Evidence map›Paper›PMID 34786720›Full record

ArticleJournal of surgical oncology2022

How much time is enough? Sentinel lymph node mapping time depends on the radiotracer agent.

Austin Eckhoff, Norma E Farrow, Caitlin Silvestri, Emily Stroobant, Charles Intenzo, Margaret Leddy, Douglas S Tyler, Adam Berger, Georgia M Beasley

Open access · greenAbstract read
In one paragraph

Article in Journal of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. European journal of nuclear medicine and molecular imaging · 2023
    Pooled it
  2. Indian journal of surgical oncology · 2024
    Article
  3. Comparison of [European journal of nuclear medicine and molecular imaging · 2023
    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

9 authors at 5 institutions in 1 country.

Austin EckhoffDepartment of Surgery, Duke University, Durham, North Carolina, USA.ORCID http://orcid.org/0000-0002-6058-4971
Norma E FarrowDepartment of Surgery, Duke University, Durham, North Carolina, USA.ORCID http://orcid.org/0000-0002-0404-214X
Caitlin SilvestriDepartment of Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Emily StroobantDepartment of Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Charles IntenzoDepartment of Nuclear Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Margaret LeddyDepartment of Surgery, Duke University, Durham, North Carolina, USA.
Douglas S TylerDepartment of Surgery, University of Texas Medical Branch, Galveston, Texas, USA.
Adam BergerRutgers Cancer Institute, New Brunswick, New Jersey, USA.
Georgia M BeasleyDepartment of Surgery, Duke University, Durham, North Carolina, USA.ORCID http://orcid.org/0000-0001-6387-9030
Duke University · USThomas Jefferson University · USRutgers, The State University of New Jersey · USThe University of Texas Medical Branch at Galveston · USThomas Jefferson University Hospital · US

Funding

Translational Research in Surgical OncologyT32CA093245 · NCI · DUKE UNIVERSITY · PI ALLEN, PETER J, HARPOLE, DAVID H. · 2002 to 2020
$5.2M
NCI NIH HHS T32 CA093245NCI NIH HHS T32-CA093245
6 · The paper itself

Abstract

backgroundIn 2014, technetium-99m tilmanocept (TcTM) replaced technetium-99m sulfur colloid (TcSC) as the standard lymphoscintigraphy (LS) mapping agent in melanoma patients undergoing sentinel lymph node biopsy (SLNB). The aim of this study was to examine differences in mapping time, intra-operative identification of sentinel lymph node (SLN), and false negative rate (FNR) between patients who underwent SLNB with TcTM compared to TcSC.

methodsPatients who underwent SLNB between 2010 and 2018 were retrospectively identified. Patient demographic, tumor, and imaging data was stratified by receipt of TcSC (n = 258) or TcTM (n = 133). Student's t test and χ

resultsBoth cohorts were similar in demographic, primary tumor characteristics, and total number of SLN identified (TcTM 3.56 vs. TcSC 3.28, p = 0.244). TcTM was associated with significantly shorter LS mapping times (51.8 vs. 195.1 min, p < 0.01). There was no significant difference in the number of patients with positive SLN (TcTM 11.3 vs. TcSC 17.4%, p = 0.109) and the FNR was similar between both groups (TcTM 25% vs. TcSC 22%).

conclusionTcTM was associated with significantly shorter LS mapping time while identifying similar numbers of SLN. Our results support further study to ensure similar FNR and oncologic outcomes between agents.

Indexed as

AdolescentAdultAgedAged, 80 and overCase-Control StudiesFemaleFollow-Up StudiesHumansLymphoscintigraphyMaleMelanomaMiddle AgedNeoplasm Recurrence, LocalPrognosisRadiopharmaceuticalsRetrospective StudiesRadiopharmaceuticalsTechnetium Tc 99m PentetateTechnetium Tc 99m Sulfur Colloidlymphoscintigraphymelanomasentinel lymph nodes

Identifiers

PMID34786720
PMCPMC9906034
OpenAlexW3214185490

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.