Evidence map›Paper›PMID 27275362›Full record

ArticleNuclear medicine and molecular imaging2016

Correlation of Uptake Patterns on Single-Photon Emission Computed Tomography/Computed Tomography (SPECT/CT) and Treatment Response in Patients with Knee Pain.

Geon Koh, Kyung Hoon Hwang, Haejun Lee, Seog Gyun Kim, Beom Koo Lee

Abstract read
In one paragraph

Article in 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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
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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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. KSNM 60 in General Nuclear Medicine: the Old Dream Comes True.Nuclear medicine and molecular imaging · 2022
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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

5 authors.

Geon KohDepartment of Nuclear Medicine, Gachon University Gil Hospital, 21 Namdongdae-ro 774-gil, Namdong-gu, Incheon 405-760 Republic of Korea.
Kyung Hoon HwangDepartment of Nuclear Medicine, Gachon University Gil Hospital, 21 Namdongdae-ro 774-gil, Namdong-gu, Incheon 405-760 Republic of Korea.
Haejun LeeDepartment of Nuclear Medicine, Gachon University Gil Hospital, 21 Namdongdae-ro 774-gil, Namdong-gu, Incheon 405-760 Republic of Korea.
Seog Gyun KimDepartment of Nuclear Medicine, Gachon University Gil Hospital, 21 Namdongdae-ro 774-gil, Namdong-gu, Incheon 405-760 Republic of Korea.
Beom Koo LeeDepartment of Orthopedics, Gachon University Gil Hospital, 21 Namdongdae-ro 774-gil, Namdong-gu, Incheon 405-760 Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine whether treatment response in patients with knee pain could be predicted using uptake patterns on single-photon emission computed tomography/computed tomography (SPECT/CT) images.

methodsNinety-five patients with knee pain who had undergone SPECT/CT were included in this retrospective study. Subjects were divided into three groups: increased focal uptake (FTU), increased irregular tracer uptake (ITU), and no tracer uptake (NTU). A numeric rating scale (NRS-11) assessed pain intensity. We analyzed the association between uptake patterns and treatment response using Pearson's chi-square test and Fisher's exact test. Uptake was quantified from SPECT/CT with region of interest (ROI) counting, and an intraclass correlation coefficient (ICC) calculated agreement. We used Student's t-test to calculate statistically significant differences of counts between groups and the Pearson correlation to measure the relationship between counts and initial NRS-1k1. Multivariate logistic regression analysis determined which variables were significantly associated with uptake.

resultsThe FTU group included 32 patients; ITU, 39; and NTU, 24. With conservative management, 64 % of patients with increased tracer uptake (TU, both focal and irregular) and 36 % with NTU showed positive response. Conservative treatment response of FTU was better than NTU, but did not differ from that of ITU. Conservative treatment response of TU was significantly different from that of NTU (OR 3.1; p = 0.036). Moderate positive correlation was observed between ITU and initial NRS-11. Age and initial NRS-11 significantly predicted uptake.

conclusionsPatients with uptake in their knee(s) on SPECT/CT showed positive treatment response under conservative treatment.

Indexed as

KneePainResponseSPECTUptake

Identifiers

PMID27275362
PMCPMC4870462

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