Evidence map›Paper›PMID 24158184›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2014

Diagnostic accuracy of (68)Ga-DOTANOC PET/CT imaging in pheochromocytoma.

Punit Sharma, Varun Singh Dhull, Saurabh Arora, Poonam Gupta, Rajeev Kumar, Prashant Durgapal, Arun Malhotra, Sunil Chumber, Ariachery C Ammini, Rakesh Kumar and 1 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Head-to-head comparison between [European journal of nuclear medicine and molecular imaging · 2024
    Article
  4. 3-[Journal of the Endocrine Society · 2024
    Article
  5. Review
  6. Imaging incidental adrenal lesions.The British journal of radiology · 2023
    Review
  7. Review
  8. Quantitative analysis ofQuantitative imaging in medicine and surgery · 2022
    Article
  9. Imaging of Pheochromocytoma and Paraganglioma.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2021
    Review
  10. Article
  11. Asia Oceania journal of nuclear medicine & biology · 2020
    Article
  12. Article
  13. Review
  14. Article
  15. Imaging features of adrenal masses.Insights into imaging · 2019
    Review
  16. Article
  17. PRECISION MEDICINE IN ADRENAL DISORDERS: THE NEXT GENERATION.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2017
    Review
  18. Article
  19. Article
  20. Pheochromocytoma in Urologic Practice.European urology focus · 2016
    Article
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

11 authors.

Punit SharmaDepartment of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Varun Singh Dhull
Saurabh Arora
Poonam Gupta
Rajeev Kumar
Prashant Durgapal
Arun Malhotra
Sunil Chumber
Ariachery C Ammini
Rakesh Kumar
Chandrasekhar Bal

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of the present study was to evaluate the diagnostic accuracy of (68)Ga-DOTANOC positron emission tomography (PET)/CT in patients with suspicion of pheochromocytoma.

methodsData of 62 patients [age 34.3 ± 16.1 years, 14 with multiple endocrine neoplasia type 2 (MEN2)] with clinical/biochemical suspicion of pheochromocytoma and suspicious adrenal lesion on contrast CT (n = 70), who had undergone (68)Ga-DOTANOC PET/CT, were retrospectively analyzed. PET/CT images were analyzed visually as well as semiquantitatively, with measurement of maximum standardized uptake value (SUVmax), SUVmean, SUVmax/SUVliver, and SUVmean/SUVliver. Results of PET/CT were compared with (131)I-metaiodobenzylguanidine (MIBG) imaging, which was available in 40 patients (45 lesions). Histopathology and/or imaging/clinical/biochemical follow-up (minimum 6 months) was used as reference standard.

resultsThe sensitivity, specificity, and accuracy of (68)Ga-DOTANOC PET/CT was 90.4, 85, and 88.7%, respectively, on patient-based analysis and 92, 85, and 90%, respectively, on lesion-based analysis. (68)Ga-DOTANOC PET/CT showed 100% accuracy in patients with MEN2 syndrome and malignant pheochromocytoma. On direct comparison, lesion-based accuracy of (68)Ga-DOTANOC PET/CT for pheochromocytoma was significantly higher than (131)I-MIBG imaging (91.1 vs 66.6%, p = 0.035). SUVmax was higher for pheochromocytomas than other adrenal lesions (p = 0.005), MEN2-associated vs sporadic pheochromocytoma (p = 0.012), but no difference was seen between benign vs malignant pheochromocytoma (p = 0.269).

conclusion(68)Ga-DOTANOC PET/CT shows high diagnostic accuracy in patients with suspicion of pheochromocytoma and is superior to (131)I-MIBG imaging for this purpose. Best results of (68)Ga-DOTANOC PET/CT are seen in patients with MEN2-associated and malignant pheochromocytoma.

Indexed as

Multimodal ImagingOrganometallic CompoundsPositron-Emission TomographyRadiopharmaceuticalsTomography, X-Ray Computed3-IodobenzylguanidineAdrenal Gland NeoplasmsAdultFemaleHumansMaleMiddle AgedPheochromocytomaReference StandardsSensitivity and Specificity3-Iodobenzylguanidine68Ga-DOTANOCOrganometallic CompoundsRadiopharmaceuticals

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Registered trials

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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 OpenQuestion graph.