Evidence map›Paper›PMID 25665676›Full record

ArticleWorld journal of surgery2015

Preoperative ¹¹C-methionine PET/CT enables focused parathyroidectomy in MIBI-SPECT negative parathyroid adenoma.

Christina Lenschow, Peter Gassmann, Christian Wenning, Norbert Senninger, Mario Colombo-Benkmann

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Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. The Use of [Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  2. Diagnostic Ability and Correlation of DigitalNuclear medicine and molecular imaging · 2025
    Article
  3. Article
  4. Accessing the influence ofLangenbeck's archives of surgery · 2022
    Article
  5. Review
  6. Role ofDiagnostics (Basel, Switzerland) · 2021
    Article
  7. Review
  8. Follicular thyroid cancer avid on C-11 Methionine PET/CT.Endocrinology, diabetes & metabolism case reports · 2018
    Article
  9. Primary hyperparathyroidism: review and recommendations on evaluation, diagnosis, and management. A Canadian and international consensus.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Review
  10. Article
  11. A rare case of giant parathyroid adenoma presenting with recurrent episodes of pancreatitis.Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
    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

5 authors at 2 institutions in 1 country.

Christina LenschowDepartment of General Surgery and Visceral Surgery, University Hospital of Muenster, Waldeyerstrasse 1, 48149, Muenster, Germany, Christina.Lenschow@ukmuenster.de.
Peter Gassmann
Christian Wenning
Norbert Senninger
Mario Colombo-Benkmann
University Hospital Münster · DEAugenstern · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrecise preoperative localization is essential for focussed parathyroidectomy. The imaging standard consists of cervical ultrasonography (cUS) and (99m)Tc-MIBI-SPECT (MIBI-SPECT). (11)C-methionine positron emission tomography/computed tomography (Met-PET/CT) is a promising method for localizing parathyroid adenomas. The objective of our study was to elucidate whether additional Met-PET/CT increases the rate of focussed parathyroidectomy.

methodsFourteen patients with primary hyperparathyroidism (HPT) and three patients with tertiary HPT underwent cUS and MIBI-SPECT. Met-PET/CT was carried out in patients with negative MIBI results. Subsequent surgical strategy was adapted according to imaging results.

resultscUS localized a single parathyroid adenoma in 10/17 patients (59 %), while MIBI-SPECT/CT identified 11/17 single adenomas (65 %). In the remaining six patients, Met-PET/CT identified five single adenomas. This step-up approach correctly identified single adenomas in 16/17 patients (94 %).

conclusionMet-PET/CT raises the rate of correctly localized single parathyroid adenomas in patients with negative cUS and MIBI-SPECT/CT and increases the number of focussed surgical approaches.

Indexed as

ParathyroidectomyAdenomaAgedCarbon RadioisotopesFemaleHumansHyperparathyroidism, PrimaryMaleMethionineMiddle AgedParathyroid NeoplasmsPreoperative PeriodSensitivity and SpecificityTechnetium Tc 99m SestamibiTomography, Emission-Computed, Single-PhotonUltrasonographyCarbon RadioisotopesMethionineTechnetium Tc 99m Sestamibi

Identifiers

PMID25665676
OpenAlexW2161709918

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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.