Evidence map›Paper›PMID 31273437›Full record

ReviewEuropean journal of nuclear medicine and molecular imaging2019

Two decades of SPECT/CT - the coming of age of a technology: An updated review of literature evidence.

Ora Israel, O Pellet, L Biassoni, D De Palma, E Estrada-Lobato, G Gnanasegaran, T Kuwert, C la Fougère, G Mariani, S Massalha and 2 more

Abstract readReview
In one paragraph

Review in European journal of nuclear medicine and molecular imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 2 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.

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

97 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Diagnostic efficacy of [BMC cancer · 2024
    Pooled it
  2. Pooled it
  3. Optimizing Post-Therapeutic Imaging in Papillary Thyroid Cancer: A Critical Comparison of Ultrasound and I-131 SPECT/CT.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Article
  4. A Comparison of Detection Rates Between Ultrasound and Post-Therapeutic I-131 SPECT/CT for Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Article
  5. Imaging pediatric osteomyelitis: The role ofRadiology case reports · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Clinical efficacy ofFrontiers in oncology · 2026
    Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Recent developments in translational imaging of in vivo gene therapy outcomes.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  18. Article
  19. Review
  20. Article

37 more citing papers are in PubMed but not listed here.

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

12 authors.

Ora IsraelRappaport School of Medicine, Israel Institute of Technology, Haifa, Israel. o_israel@rambam.health.gov.il.ORCID http://orcid.org/0000-0001-6545-0924
O PelletNuclear Medicine and Diagnostic Imaging Section International Atomic Energy Agency, Vienna, Austria.
L BiassoniDepartment of Radiology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
D De PalmaNuclear Medicine Unit, Circolo Hospital, ASST-Settelaghi, Varese, Italy.
E Estrada-LobatoNuclear Medicine and Diagnostic Imaging Section International Atomic Energy Agency, Vienna, Austria.
G GnanasegaranDepartment of Nuclear Medicine, Royal Free NHS Foundation Trust, London, UK.
T KuwertClinic of Nuclear Medicine, University Hospital, Erlangen, Germany.
C la FougèreDivision of Nuclear Medicine and Clinical Molecular Imaging, Department of Radiology, University Hospital, Tubingen, Germany.
G MarianiRegional Center of Nuclear Medicine, University of Pisa, Pisa, Italy.
S MassalhaDepartment of Medicine, University of Ottawa Heart Institute, Ottawa, Canada.
D PaezNuclear Medicine and Diagnostic Imaging Section International Atomic Energy Agency, Vienna, Austria.
F GiammarileNuclear Medicine and Diagnostic Imaging Section International Atomic Energy Agency, Vienna, Austria.

Funding

International Atomic Energy Agency E1-CS-1702097
6 · The paper itself

Abstract

purposeSingle-photon emission computed tomography (SPECT) combined with computed tomography (CT) was introduced as a hybrid SPECT/CT imaging modality two decades ago. The main advantage of SPECT/CT is the increased specificity achieved through a more precise localization and characterization of functional findings. The improved diagnostic accuracy is also associated with greater diagnostic confidence and better inter-specialty communication.

methodsThis review presents a critical assessment of the relevant literature published so far on the role of SPECT/CT in a variety of clinical conditions. It also includes an update on the established evidence demonstrating both the advantages and limitations of this modality.

conclusionsFor the majority of applications, SPECT/CT should be a routine imaging technique, fully integrated into the clinical decision-making process, including oncology, endocrinology, orthopaedics, paediatrics, and cardiology. Large-scale prospective studies are lacking, however, on the use of SPECT/CT in certain clinical domains such as neurology and lung disorders. The review also presents data on the complementary role of SPECT/CT with other imaging modalities and a comparative analysis, where available.

Indexed as

Bone DiseasesCardiovascular DiseasesHumansNeoplasmsNervous System DiseasesPerfusion ImagingSingle Photon Emission Computed Tomography Computed TomographyCardiopulmonaryEndocrinologyInfectionOncologyOrthopaedicsPaediatricsSPECT/CT

Identifiers

PMID31273437
PMCPMC6667427

What OpenQuestion holds

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Registered trials

None linked

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.