Evidence map›Paper›PMID 27759852›Full record

ArticleClinics (Sao Paulo, Brazil)2016

Functional investigation of bone implant viability using radiotracers in a new model of osteonecrosis.

Luis Schiper, Bluma Linkowski Faintuch, Roberto José da Silva Badaró, Erica Aparecida de Oliveira, Victor E Arana Chavez, Elisangela Chinen, Joel Faintuch

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Clinics (Sao Paulo, Brazil), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

7 authors at 2 institutions in 1 country.

Luis SchiperUniversidade Federal da Bahia, Faculdade de Medicina, Departamento de Ortopedia, Bahia/BA, Brazil.
Bluma Linkowski FaintuchInstituto de Energia e Pesquisa Nuclear, Centro de Radiofarmácia, São Paulo/SP, Brazil.
Roberto José da Silva BadaróUniversidade Federal da Bahia, Faculdade de Medicina, Departamento de Ortopedia, Bahia/BA, Brazil.
Erica Aparecida de OliveiraInstituto de Energia e Pesquisa Nuclear, Centro de Radiofarmácia, São Paulo/SP, Brazil.
Victor E Arana ChavezUniversidade de São Paulo, Faculdade de Odontologia, Departamento de Biomateriais e Biologia Oral, São Paulo/SP, Brazil.
Elisangela ChinenUniversidade de São Paulo, Faculdade de Odontologia, Departamento de Biomateriais e Biologia Oral, São Paulo/SP, Brazil.
Joel FaintuchHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Divisão de Cirurgia Gastrointestinal, São Paulo/SP, Brazil.
Universidade Federal da Bahia · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives: Conventional imaging methods are excellent for the morphological characterization of the consequences of osteonecrosis; however, only specialized techniques have been considered useful for obtaining functional information. To explore the affinity of radiotracers for severely devascularized bone, a new mouse model of isolated femur implanted in a subcutaneous abdominal pocket was devised. To maintain animal mobility and longevity, the femur was harvested from syngeneic donors. Two technetium-99m-labeled tracers targeting angiogenesis and bone matrix were selected.

methods: Medronic acid and a homodimer peptide conjugated with RGDfK were radiolabeled with technetium-99m, and biodistribution was evaluated in Swiss mice. The grafted and control femurs were evaluated after 15, 30 and 60 days, including computed tomography (CT) and histological analysis.

results: Radiolabeling achieved high (>95%) radiochemical purity. The biodistribution confirmed good blood clearance 1 hour after administration. For 99mTc-hydrazinonicotinic acid (HYNIC)-E-[c(RGDfK)2, remarkable renal excretion was observed compared to 99mTc-methylene diphosphonate (MDP), but the latter, as expected, revealed higher bone uptake. The results obtained in the control femur were equal at all time points. In the implanted femur, 99mTc-HYNIC-E-[c(RGDfK)2 uptake was highest after 15 days, consistent with early angiogenesis. Regarding 99mTc-MDP in the implant, similar uptake was documented at all time points, consistent with sustained bone viability; however, the uptake was lower than that detected in the control femur, as confirmed by histology.

conclusions: 1) Graft viability was successfully diagnosed using radiotracers in severely ischemic bone at all time points. 2) Analogously, indirect information about angiogenesis could be gathered using 999mTc-HYNIC-E-[c(RGDfK)2. 3) These techniques appear promising and warrant further studies to determine their potential clinical applications.

Indexed as

Disease Models, AnimalOrganotechnetium CompoundsPeptides, CyclicRadiopharmaceuticalsAnimalsBone-Implant InterfaceBone TransplantationDiphosphonatesFemaleFemurIsotope LabelingMiceNeovascularization, PhysiologicOsteonecrosisReproducibility of ResultsTime FactorsDiphosphonatesmethylene diphosphonateOrganotechnetium CompoundsPeptides, CyclicRadiopharmaceuticalstechnetium 99m HYNIC-E(c(RGDfK))2

Identifiers

PMID27759852
PMCPMC5059423
OpenAlexW2541122662

What OpenQuestion holds

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LicenceCC BY
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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.