Evidence map›Paper›PMID 31919634›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2020

Superior performance of 18F-fluorocholine digital PET/CT in the detection of parathyroid adenomas.

Diego Alfonso López-Mora, Marina Sizova, Montserrat Estorch, Albert Flotats, Valle Camacho, Alejandro Fernández, Safae Abouzian, Francisco Fuentes-Ocampo, José Ignacio Pérez Garcia, Ana Isabel Chico Ballesteros and 4 more

Erratum issued Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04570033 (The Utility of 18F-fluorocholine PET/CT in the Imaging of Parathyroid Adenomas), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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.

NCT04570033 nacompletednot on this map

The Utility of 18F-fluorocholine PET/CT in the Imaging of Parathyroid Adenomas

TypeinterventionalSponsorMilitary Institute od Medicine National Research InstituteRan2016 to 2020Enrolled65ConditionsHyperparathyroidism, Parathyroid AdenomaArmsWe assessed sensitivity of 18F-FCH PET/CT in preoperative localisation of hyperfunctioning parathyroid tissue in patients with primary hyperparathyroidism
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Assessment and Comparison ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Time to shift to Digital PET/CT?Nuclear medicine and molecular imaging · 2025
    Article
  7. Comparison of digital and analog [Scientific reports · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Endocrine · 2022
    Article
  12. Article
  13. Article
  14. The EANM practice guidelines for parathyroid imaging.European journal of nuclear medicine and molecular imaging · 2021
    Article
  15. WillEndocrine · 2021
    Review
  16. Article
  17. Diagnostics (Basel, Switzerland) · 2020
    Article
  18. Comparison of Neck Ultrasonography, Dual PhaseIndian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Diego Alfonso López-MoraNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain. dlopezmo@santpau.cat.ORCID 0000-0002-3533-7362
Marina SizovaNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain.
Montserrat EstorchNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain.
Albert FlotatsNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain.
Valle CamachoNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain.
Alejandro FernándezNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain.
Safae AbouzianNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain.
Francisco Fuentes-OcampoNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain.
José Ignacio Pérez GarciaGeneral Surgery Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Ana Isabel Chico BallesterosEndocrinology Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Joan DuchNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain.
Anna DomènechNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain.
Antonio Moral DuarteGeneral Surgery Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Ignasi CarrióNuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Pare Claret 167, 08025, Barcelona, Spain.
Universitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare detectability of hyperfunctioning parathyroid tissue (HPT) by digital and analog 18F-fluorocholine PET/CT in patients with primary hyperparathyroidism and negative/inconclusive 99mTc-MIBI scintigraphy-SPECT/CT. MATERIALS AND

methodsThirty-three patients with primary hyperparathyroidism and negative/inconclusive 99mTc-MIBI scintigraphy-SPECT/CT were prospectively included. All patients accepted to be scanned by digital and analog PET/CT in the same imaging session after a single injection of 18F-fluorocholine. Three nuclear medicine physicians evaluated the digital and analog PET/CT datasets to assess the detection rate of HPT. Maximum standard uptake values (SUVmax) of HPT and locoregional lymph nodes were measured in both systems.

resultsHPT was detected in 30/33 patients by the digital system, whereas it was detected in 22/33 patients by the analog system (p < 0.01). Moreover, in 21 of these 33 patients, both systems detected one focal 18F-fluorocholine uptake, and in one patient the digital system detected two foci. Histopathology demonstrated HPT in 32 patients and it was inconclusive in one patient. The digital PET/CT detected HPT in 29 of the 32 patients, and the analog system in 22 of the 32 (p < 0.01). All HPT suspected lesions resected and detected only by the digital system (n = 8) were < 10 mm (7.5 ± 1.3 mm), while those detected by both systems (n = 22) were > 10 mm (13 ± 3.8 mm). SUVmax of HPT lesions was significantly higher than SUVmax of locoregional lymph node independently of the PET/CT system used (4.5 ± 1.9 vs. 2.9 ± 1.3, p < 0.0001).

conclusionsDigital PET/CT offers superior performance over analog system in patients with suspected HPT and previous negative/inconclusive imaging examinations, particularly in sub-centimeter lesions. SUVmax can help in the differentiation between HTP and locoregional lymph nodes.

Indexed as

Hyperparathyroidism, PrimaryParathyroid NeoplasmsCholineHumansParathyroid GlandsPositron Emission Tomography Computed TomographyTechnetium Tc 99m SestamibiCholinefluorocholineTechnetium Tc 99m Sestamibi18F-fluorocholine99mTc-MIBI scintigraphyAnalog PET/CTDigital PET/CTParathyroid adenomaPrimary hyperparathyroidism

Identifiers

PMID31919634
OpenAlexW2999578636

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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.