Evidence map›Paper›PMID 27834016›Full record

ArticleWorld journal of surgery2017

Is C-11 Methionine PET/CT Able to Localise Sestamibi-Negative Parathyroid Adenomas?

Theresia Weber, Martin Gottstein, Sabrina Schwenzer, Ambros Beer, Markus Luster

Abstract read
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. European journal of nuclear medicine and molecular imaging · 2018
    Trial
  3. Review
  4. Diagnostic Ability and Correlation of DigitalNuclear medicine and molecular imaging · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Endocrine · 2022
    Article
  9. The EANM practice guidelines for parathyroid imaging.European journal of nuclear medicine and molecular imaging · 2021
    Article
  10. Review
  11. Article
  12. Article
  13. The role of F18-fluorocholine positron emission tomography/magnetic resonance imaging in localizing parathyroid adenomas.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
    Observational
  14. Article
  15. Follicular thyroid cancer avid on C-11 Methionine PET/CT.Endocrinology, diabetes & metabolism case reports · 2018
    Article
  16. [Diagnostics and treatment of primary hyperparathyroidism].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017
    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

5 authors at 4 institutions in 1 country.

Theresia WeberDepartment of Endocrine Surgery, Katholisches Klinikum Mainz, An der Goldgrube 11, 55131, Mainz, Germany. t-weber@kkmainz.de.
Martin GottsteinDepartment of Nuclear Medicine, University Medical Center Ulm, Ulm, Germany.
Sabrina SchwenzerDepartment of Nuclear Medicine, University Medical Center Ulm, Ulm, Germany.
Ambros BeerDepartment of Nuclear Medicine, University Medical Center Ulm, Ulm, Germany.
Markus LusterDepartment of Nuclear Medicine, University of Marburg, Marburg, Germany.
University Hospital Ulm · DECatholic University of Applied Sciences · DEPhilipps University of Marburg · DETechnische Hochschule Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with primary hyperparathyroidism (pHPT) and a negative preoperative Tc-99 sestamibi (MIBI) scintigraphy are considered to have a higher risk of persistent disease. The aim of this study was to assess whether additional imaging with C-11 methionine positron emission tomography/computed tomography (Met-PET/CT) is able to localise sestamibi-negative hyperfunctioning parathyroid glands.

methodsIn 50 patients (38 females, 12 males, age 13-81 years) with pHPT and negative localisation procedures such as ultrasound and sestamibi, a Met-PET/CT was performed before parathyroid surgery. The results of Met-PET/CT were analysed prospectively and compared with intraoperative and histopathological findings. 22% of the patients underwent previous parathyroid and/or thyroid surgery.

resultsMet-PET/CT correctly located a single-gland adenoma in 33 of 45 (73%) patients with pHPT. In 5 patients with multiglandular disease, Met-PET/CT detected at least one hyperfunctional parathyroid gland in 4 patients (80%). In 3 patients with double adenomas, 5 of 6 parathyroids were correctly located. Overall, 40 of 57 (70%) hyperfunctioning glands were identified with Met-PET/CT. Met-PET/CT was false-negative in 12 of 50 (24%) patients and false-positive in only one case (2%). Postoperatively, 48 of 50 patients (96%) were cured.

conclusionsAdditional pre-interventional imaging with Met-PET/CT was able to identify hyperfunctioning parathyroid glands in 74% of patients with pHPT and negative sestamibi scans, thus enabling successful parathyroid surgery.

Indexed as

MethioninePositron Emission Tomography Computed TomographyRadiopharmaceuticalsAdenomaAdolescentAdultAgedAged, 80 and overFemaleHumansHyperparathyroidism, PrimaryMaleMiddle AgedParathyroidectomyParathyroid NeoplasmsProspective Studiescarbon-11 methionineMethionineRadiopharmaceuticalsTechnetium Tc 99m Sestamibi

Identifiers

PMID27834016
OpenAlexW2549585537

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.