Evidence map›Paper›PMID 22549847›Full record

Trial reportAnnals of nuclear medicine2012

Detection of recurrent prostate cancer with 18F-fluorocholine PET/CT in relation to PSA level at the time of imaging.

Sandi A Kwee, Marc N Coel, John Lim

Abstract readClinical Trial
In one paragraph

Trial report in Annals of nuclear medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. The Diagnostic Role ofFrontiers in oncology · 2021
    Pooled it
  3. Detection of recurrence sites usingProstate international · 2023
    Article
  4. Diagnostic performance ofClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
    Observational
  5. Optimal time-point forEuropean journal of nuclear medicine and molecular imaging · 2018
    Article
  6. Article
  7. The Use of Published Clinical Study Reports to Support U.S. Food and Drug Administration Approval of Imaging Agents.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2016
    Article
  8. A Review of Imaging Methods for Prostate Cancer Detection.Biomedical engineering and computational biology · 2016
    Review
  9. Article
  10. Imaging of prostate cancer with PET/CT using (18)F-Fluorocholine.American journal of nuclear medicine and molecular imaging · 2015
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. 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

3 authors.

Sandi A KweeHamamatsu/Queen's PET Imaging Center, The Queen's Medical Center, Honolulu, HI 96813, USA. skwee@queens.org
Marc N Coel
John Lim

Funding

Treatment Effects on Tumor 18F-Choline Metabolism in Advanced Prostate CancerR21CA139687 · NCI · QUEEN'S MEDICAL CENTER · PI KWEE, SANDI ALEXANDER · 2009 to 2010
$766k
NCI NIH HHS R21 CA139687NCI NIH HHS R21CA139687
6 · The paper itself

Abstract

purposeTo evaluate fluorine-18 fluorocholine (FCH) PET/CT for the detection of recurrent prostate cancer in relation to prostate-specific antigen (PSA) level.

methodsFCH PET/CT was performed in 50 patients with rising PSA levels at follow-up of primary treatment of prostate cancer (radical prostatectomy in 28, radiation therapy in 13, and brachytherapy in 9). PET detection rates were determined at various PSA thresholds and examined by receiver operating characteristic analysis.

resultsFindings consistent with recurrent prostate cancer were noted on FCH PET/CT in 31/50 (62%) patients, with positive findings in 17/18 (94%), and 11/13 (85%), 2/7 (29%), and 1/12 (8%) patients with PSA >4, >2-4, >0.5-2, and ≤0.5 ng/mL, respectively. These findings were indicative of local/regional recurrence in 23 cases and systemic recurrence in 8 cases, with only a single route of recurrence (i.e., either hematogenous, lymphatic, or intraprostatic) in 84% of PET scans with positive findings. Abnormal tumor activity was detected in 88% of patients with a PSA level of 1.1 ng/mL or higher, and in only 6% of patients with a PSA level below this threshold value.

conclusionFCH PET/CT may serve to identify the route of tumor progression in patients with recurrent prostate cancer; however, the likelihood of tumor detection may be related to the PSA level at the time of imaging.

Indexed as

Positron-Emission TomographyTomography, X-Ray ComputedAgedAged, 80 and overCholineDisease ProgressionHumansMaleMiddle AgedMultimodal ImagingProstate-Specific AntigenProstatic NeoplasmsRecurrenceTime FactorsCholinefluorocholineProstate-Specific Antigen

Identifiers

PMID22549847
PMCPMC3400027

What OpenQuestion holds

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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.