Evidence map›Paper›PMID 28175934›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2017

Investigating the role of SPECT/CT in dynamic sentinel lymph node biopsy for penile cancers.

Ziauddin Zia Saad, Savvas Omorphos, Sofia Michopoulou, Svetislav Gacinovic, Peter Malone, Raj Nigam, Asif Muneer, Jamshed Bomanji

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Methods of Sentinel Lymph Node Identification in Auricular Melanoma.Plastic and reconstructive surgery. Global open · 2021
    Article
  11. Progress on Management of Penile Cancer in 2020.Current treatment options in oncology · 2020
    Review
  12. Article
  13. Review
  14. Review
  15. European research trends in nuclear medicine.Annals of nuclear medicine · 2018
    Review
  16. Sentinel lymph node imaging in urologic oncology.Translational andrology and urology · 2018
    Review
  17. Review
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

8 authors.

Ziauddin Zia SaadDepartment of Nuclear Medicine, University College Hospitals London, London, UK.
Savvas OmorphosDepartment of Urology, University College Hospitals London, London, UK.
Sofia MichopoulouDepartment of Nuclear Medicine, University College Hospitals London, London, UK.
Svetislav GacinovicDepartment of Nuclear Medicine, University College Hospitals London, London, UK.
Peter MaloneDepartment of Urology, University College Hospitals London, London, UK.
Raj NigamDepartment of Urology, University College Hospitals London, London, UK.
Asif MuneerDepartment of Urology, University College Hospitals London, London, UK.
Jamshed BomanjiDepartment of Nuclear Medicine, University College Hospitals London, London, UK. jamshed.bomanji@uclh.nhs.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCurrently, most centres use 2-D planar lymphoscintigraphy when performing dynamic sentinel lymph node biopsy in penile cancer patients with clinically impalpable inguinal nodes. This study aimed to investigate the role of SPECT/CT following 2-D planar lymphoscintigraphy (dynamic and static) in the detection and localization of sentinel lymph nodes in the groin.

methodsA qualitative (visual) review was performed on planar followed by SPECT/CT lymphoscintigraphy in 115 consecutive patients (age 28-86 years) who underwent injection of

resultsA total of 440 and 467 nodes were identified on planar scintigraphy and SPECT/CT, respectively. Overall, SPECT/CT confirmed the findings of planar imaging in 28/115 cases (24%). In the remaining 87 cases (76%), gross discrepancies were observed between planar and SPECT/CT images. SPECT/CT identified 17 instances of skin contamination (16 patients, 13%) and 36 instances of in-transit lymphatic tract activity (24 patients, 20%) that had been interpreted as tracer-avid lymph nodes on planar imaging. In addition, SPECT/CT identified 53 tracer-avid nodes in 48 patients (42%) that were not visualized on planar imaging and led to reclassification of the drainage basins (pelvic/inguinal) of 27 tracer-avid nodes.

conclusionsThe addition of SPECT/CT improved the rate of detection of true tracer-avid lymph nodes and delineated their precise (3-D) anatomic localization in drainage basins.

Indexed as

Sentinel Lymph Node BiopsySingle Photon Emission Computed Tomography Computed TomographyAdultAgedAged, 80 and overHumansMaleMiddle AgedPenile NeoplasmsCancer of the penisDrainage basinPlanar lymphoscintigraphySentinel nodeSPECT/CT lymphoscintigraphy

Identifiers

PMID28175934
PMCPMC5434125

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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.