Evidence map›Paper›PMID 26922350›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2016

Direct comparison of (68)Ga-DOTA-TOC and (18)F-FDG PET/CT in the follow-up of patients with neuroendocrine tumour treated with the first full peptide receptor radionuclide therapy cycle.

Bernhard Nilica, Dietmar Waitz, Vlado Stevanovic, Christian Uprimny, Dorota Kendler, Sabine Buxbaum, Boris Warwitz, Llanos Gerardo, Benjamin Henninger, Irene Virgolini and 1 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Consensus document on the progression and treatment response criteria in gastroenteropancreatic neuroendocrine tumors.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2018
    Guideline
  3. Article
  4. Article
  5. The prognostic effect of dualBMC gastroenterology · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Aggressive Pituitary Tumors and Pituitary Carcinomas: From Pathology to Treatment.The Journal of clinical endocrinology and metabolism · 2023
    Article
  15. Review
  16. Review
  17. PET/CT and PET/MRI in neuroendocrine neoplasms.Abdominal radiology (New York) · 2022
    Review
  18. Article
  19. An ACTH-secreting tumour hidden in a congenitally hypoplastic left lung.Interactive cardiovascular and thoracic surgery · 2022
    Article
  20. Molecular imaging phenotyping for selecting and monitoring radioligand therapy of neuroendocrine neoplasms.Cancer imaging : the official publication of the International Cancer Imaging Society · 2022
    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

11 authors at 1 institution in 1 country.

Bernhard NilicaDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria.
Dietmar WaitzDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria.
Vlado StevanovicDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria.
Christian UprimnyDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria.
Dorota KendlerDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria.
Sabine BuxbaumDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria.
Boris WarwitzDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria.
Llanos GerardoDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria.
Benjamin HenningerDepartment of Radiology, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria.
Irene VirgoliniDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria.
Margarida RodriguesDepartment of Nuclear Medicine, Innsbruck Medical University, Anichstrasse 35, A-6020, Innsbruck, Austria. rodriguesradischat@hotmail.com.
Innsbruck Medical University · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the value of (68)Ga-DOTA-TOC and (18)F-FDG PET/CT for initial and follow-up evaluation of patients with neuroendocrine tumour (NET) treated with peptide receptor radionuclide therapy (PRRT).

methodsWe evaluated 66 patients who had histologically proven NET and underwent both PRRT and three combined (68)Ga-DOTA-TOC and (18)F-FDG PET/CT studies. (68)Ga-DOTA-TOC PET/CT was performed before PRRT, 3 months after completion of PRRT and after a further 6 - 9 months. (18)F-FDG PET/CT was done within 2 months of (68)Ga-DOTA-TOC PET/CT. Follow-up ranged from 11.8 to 80.0 months (mean 34.5 months).

resultsAll patients were (68)Ga-DOTA-TOC PET-positive initially and at follow-up after the first full PRRT cycle. Overall, 62 of the 198 (18)F-FDG PET studies (31 %) were true-positive in 38 of the 66 patients (58 %). Of the 66 patients, 28 (5 grade 1, 23 grade 2) were (18)F-FDG-negative initially and during follow-up (group 1), 24 (5 grade 1, 13 grade 2, 6 grade 3) were (18)F-FDG-positive initially and during follow-up (group 2), 9 patients (2 grade 1, 6 grade 2, 1 grade 3) were (18)F-FDG-negative initially but (18)F-FDG-positive during follow-up (group 3), and 5 patients (all grade 2) were (18)F-FDG-positive initially but (18)F-FDG-negative during follow-up (group 4).(18)F-FDG PET showed more and/or larger metastases than (68)Ga-DOTA-TOC PET in five patients of group 2 and four patients of group 3, all with progressive disease. In three patients with progressive disease who died during follow-up tumour SUVmax increased by 41 - 82 % from the first to the last follow-up investigation.

conclusionIn NET patients, the presence of (18)F-FDG-positive tumours correlates strongly with a higher risk of progression. Initially, patients with (18)F-FDG-negative NET may show (18)F-FDG-positive tumours during follow-up. Also patients with grade 1 and grade 2 NET may have (18)F-FDG-positive tumours. Therefore, (18)F-FDG PET/CT is a complementary tool to (68)Ga-DOTA-TOC PET/CT with clinical relevance for molecular investigation.

Indexed as

Fluorodeoxyglucose F18Organometallic CompoundsPositron Emission Tomography Computed TomographyAdultAgedBiological TransportFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm StagingNeuroendocrine TumorsOctreotideReceptors, SomatostatinRetrospective StudiesFluorodeoxyglucose F18Ga(III)-DOTATOCOctreotideOrganometallic CompoundsReceptors, Somatostatin18F-FDG68Ga-DOTA-TOCNETPET/CTPRRT

Identifiers

PMID26922350
PMCPMC4932132
OpenAlexW2289763223

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.