Evidence map›Paper›PMID 27446498›Full record

ArticleTheranostics2016

Gastrin-releasing Peptide Receptor Imaging in Breast Cancer Using the Receptor Antagonist (68)Ga-RM2 And PET.

Christian Stoykow, Thalia Erbes, Helmut R Maecke, Stefan Bulla, Mark Bartholomä, Sebastian Mayer, Vanessa Drendel, Peter Bronsert, Martin Werner, Gerald Gitsch and 3 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Theranostics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

63 citing papers in PubMed, 1 synthesis or guideline pooled it, 119 citations in OpenAlex.

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3 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

13 authors at 5 institutions in 2 countries.

Christian Stoykow1. Department of Nuclear Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany;; 4. German Cancer Research Center (DKFZ), Heidelberg, Germany;; 5. German Cancer Consortium (DKTK), Freiburg, Germany;
Thalia Erbes2. Department of Obstetrics and Gynecology, University Medical Center Freiburg, Germany;
Helmut R Maecke1. Department of Nuclear Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany;; 5. German Cancer Consortium (DKTK), Freiburg, Germany;
Stefan Bulla1. Department of Nuclear Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany;
Mark Bartholomä1. Department of Nuclear Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany;
Sebastian Mayer2. Department of Obstetrics and Gynecology, University Medical Center Freiburg, Germany;
Vanessa Drendel3. Department of Clinical Pathology, University Medical Center Freiburg, Germany;
Peter Bronsert3. Department of Clinical Pathology, University Medical Center Freiburg, Germany;; 5. German Cancer Consortium (DKTK), Freiburg, Germany;; 8. Tumorbank, Comprehensive Cancer Center Freiburg, University Medical Center Freiburg, Germany.
Martin Werner3. Department of Clinical Pathology, University Medical Center Freiburg, Germany;; 5. German Cancer Consortium (DKTK), Freiburg, Germany;
Gerald Gitsch2. Department of Obstetrics and Gynecology, University Medical Center Freiburg, Germany;
Wolfgang A Weber6. Molecular Imaging and Therapy Service, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, United States of America;
Elmar Stickeler7. Department of Gynecology and Obstetrics, University Hospital Aachen, Germany;
Philipp T Meyer1. Department of Nuclear Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany;; 5. German Cancer Consortium (DKTK), Freiburg, Germany;
University Medical Center Freiburg · DEDeutschen Konsortium für Translationale Krebsforschung · DEMemorial Sloan Kettering Cancer Center · USUniversitätsklinikum Aachen · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe gastrin-releasing peptide receptor (GRPR) is overexpressed in breast cancer. The present study evaluates GRPR imaging as a novel imaging modality in breast cancer by employing positron emission tomography (PET) and the GRPR antagonist (68)Ga-RM2.

methodsFifteen female patients with biopsy confirmed primary breast carcinoma (3 bilateral tumors; median clinical stage IIB) underwent (68)Ga-RM2-PET/CT for pretreatment staging. In vivo tumor uptake of (68)Ga-RM2 was correlated with estrogen (ER) and progesterone (PR) receptor expression, HER2/neu status and MIB-1 proliferation index in breast core biopsy specimens.

results13/18 tumors demonstrated strongly increased (68)Ga-RM2 uptake compared to normal breast tissue (defined as PET-positive). All PET-positive primary tumors were ER- and PR-positive (13/13) in contrast to only 1/5 PET-negative tumors. Mean SUVMAX of ER-positive tumors was 10.6±6.0 compared to 2.3±1.0 in ER-negative tumors (p=0.016). In a multivariate analysis including ER, PR, HER2/neu and MIB-1, only ER expression predicted (68)Ga-RM2 uptake (model: r(2) =0.55, p=0.025). Normal breast tissue showed inter- and intraindividually variable, moderate GRPR binding (SUVMAX 2.3±1.0), while physiological uptake of other organs was considerably less except pancreas. Of note, (68)Ga-RM2-PET/CT detected internal mammary lymph nodes with high (68)Ga-RM2 uptake (n=8), a contralateral axillary lymph node metastasis (verified by biopsy) and bone metastases (n=1; not detected by bone scan and CT).

conclusionOur study demonstrates that (68)Ga-RM2-PET/CT is a promising imaging method in ER-positive breast cancer. In vivo GRPR binding assessed by (68)Ga-RM2-PET/CT correlated with ER expression in primary tumors of untreated patients.

Indexed as

Breast NeoplasmsHumansOligopeptidesPositron-Emission TomographyReceptors, BombesinBAY 86-7548OligopeptidesReceptors, Bombesinbombesinbreast cancerERestrogen receptor.gastrin-releasing peptide receptorGRPRPETpositron emission tomography

Identifiers

PMID27446498
PMCPMC4955063
OpenAlexW2461511446

What OpenQuestion holds

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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.