Evidence map›Paper›PMID 26769864›Full record

SynthesisJournal of nuclear medicine : official publication, Society of Nuclear Medicine2016

68Ga-DOTATATE Compared with 111In-DTPA-Octreotide and Conventional Imaging for Pulmonary and Gastroenteropancreatic Neuroendocrine Tumors: A Systematic Review and Meta-Analysis.

Stephen A Deppen, Jeffrey Blume, Adam J Bobbey, Chirayu Shah, Michael M Graham, Patricia Lee, Dominique Delbeke, Ronald C Walker

Registry-linked trialOpen access · bronzeAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03918759 (Diagnostic Accuracy of 68Gallium Positron Emission Tomography/ Magnetic Resonance Imaging), which is not on this map. Cited by 113 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 4 pooled it
19.5field-weighted citation impact, top 1% 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.

NCT03918759 completednot on this mapstarted 2018, after this paper: background citation

Diagnostic Accuracy of 68Gallium Positron Emission Tomography/ Magnetic Resonance Imaging (68Ga PET/MRI), Endoscopic Ultrasound (EUS) and Computed Tomography in the Assessment of Lymph Node Metastases by Nonfunctioning Pancreatic Neuroendocrine Neoplasms

TypeobservationalSponsorIRCCS San RaffaeleRan2018 to 2022Enrolled100ConditionsNon Functioning Pancreatic Endocrine Tumor
3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 4 syntheses or guidelines pooled it, 248 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. A Randomized, Factorial Phase II Study to Determine the Optimal Dosing Regimen forJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Trial
  6. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Trial
  7. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Review
  13. EndoBridge 2025: pearls and highlights.Hormones (Athens, Greece) · 2026
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. A head-to-head prospective comparative analysis ofEuropean journal of nuclear medicine and molecular imaging · 2025
    Article

53 more citing papers are in PubMed but not listed here.

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

8 authors at 6 institutions in 1 country.

Stephen A DeppenVeterans Affairs Hospital, Tennessee Valley Healthcare System, Nashville, Tennessee Department of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee Vanderbilt-Ingram Cancer Center, Nashville, Tennessee.
Jeffrey BlumeDepartment of Biostatistics, Vanderbilt University, Nashville, Tennessee.
Adam J BobbeyDepartment of Radiology, Nationwide Children's Hospital, Columbus, Ohio.
Chirayu ShahVeterans Affairs Hospital, Tennessee Valley Healthcare System, Nashville, Tennessee Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee.
Michael M GrahamDepartment of Radiology, University of Iowa, Iowa City, Iowa; and.
Patricia LeeKnowledge Management, Eskind Biomedical Library, Vanderbilt University Medical Center, Nashville, Tennessee.
Dominique DelbekeVanderbilt-Ingram Cancer Center, Nashville, Tennessee Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee.
Ronald C WalkerVeterans Affairs Hospital, Tennessee Valley Healthcare System, Nashville, Tennessee Vanderbilt-Ingram Cancer Center, Nashville, Tennessee Department of Radiology, Nationwide Children's Hospital, Columbus, Ohio Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee ronald.walker@vanderbilt.edu.
Nationwide Children's Hospital · USVA Tennessee Valley Healthcare System · USUniversity of Iowa · USVanderbilt-Ingram Cancer CenterVanderbilt University · USVanderbilt University Medical Center · US

Funding

Tumor Microenvironment and Cancer ImmunologyP30CA030199 · NCI · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI Michael Jackson · 1985 to 2026
$107.2M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000445NCI NIH HHS P30 CA086862
6 · The paper itself

Abstract

unlabelledNeuroendocrine tumors (NETs) are uncommon tumors with increasing incidence and prevalence. Current reports suggest that (68)Ga-DOTATATE PET/CT imaging improves diagnosis and staging of NETs compared with (111)In-DTPA-octreotide and conventional imaging. We performed a systematic review of (68)Ga-DOTATATE for safety and efficacy compared with octreotide and conventional imaging to determine whether available evidence supports U.S. Food and Drug Administration approval.

methodsMedline, EMBASE, Web of Science, and Cochrane Reviews electronic databases were searched from January 1999 to September 2015. Results were restricted to human studies comparing diagnostic accuracy of (68)Ga-DOTATATE with octreotide or conventional imaging for pulmonary or gastroenteropancreatic NET and for human studies reporting safety/toxicity for (68)Ga-DOTATATE with 10 subjects or more thought to have NETs. Direct communication with corresponding authors was attempted to obtain missing information. Abstracts meeting eligibility criteria were collected by a research librarian and assembled for reviewers; 2 reviewers independently determined whether or not to include each abstract. If either reviewer chose inclusion, the abstract was accepted for review.

resultsDatabase and bibliography searches yielded 2,479 articles, of which 42 were eligible. Three studies compared the 2 radiopharmaceuticals in the same patient, finding (68)Ga-DOTATATE to be more sensitive than octreotide. Nine studies compared (68)Ga-DOTATATE with conventional imaging. (68)Ga-DOTATATE estimated sensitivity, 90.9% (95% confidence interval, 81.4%-96.4%), and specificity, 90.6% (95% confidence interval, 77.8%-96.1%), were high. Five studies were retained for safety reporting only. Report of harm possibly related to (68)Ga-DOTATATE was rare (6 of 974), and no study reported major toxicity or safety issues.

conclusionNo direct comparison of octreotide and (68)Ga-DOTATATE imaging for diagnosis and staging in an unbiased population of NETs has been published. Available information in the peer-reviewed literature regarding diagnostic efficacy and safety supports the use of (68)Ga-DOTATATE for imaging of NETs where it is available.

Indexed as

Organometallic CompoundsHumansIntestinal NeoplasmsLung NeoplasmsNeuroendocrine TumorsOctreotidePancreatic NeoplasmsPentetic AcidPositron Emission Tomography Computed TomographyStomach Neoplasmsgallium Ga 68 dotatateindium-111-octreotideOctreotideOrganometallic CompoundsPentetic AcidDOTATATEmeta-analysisneuroendocrineoctreotidepentetreotidesystematic review

Identifiers

PMID26769864
PMCPMC5362941
OpenAlexW2321745733

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.