Evidence map›Paper›PMID 25197368›Full record

ArticleInternational journal of clinical and experimental pathology2014

Somatostatin receptor immunohistochemistry in neuroendocrine tumors: comparison between manual and automated evaluation.

Daniel Kaemmerer, Maria Athelogou, Amelie Lupp, Isabell Lenhardt, Stefan Schulz, Peter Luisa, Merten Hommann, Vikas Prasad, Gerd Binnig, Richard Paul Baum

Open access · greenAbstract readComparative Study
In one paragraph

Article in International journal of clinical and experimental pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% 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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. [European journal of nuclear medicine and molecular imaging · 2026
    Article
  4. Article
  5. Cardiac Neuroendocrine Tumor Metastases onJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
    Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Somatostatin receptors in normal and acromegalic somatotroph cells: the U-turn of the clinician to immunohistochemistry report - a review.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    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

10 authors at 3 institutions in 2 countries.

Daniel KaemmererDepartment of General and Visceral Surgery, Zentralklinik Bad Berka Bad Berka, Germany.
Maria AthelogouDepartment of Molecular Radiotherapy and Molecular Imaging, Center for PET, Zentralklinik Bad Berka Bad Berka, Germany.
Amelie LuppDepartment of Pharmacology and Toxicology, Jena University Hospital Jena, Germany.
Isabell LenhardtDepartment of Pharmacology and Toxicology, Jena University Hospital Jena, Germany.
Stefan SchulzDepartment of Pharmacology and Toxicology, Jena University Hospital Jena, Germany.
Peter LuisaDepartment of General and Visceral Surgery, Zentralklinik Bad Berka Bad Berka, Germany.
Merten HommannDepartment of General and Visceral Surgery, Zentralklinik Bad Berka Bad Berka, Germany.
Vikas PrasadDepartment of Nuclear Medicine, University Hospital Charité Berlin Germany ; Department of Molecular Radiotherapy and Molecular Imaging, Center for PET, Zentralklinik Bad Berka Bad Berka, Germany.
Gerd BinnigDefiniens AG Munich, Germany.
Richard Paul BaumDepartment of Molecular Radiotherapy and Molecular Imaging, Center for PET, Zentralklinik Bad Berka Bad Berka, Germany.
Zentralklinik Bad Berka · DEJena University Hospital · DEMinisterio de Defensa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundManual evaluation of somatostatin receptor (SSTR) immunohistochemistry (IHC) is a time-consuming and cost-intensive procedure. Aim of the study was to compare manual evaluation of SSTR subtype IHC to an automated software-based analysis, and to in-vivo imaging by SSTR-based PET/CT.

methodsWe examined 25 gastroenteropancreatic neuroendocrine tumor (GEP-NET) patients and correlated their in-vivo SSTR-PET/CT data (determined by the standardized uptake values SUVmax,-mean) with the corresponding ex-vivo IHC data of SSTR subtype (1, 2A, 4, 5) expression. Exactly the same lesions were imaged by PET/CT, resected and analyzed by IHC in each patient. After manual evaluation, the IHC slides were digitized and automatically evaluated for SSTR expression by Definiens XD software. A virtual IHC score "BB1" was created for comparing the manual and automated analysis of SSTR expression.

resultsBB1 showed a significant correlation with the corresponding conventionally determined Her2/neu score of the SSTR-subtypes 2A (rs: 0.57), 4 (rs: 0.44) and 5 (rs: 0.43). BB1 of SSTR2A also significantly correlated with the SUVmax (rs: 0.41) and the SUVmean (rs: 0.50). Likewise, a significant correlation was seen between the conventionally evaluated SSTR2A status and the SUVmax (rs: 0.42) and SUVmean (rs: 0.62).

conclusionOur data demonstrate that the evaluation of the SSTR status by automated analysis (BB1 score), using digitized histopathology slides ("virtual microscopy"), corresponds well with the SSTR2A, 4 and 5 expression as determined by conventional manual histopathology. The BB1 score also exhibited a significant association to the SSTR-PET/CT data in accordance with the high affinity profile of the SSTR analogues used for imaging.

Indexed as

AdultAgedAutomation, LaboratoryBiomarkers, TumorFemaleHumansImage Interpretation, Computer-AssistedImmunohistochemistryIntestinal NeoplasmsMagnetic Resonance ImagingMaleMiddle AgedMultimodal ImagingNeuroendocrine TumorsPancreatic NeoplasmsReceptors, SomatostatinBiomarkers, TumorReceptors, Somatostatinimmunohistochemistrymolecular imagingneuroendocrine tumorPET/CTSomatostatin receptor

Identifiers

PMID25197368
PMCPMC4152058
OpenAlexW73715626

What OpenQuestion holds

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Read underepoch 390

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.