Evidence map›Paper›PMID 25030618›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2014

Comparison of the prognostic values of 68Ga-DOTANOC PET/CT and 18F-FDG PET/CT in patients with well-differentiated neuroendocrine tumor.

Punit Sharma, Niraj Naswa, Sudhir Suman Kc, Luis Andres Alvarado, Alok Kumar Dwivedi, Yashwant Yadav, Rakesh Kumar, Ariachery C Ammini, Chandrasekhar Bal

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 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. [Imaging of pancreatic neuroendocrine tumors].Radiologie (Heidelberg, Germany) · 2024
    Article
  4. Advances in PET imaging of cancer.Nature reviews. Cancer · 2023
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. The oncologist · 2021
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Prognostic value of somatostatin receptor expressing tumor volume calculated fromEuropean journal of nuclear medicine and molecular imaging · 2019
    Article
  15. Role of Combined [Journal of clinical medicine · 2019
    Review
  16. Review
  17. Prognostic Utility of TotalGastroenterology · 2018
    Article
  18. The utility ofFuture oncology (London, England) · 2018
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Punit SharmaDepartment of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Niraj Naswa
Sudhir Suman Kc
Luis Andres Alvarado
Alok Kumar Dwivedi
Yashwant Yadav
Rakesh Kumar
Ariachery C Ammini
Chandrasekhar Bal

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the prognostic value of (68)Ga-DOTANOC PET/CT in patients with well-differentiated neuroendocrine tumor (NET), and to compare the prognostic value with that of (18)F-FDG PET/CT and other conventional clinicopathological prognostic factors.

methodsData from 37 consecutive patients (age 46.6 ± 13.5 years, 51% men) with well-differentiated NET who underwent (68)Ga-DOTANOC PET/CT and (18)F-FDG PET/CT were analyzed. All patients underwent a baseline visit with laboratory and radiological examinations. Clinical and imaging follow-up was performed in all patients. Progression-free survival (PFS) was measured from the date of the first PET/CT scan to the first documentation of progression of disease.

results(68)Ga-DOTANOC PET/CT was positive in 37 of the 37 patients and (18)F-FDG PET/CT was positive in 21. During follow-up 10 patients (27%) showed progression of disease and 27 (73%) showed no progression (24 stable disease, 3 partial response). The median follow-up was 25 months (range 2 - 52 months). Among the variables evaluated none was significantly different between the progressive disease and nonprogressive disease groups, with only SUVmax on (68)Ga-DOTANOC PET/CT being borderline significant (P = 0.073). In the univariate analysis for PFS outcome, SUVmax on (68)Ga-DOTANOC PET/CT (HR 0.122, 95% CI 0.019 - 0.779; P = 0.026) and histopathological tumor grade (HR 4.238, 95% CI 1.058 - 16.976; P = 0.041) were found to be associated with PFS. Other factors including age, sex, primary site, Ki-67 index, TNM stage, (18)F-FDG PET/CT status (positive/negative), SUVmax on (18)F-FDG PET/CT and type of treatment were not significant. In multivariable analysis, only SUVmax on (68)Ga-DOTANOC PET/CT was found to be an independent positive predictor of PFS (HR 0.122, 95% CI 0.019 - 0.779; P = 0.026).

conclusionSUVmax measured on (68)Ga-DOTANOC PET/CT is an independent, positive prognostic factor in patients with well-differentiated NET and is superior to SUVmax on (18)F-FDG PET/CT and conventional clinicopathological factors for predicting PFS.

Indexed as

Fluorodeoxyglucose F18Organometallic CompoundsPositron-Emission TomographyRadiopharmaceuticalsAdolescentAdultAgedFemaleHumansMaleMiddle AgedMultimodal ImagingNeuroendocrine TumorsPredictive Value of TestsTomography, X-Ray Computed68Ga-DOTANOCFluorodeoxyglucose F18Organometallic CompoundsRadiopharmaceuticals

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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.