Evidence map›Paper›PMID 35521806›Full record

ArticleEndocrine connections2022

Clinical experience following implementation of routine SPECT-CT imaging following 131-iodine administration for thyroid cancer.

Sara Ahmadi, Alexandra Coleman, Nathalie Silva de Morais, Iñigo Landa, Theodora Pappa, Alex Kang, Matthew I Kim, Ellen Marqusee, Erik K Alexander

Abstract read
In one paragraph

Article in Endocrine connections, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  2. Diagnostic Performance of [Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
    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.

Sara AhmadiThyroid Section Brigham & Women's Hospital & Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-0566-6771
Alexandra ColemanThyroid Section Brigham & Women's Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Nathalie Silva de MoraisThyroid Section Brigham & Women's Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Iñigo LandaThyroid Section Brigham & Women's Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Theodora PappaThyroid Section Brigham & Women's Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Alex KangThyroid Section Brigham & Women's Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Matthew I KimThyroid Section Brigham & Women's Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Ellen MarquseeThyroid Section Brigham & Women's Hospital & Harvard Medical School, Boston, Massachusetts, USA.
Erik K AlexanderThyroid Section Brigham & Women's Hospital & Harvard Medical School, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Planar scintigraphy has long been indicated in patients receiving I-131 therapy for thyroid cancer to determine the anatomic location of metastases. We studied our experience upon implementing additional single-photon emission (SPECT)-CT scanning in these patients. Method: We performed a retrospective study of consecutive adult patients with newly diagnosed thyroid cancer treated with I-131 between 2011 and 2017. Radiologic findings detected with planar scintigraphy alone vs those identified with SPECT-CT scanning were primary endpoints. Result: In this study, 212 consecutive patients with thyroid cancer were analyzed in two separate cohorts (107 planar scintigraphy alone and 105 planar scintigraphy with SPECT-CT). The addition of SPECT-CT resulted in more findings, both thyroid-related and incidental. However, we identified only 3 of 21 cases in which SPECT-CT provided an unequivocal additional benefit by changing clinical management beyond planar scintigraphy alone. No difference in the detection of distant metastatic disease or outcome was identified between cohorts. Conclusion: Synergistic SPECT-CT imaging in addition to planar nuclear scintigraphy adds limited clinical value to thyroid cancer patients harboring a low risk of distant metastases, while frequently identifying clinically insignificant findings. These data from a typical cohort of patients receiving standard thyroid cancer care provide insight into the routine use of SPECT-CT in such patients.

Indexed as

131-iodine treatmentplanar scintigraphySPECT-CT imagingthyroid cancer

Identifiers

PMID35521806
PMCPMC9175585

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Registered trials

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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.