Evidence map›Paper›PMID 27094616›Full record

ArticleThyroid : official journal of the American Thyroid Association2016

The Rate and Clinical Significance of Incidental Thyroid Uptake as Detected by Gallium-68 DOTATATE Positron Emission Tomography/Computed Tomography.

Pavel Nockel, Corina Millo, Xavier Keutgen, Joanna Klubo-Gwiezdzinska, Jasmine Shell, Dhaval Patel, Naris Nilubol, Peter Herscovitch, Samira M Sadowski, Electron Kebebew

Open access · greenAbstract read
In one paragraph

Article in Thyroid : official journal of the American Thyroid Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Application of theranostics in thyroid cancer management.The Journal of clinical endocrinology and metabolism · 2026
    Review
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  10. Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Article
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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 4 institutions in 2 countries.

Pavel Nockel1 Endocrine Oncology Branch, National Cancer Institute, National Institutes of Health , Bethesda, Maryland.
Corina Millo2 PET Department, Clinical Center, National Institutes of Health , Bethesda, Maryland.
Xavier Keutgen1 Endocrine Oncology Branch, National Cancer Institute, National Institutes of Health , Bethesda, Maryland.
Joanna Klubo-Gwiezdzinska3 Diabetes, Obesity, and Endocrinology Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health , Bethesda, Maryland.
Jasmine Shell1 Endocrine Oncology Branch, National Cancer Institute, National Institutes of Health , Bethesda, Maryland.
Dhaval Patel1 Endocrine Oncology Branch, National Cancer Institute, National Institutes of Health , Bethesda, Maryland.
Naris Nilubol1 Endocrine Oncology Branch, National Cancer Institute, National Institutes of Health , Bethesda, Maryland.
Peter Herscovitch2 PET Department, Clinical Center, National Institutes of Health , Bethesda, Maryland.
Samira M Sadowski4 Thoracic and Endocrine Surgery, University Hospitals of Geneva , Geneva, Switzerland .
Electron Kebebew1 Endocrine Oncology Branch, National Cancer Institute, National Institutes of Health , Bethesda, Maryland.
National Cancer Institute · USNational Institutes of Health · USNational Institutes of Health Clinical Center · USUniversity Hospital of Geneva · CH

Funding

Somatostatin receptors in the diagnosis and treatment of thyroid cancerZIADK075138 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI KLUBO-GWIEZDZINSKA, JOANNA · 2017 to 2025
$3.8M
Studies of Benign and Malignant Thyroid DiseaseZIEDK047053 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI KLUBO-GWIEZDZINSKA, JOANNA · 2013 to 2020
$1.9M
6 · The paper itself

Abstract

backgroundGallium-68 (Ga-68) DOTATATE is a radiolabeled peptide-imaging modality that targets the somatostatin receptor (SSTR), especially subtype 2 (SSTR2). Benign and malignant thyroid tumors have been observed to express SSTR. The aim of this study was to evaluate the frequency and clinical significance of incidental atypical thyroid uptake as detected by Ga-68 DOTATATE positron emission tomography/computed tomography (PET/CT).

methodsA retrospective analysis was conducted of a prospective study in which 237 patients underwent Ga-68 DOTATATE PET/CT as part of a work-up for metastatic and unknown primary neuroendocrine tumors. The types of uptake in the thyroid gland (focal/diffuse) and maximum standardized uptake value (SUVmax) levels were evaluated and compared with the background uptake in the liver and salivary glands.

resultsOf 237 patients, 26 (11%) had atypical thyroid uptake as detected by Ga-68 DOTATATE PET/CT. There were no significant clinical or biochemical variables associated with atypical thyroid uptake. Fourteen (54%) patients had positive focal uptake, and 12 (46%) patients had diffuse uptake. Of the 14 patients with atypical focal uptake, 10 (71%) had thyroid nodules on the corresponding side, as detected by anatomic imaging. Three of 10 patients (21%) were found to have papillary thyroid cancer, and seven (70%) had adenomatoid nodules. Of the 12 patients with diffuse increased uptake, six (50%) had a history of hypothyroidism, five (42%) had chronic lymphocytic thyroiditis, and one (8%) had nontoxic multinodular goiter.

conclusionsPatients with an incidental focal abnormal thyroid uptake on Ga-68 DOTATATE PET/CT scan should have further clinical evaluation to exclude a diagnosis of thyroid cancer.

Indexed as

AdolescentAdultAgedAged, 80 and overCarcinoma, PapillaryFemaleGoiterHumansHypothyroidismMaleMiddle AgedOrganometallic CompoundsPositron Emission Tomography Computed TomographyRetrospective StudiesThyroid GlandThyroid Neoplasmsgallium Ga 68 dotatateOrganometallic Compounds

Identifiers

PMID27094616
PMCPMC4913484
OpenAlexW2337731936

What OpenQuestion holds

Textmetadata
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.