PET/CT Scan in the diagnosis of the focal form of congenital hyperinsulinism.

Pablo Laje, Lisa J States, Hongming Zhuang, Susan A Becker, Andrew A Palladino, Charles A Stanley, N Scott Adzick

Registry-linked trialAbstract read
In one paragraph

Article in Journal of pediatric surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01468454 (A Phase II Safety and Efficacy Study of 18F-L-Fluoro-DOPA PET/CT Scan Localization of Focal Pancreatic Lesions in Children With Hyperinsulinemic Hypoglycemia), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT01468454 phase2completednot on this map

A Phase II Safety and Efficacy Study of 18F-L-Fluoro-DOPA PET/CT Scan Localization of Focal Pancreatic Lesions in Children With Hyperinsulinemic Hypoglycemia

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2009 to 2018Enrolled130ConditionsCongenital Hyperinsulinism (CHI), Persistent Hyperinsulinemic Hypoglycemia of Infancy (PHHI)Arms18 F-DOPA
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 76 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  6. PET/CT in congenital hyperinsulinism: transforming patient's lives by molecular hybrid imaging.American journal of nuclear medicine and molecular imaging · 2022
    Article
  7. Review
  8. Article
  9. Novel Compound Heterozygous Variants of theChildren (Basel, Switzerland) · 2021
    Article
  10. Observational
  11. Article
  12. Targeted Optical Imaging of the Glucagonlike Peptide 1 Receptor Using Exendin-4-IRDye 800CW.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
    Article
  13. Article
  14. Article
  15. PET-Based Human Dosimetry ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
    Article
  16. Novel dominant KAmerican journal of medical genetics. Part A · 2019
    Article
  17. Review
  18. Article
  19. Article
  20. Review
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

7 authors at 1 institution in 1 country.

Pablo LajeThe Congenital Hyperinsulinism Center, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Lisa J States
Hongming Zhuang
Susan A Becker
Andrew A Palladino
Charles A Stanley
N Scott Adzick
Children's Hospital of Philadelphia · US

Funding

Islet Dysregulation in Infants with Congenital HyperinsulinismR37DK056268 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI STANLEY, CHARLES ALFRED · 2009 to 2017
$6.0M
NIDDK NIH HHS R37 DK056268
6 · The paper itself

Abstract

purposeThe purpose of the study was to determine the sensitivity of the (18)fluoro-dihydroxyphenylalanine positron emission tomography/computed tomography scan (18F-PET/CT) in the diagnosis of focal congenital hyperinsulinism (HI).

methodsA retrospective review of children with HI who underwent a preoperative 18F-PET/CT scan was performed.

resultsBetween 1/2008 and 2/2012 we performed 105 consecutive 18F-PET/CT scans on infants with HI. Fifty-three patients had focal HI. Of those fifty-three patients, eight had a preoperative 18F-PET/CT scan read as "diffuse disease". The sensitivity of the study in the diagnosis of focal HI was 85%. The location of the eight missed focal lesions was: head (3), body (2), and tail (3). The 18F-PET/CT of the missed head lesions showed homogeneous tracer uptake (n =2) or heterogeneous uptake throughout the pancreas (n=1). The 18F-PET/CT of the 2 missed body lesions and 1 missed tail lesion showed heterogeneous uptake throughout the pancreas. The 18F-PET/CT of the other 2 missed tail lesions showed lesions adjacent to and obscured by the signal of the upper renal pole, identified retrospectively by closer observation. Fifty-two of the 105 patients had diffuse HI. Two of them had 18F-PET/CT studies read as "focal disease". Therefore, the specificity of the study was 96%. Of the forty-seven 18F-PET/CT studies read as "focal disease", forty-five had true focal HI. Therefore, the positive predictive value of the study in the diagnosis of focal HI was 96%.

conclusionThe sensitivity and specificity of 18 F-PET/CT can be affected by certain anatomic features of the pancreas, by the location of the lesion, and by the reader's experience.

Indexed as

Multimodal ImagingPositron-Emission TomographyTomography, X-Ray ComputedCongenital HyperinsulinismHumansInfantReproducibility of ResultsRetrospective Studies

Identifiers

PMID23414871
PMCPMC3597386
OpenAlexW2083700606

What OpenQuestion holds

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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.