Evidence map›Paper›PMID 28303300›Full record

SynthesisEuropean journal of nuclear medicine and molecular imaging2017

Consequences of radiopharmaceutical extravasation and therapeutic interventions: a systematic review.

Jochem van der Pol, Stefan Vöö, Jan Bucerius, Felix M Mottaghy

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis 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 NCT07174089 (New AI-based Technologies for Even Safer and More Precise Nuclear Medicine), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–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.

NCT07174089 recruitingnot on this mapstarted 2021, after this paper: background citation

New AI-based Technologies for Even Safer and More Precise Nuclear Medicine

TypeobservationalSponsorAzienda USL Reggio Emilia - IRCCSRan2021 to 2026Enrolled1,500ConditionsPatients Undergoing PET/CT Investigation or Nuclear Medicine TherapyArmsRadEye SPRD-ER device: spectrometric radiation detector capable of detecting gamma radiation.
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Extravasation Frequency of [Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Extravasation of Diagnostic Radiopharmaceuticals: A Wolf in Sheep's Clothing?Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  17. Article
  18. Extravasation of radiopharmaceuticals: Why report?Frontiers in nuclear medicine · 2023
    Article
  19. Review
  20. 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

4 authors.

Jochem van der PolDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Centre (MUMC+), Postbox 5800, 6202 AZ, Maastricht, The Netherlands.
Stefan VööDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Centre (MUMC+), Postbox 5800, 6202 AZ, Maastricht, The Netherlands.
Jan BuceriusDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Centre (MUMC+), Postbox 5800, 6202 AZ, Maastricht, The Netherlands.
Felix M MottaghyDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Centre (MUMC+), Postbox 5800, 6202 AZ, Maastricht, The Netherlands. fmottaghy@ukaachen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadiopharmaceutical extravasation can potentially lead to severe soft tissue damage, but little is known about incidence, medical consequences, possible interventions, and effectiveness of these. The aims of this study are to estimate the incidence of extravasation of diagnostic and therapeutic radiopharmaceuticals, to evaluate medical consequences, and to evaluate medical treatment applied subsequently to those incidents.

methodsA sensitive and elaborate literature search was performed in Embase and PubMed using the keywords "misadministration", "extravasation", "paravascular infiltration", combined with "tracer", "radionuclide", "radiopharmaceutical", and a list of keywords referring to clinically used tracers (i.e. "Technetium-99m", "Yttrium-90"). Reported data on radiopharmaceutical extravasation and applied interventions was extracted and summarised.

resultsThirty-seven publications reported 3016 cases of diagnostic radiopharmaceutical extravasation, of which three cases reported symptoms after extravasation. Eight publications reported 10 cases of therapeutic tracer extravasation. The most severe symptom was ulceration. Thirty-four different intervention and prevention strategies were performed or proposed in literature.

conclusionsExtravasation of diagnostic radiopharmaceuticals is common.

Indexed as

HumansRadiopharmaceuticalsRadiopharmaceuticalsDose infiltrationExtravasationRadiation ulcerRadiopharmaceuticals

Identifiers

PMID28303300
PMCPMC5434120

What OpenQuestion holds

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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.