Evidence map›Paper›PMID 33067751›Full record

ArticleMolecular imaging and biology2021

Effect of Propranolol on 18F-Fluorodeoxyglucose Uptake in Brown Adipose Tissue in Children and Young Adults with Neoplastic Diseases.

Samuel L Brady, Ka Kit Wong, Mikhail Doubrovin, Yuanyuan Han, Yimei Li, Shengjie Wu, A K M Moinul Hossain, Charles B Chism, Mihir H Naik, Michael Rossi and 1 more

Open access · greenAbstract read
In one paragraph

Article in Molecular imaging and biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 25% 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.

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

4 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
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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

11 authors at 3 institutions in 1 country.

Samuel L BradyDepartment of Radiology, Cincinnati Children's Hospital Medical Center & University of Cincinnati, Cincinnati, OH, USA.ORCID https://orcid.org/0000-0002-2785-4626
Ka Kit WongDepartment of Radiology, Division of Nuclear Medicine, C.S. Mott Children's Hospital, University of Michigan Hospital, Ann Arbor, MI, USA.
Mikhail DoubrovinDepartment of Diagnostic Imaging, Division of Nuclear Medicine, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Mail Stop 220, Memphis, TN, 38105, USA.
Yuanyuan HanDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.
Yimei LiDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.
Shengjie WuDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.
A K M Moinul HossainDepartment of Diagnostic Imaging, Division of Nuclear Medicine, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Mail Stop 220, Memphis, TN, 38105, USA.
Charles B ChismDepartment of Diagnostic Imaging, Division of Nuclear Medicine, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Mail Stop 220, Memphis, TN, 38105, USA.
Mihir H NaikDepartment of Diagnostic Imaging, Division of Nuclear Medicine, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Mail Stop 220, Memphis, TN, 38105, USA.
Michael RossiDivision of Anesthesiology, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, USA.
Barry L ShulkinDepartment of Diagnostic Imaging, Division of Nuclear Medicine, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Mail Stop 220, Memphis, TN, 38105, USA. barry.shulkin@stjude.org.ORCID http://orcid.org/0000-0003-4784-7914
St. Jude Children's Research Hospital · USCincinnati Children's Hospital Medical Center · USUniversity of Michigan · US

Funding

PROFESSIONAL ONCOLOGY EDUCATION PROGRAMR25CA023944 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SUZANNE A. GRONEMEYER · 1986 to 2026
$8.3M
NCI NIH HHS R25 CA023944
6 · The paper itself

Abstract

purposeTo evaluate the effectiveness of propranolol at mitigating FDG uptake in brown adipose tissue (BAT) of pediatric patients with known or suspected malignancies.

methodsPET/CT scans of 3 cohorts of patients treated from 2005 to 2017 were scored for the presence of FDG uptake by BAT at 7 sites: right or left neck/supraclavicular area, right or left axilla, mediastinum, posterior thorax, and abdomen/pelvis. Uptake was scored as follows: 0, none; 1, mild uptake < liver; 2, moderate uptake = liver; and 3, intense uptake > liver. Group 1 consisted of 323 patients (630 scans) who had no specific preparation to mitigate FDG uptake by BAT. Group 2 consisted of 345 patients (705 scans) who underwent only warming in an uptake room with a fixed temperature at 24 °C. Group 3 consisted of 622 patients (1457 scans) who underwent warming. In group 3, patients 8 years and older, 471 patients (1114 scans), were also pre-medicated with oral propranolol 60 min before injection of FDG. Generalized estimation equation, using the logit link method, was used to model the relationship between the incidence of BAT score > 0, in any site, as a function of age, sex, seasonal effect, and body surface area (BSA).

resultsIn patients aged 8 years or older, the incidence of BAT uptake was 35-44 % and declined to 15 % with propranolol. BAT was most frequent in the neck (26 %), axilla (18 %), posterior thorax (18 %), mediastinum (14 %), and abdomen/pelvis (8 %); BAT was less common in warm months (p = 0.001). No substantial benefit was shown with pre-injection warming alone. No significant effect was found for age, sex, or BSA separately. When BAT uptake was present, it was usually intense.

conclusionPropranolol preparation minimizes FDG uptake by BAT and should be considered routine for pediatric FDG PET/CT cancer-related protocols in children, adolescents, and young adults.

Indexed as

Adipose Tissue, BrownAdministration, OralAdolescentAdrenergic beta-AntagonistsChildChild, PreschoolCold TemperatureFemaleFluorodeoxyglucose F18HumansInfantInfant, NewbornMaleNeoplasmsPositron Emission Tomography Computed TomographyPropranololAdrenergic beta-AntagonistsFluorodeoxyglucose F18PropranololRadiopharmaceuticalsBrown adipose tissueFDGPediatricPET/CTPropranolol

Identifiers

PMID33067751
PMCPMC8268535
OpenAlexW3093327515

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.