Evidence map›Paper›PMID 29498443›Full record

ArticleThe breast journal2018

Outcomes of "one-day" vs "two-day" injection protocols using Tc-99m tilmanocept for sentinel lymph node biopsy in breast cancer.

Jonathan T Unkart, James Proudfoot, Anne M Wallace

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The breast journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04487912 (Dynamics and Tracer Distribution of Tilmanocept Using Combined Subareolar and Peritumoral Injection Technique for Scintigraphic Sentinel Lymph Node Detection in Early Stage Breast Cancer), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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.

NCT04487912 phase4withdrawnnot on this mapstarted 2020, after this paper: background citation

Dynamics and Tracer Distribution of Tilmanocept Using Combined Subareolar and Peritumoral Injection Technique for Scintigraphic Sentinel Lymph Node Detection in Early Stage Breast Cancer

TypeinterventionalSponsorUniversity Hospital, GhentRan2020 to 2021Enrolled0ConditionsBreast Cancer, Sentinel Lymph NodeArmsTilmanocept, Nanocolloid
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. European journal of nuclear medicine and molecular imaging · 2023
    Pooled it
  2. Article
  3. Article
  4. Comparison of [European journal of nuclear medicine and molecular imaging · 2023
    Article
  5. Article
  6. Article
  7. 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

3 authors at 1 institution in 1 country.

Jonathan T UnkartDepartment of Surgery, Moores Cancer Center, University of California, San Diego, CA, USA.ORCID 0000-0001-9041-5119
James ProudfootBiostatistics Unit, Altman Clinical Translational Research Institute, University of California, San Diego, CA, USA.
Anne M WallaceDepartment of Surgery, Moores Cancer Center, University of California, San Diego, CA, USA.
University of California San Diego · US

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
NCATS NIH HHS UL1 TR001442
6 · The paper itself

Abstract

No prior studies have compared Tc-99m tilmanocept (TcTM) one-day and two-day injection protocols for sentinel lymph node (SLN) biopsy in breast cancer (BC). We retrospectively identified patients with clinically node-negative BC undergoing SLN biopsy at our institution. Patients received a single, intradermal peritumoral injection of TcTM on day of surgery or day prior to surgery in addition to an intraoperative injection of isosulfan blue dye. Univariable and multivariable Poisson regression count models were constructed to assess the effects of injection timing, radiologist, patient and surgeon characteristics on the number of removed SLNs. A total of 617 patients underwent SLN biopsy with TcTM and blue dye. Sixty-seven (10.9%) patients were injected with the two-day protocol. Patients in the one-day protocol had a mean of 3.0 (standard deviation (SD) 1.9) SLNs removed compared with 2.7 (SD 1.4) SLNs in the two-day protocol, P-value = .13. On multivariable analysis, patient age and operating surgeon significantly affected the number of removed SLNs; however, the injection timing and the nuclear radiologist did not influence the number of removed SLNs. The performance of Tc-99m tilmanocept did not differ significantly between one-day and two-day injection protocols. These results are similar to other radiotracers used for SLN biopsy in BC.

Indexed as

AgedBreast NeoplasmsDextransFemaleHumansInjectionsLymphatic MetastasisMannansMiddle AgedRadionuclide ImagingRadiopharmaceuticalsRegression AnalysisRetrospective StudiesRosaniline DyesSentinel Lymph NodeSentinel Lymph Node BiopsyDextransiso-sulfan blueMannansRadiopharmaceuticalsRosaniline Dyestechnetium-diethylenetriaminepentaacetic acid-mannosyl-dextranTechnetium Tc 99m Pentetatebreast cancerlymphatic mappingsentinel node biopsytilmanocept

Identifiers

PMID29498443
PMCPMC6043364
OpenAlexW2792072039

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.