Evidence map›Paper›PMID 28261749›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2017

Intra-image referencing for simplified assessment of HER2-expression in breast cancer metastases using the Affibody molecule ABY-025 with PET and SPECT.

Dan Sandberg, Vladimir Tolmachev, Irina Velikyan, Helena Olofsson, Anders Wennborg, Joachim Feldwisch, Jörgen Carlsson, Henrik Lindman, Jens Sörensen

Registry-linked trialOpen access · hybridAbstract 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. It is linked to trial NCT05619016 (Phase II Study of [68Ga]Ga-ABY-025 PET for Non-invasive Quantification of HER2-status in Solid Tumors), which is not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT05619016 phase2unknown statusnot on this mapstarted 2022, after this paper: background citation

Phase II Study of [68Ga]Ga-ABY-025 PET for Non-invasive Quantification of HER2-status in Solid Tumors

TypeinterventionalSponsorKarolinska University HospitalRan2022 to 2025Enrolled72ConditionsEsophageal Neoplasms, Gastric Neoplasms Malignant, Breast Cancer, HER2-positive Gastric CancerArms[68Ga]Ga-ABY-025 PET, Biopsy and analysis of HER2 expression
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

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  3. [EJNMMI research · 2026
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  14. Phase I clinical evaluation ofTheranostics · 2023
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  18. Pre-Clinical Study of the [Frontiers in medicine · 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

9 authors at 2 institutions in 1 country.

Dan SandbergDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden. dan.sandberg@igp.uu.se.ORCID http://orcid.org/0000-0002-0058-278X
Vladimir TolmachevDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Irina VelikyanSection of Nuclear Medicine and PET, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Helena OlofssonDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Anders WennborgAffibody AB, Solna, Sweden.
Joachim FeldwischAffibody AB, Solna, Sweden.
Jörgen CarlssonDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Henrik LindmanDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Jens SörensenSection of Nuclear Medicine and PET, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Uppsala University · SEAffibody (Sweden) · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn phase I/II-studies radiolabelled ABY-025 Affibody molecules identified human epidermal growth factor receptor 2 (HER2) expression in breast cancer metastases using PET and SPECT imaging. Here, we wanted to investigate the utility of a simple intra-image normalization using tumour-to-reference tissue-ratio (T/R) as a HER2 status discrimination strategy to overcome potential issues related to cross-calibration of scanning devices.

methodsTwenty-three women with pre-diagnosed HER2-positive/negative metastasized breast cancer were scanned with [

resultsSpleen was the best reference tissue across modalities, followed by blood pool and lung. Spleen-T/R was highly correlated to PET SUV in metastases after 2 h (r = 0.96, P < 0.001) and reached an accuracy of 100% for discriminating IHC HER2-positive and negative metastases at 4 h (PET) and 24 h (SPECT) after injection. In a single case, shed HER2 resulted in intense tracer retention in blood. In the remaining patients shed HER2 was elevated, but without significant impact on ABY-025 biodistribution.

conclusionT/R-ratios using spleen as reference tissue accurately quantify HER2 expression with radiolabelled ABY-025 imaging in breast cancer metastases with SPECT and PET. Tracer binding to shed HER2 in serum might affect quantification in the extreme case.

Indexed as

Gene Expression Regulation, NeoplasticPeptide FragmentsPositron Emission Tomography Computed TomographyStaphylococcal Protein ATomography, Emission-Computed, Single-PhotonAdultAgedBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesFluorodeoxyglucose F18HumansMiddle AgedNeoplasm MetastasisTissue DistributionABY-025ERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesFluorodeoxyglucose F18Peptide FragmentsStaphylococcal Protein AAffibodyHER2-receptorPETSheddingSPECTT/R

Identifiers

PMID28261749
PMCPMC5486836
OpenAlexW2592024682

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Registered trials

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.