Evidence map›Paper›PMID 24072344›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2014

Comparison of PET imaging with a (68)Ga-labelled PSMA ligand and (18)F-choline-based PET/CT for the diagnosis of recurrent prostate cancer.

Ali Afshar-Oromieh, Christian M Zechmann, Anna Malcher, Matthias Eder, Michael Eisenhut, Heinz G Linhart, Tim Holland-Letz, Boris A Hadaschik, Frederik L Giesel, Jürgen Debus and 1 more

3 registry-linked trialsOpen access · hybridAbstract readComparative Study
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 415 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
415citing papers in PubMed, 7 pooled it
62.6field-weighted citation impact, top 1% 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.

NCT02964351 unknown statusnot on this mapstarted 2016, after this paper: background citation

microRNA Profiles Identification in Adeno Carcinoma Prostate Cancer

TypeobservationalSponsorAssuta Medical CenterRan2016 to 2018Enrolled120ConditionsProstate CarcinosarcomaArmsHigh PSA levels
NCT05622162 phase3unknown statusnot on this mapstarted 2022, after this paper: background citation

Phase III Multicentre Prospective Comparative Study of Detection Rate of 18F-JK-PSMA-7 and of 18F-fluorocholine in Patients With Biochemical Recurrence of Prostate Cancer After Previous Treatment With Curative Intent

TypeinterventionalSponsorITEL Telecomunicazioni SrlRan2022 to 2024Enrolled106ConditionsProstate Cancer, 18F- Fluorocholine, PSMA PET, RadiotherapyArmsRadiopharmaceutical 18F-JK-PSMA-7, Radiopharmaceutical 18F-Fluorocholine
NCT06355843 nasuspendednot on this mapstarted 2022, after this paper: background citation

Clinical Applications of Integrated PET/MR and PET/CT in the Diagnosis and Treatment of Prostate Cancer.

TypeinterventionalSponsorThe First Affiliated Hospital of Anhui Medical UniversityRan2022 to 2027Enrolled50ConditionsProstate Cancer, Pet-ctArms68Ga-PSMA
3 · Its place in the literature

Who cites it

415 citing papers in PubMed, 7 syntheses or guidelines pooled it, 919 citations in OpenAlex.

  1. Pooled it
  2. Is there a role of PSMA-PET in focal therapy planning and follow-up?Prostate cancer and prostatic diseases · 2026
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Metaanalysis ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Pooled it
  8. The German Cancer Consortium (DKTK) multi-center prospective phase 1/2European journal of nuclear medicine and molecular imaging · 2026
    Trial
  9. [Molecular imaging and biology · 2025
    Trial
  10. Trial
  11. A microdose clinical trial to evaluate [European journal of nuclear medicine and molecular imaging · 2021
    Trial
  12. SUVMolecular imaging and biology · 2020
    Trial
  13. Prospective Evaluation of PSMA-TargetedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
    Trial
  14. Prospective, Multisite, International Comparison ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Trial
  15. Review
  16. Cancer theranostics.Nature reviews. Cancer · 2026
    Review
  17. Article
  18. Journal of racial and ethnic health disparities · 2026
    Article
  19. [The Prostate · 2026
    Observational
  20. Article

355 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Ali Afshar-OromiehDepartment of Nuclear Medicine, University Hospital of Heidelberg, INF 400, 69120, Heidelberg, Germany, ali.afshar@med.uni-heidelberg.de.
Christian M Zechmann
Anna Malcher
Matthias Eder
Michael Eisenhut
Heinz G Linhart
Tim Holland-Letz
Boris A Hadaschik
Frederik L Giesel
Jürgen Debus
Uwe Haberkorn
Heidelberg University · DEGerman Cancer Research Center · DEUniversity Hospital Heidelberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePositron emission tomography (PET) with choline tracers has found widespread use for the diagnosis of prostate cancer (PC). However, choline metabolism is not increased in a considerable number of cases, whereas prostate-specific membrane antigen (PSMA) is overexpressed in most PCs. Therefore, a (68)Ga-labelled PSMA ligand could be superior to choline tracers by obtaining a high contrast. The aim of this study was to compare such a novel tracer with standard choline-based PET/CT.

methodsThirty-seven patients with biochemical relapse of PC [mean prostate-specific antigen (PSA) 11.1 ± 24.1 ng/ml, range 0.01-116] were retrospectively analysed after (18)F-fluoromethylcholine and (68)Ga-PSMA PET/CT within a time window of 30 days. Radiotracer uptake that was visually considered as PC was semi-quantitatively analysed by measuring the maximum standardized uptake values (SUVmax) of the scans acquired 1 h after injection of (68)Ga-PSMA complex solution (median 132 MBq, range 59-263 MBq) and (18)F-fluoromethylcholine (median 237 MBq, range 114-374 MBq), respectively. In addition, tumour to background ratios were calculated.

resultsA total of 78 lesions characteristic for PC were detected in 32 patients using (68)Ga-PSMA PET/CT and 56 lesions were detected in 26 patients using choline PET/CT. The higher detection rate in (68)Ga-PSMA PET/CT was statistically significant (p=0.04). In five patients no lesion was found with both methods. All lesions detected by (18)F-fluoromethylcholine PET/CT were also seen by (68)Ga-PSMA PET/CT. In (68)Ga-PSMA PET/CT SUVmax was clearly (>10 %) higher in 62 of 78 lesions (79.1 %) and the tumour to background ratio was clearly (>10 %) higher in 74 of 78 lesions (94.9 %) when compared to (18)F-fluoromethylcholine PET/CT.

conclusion(68)Ga-PSMA PET/CT can detect lesions characteristic for PC with improved contrast when compared to standard (18)F-fluoromethylcholine PET/CT, especially at low PSA levels.

Indexed as

Multimodal ImagingPositron-Emission TomographyTomography, X-Ray ComputedAgedAged, 80 and overAntigens, SurfaceCholineGallium RadioisotopesGlutamate Carboxypeptidase IIHumansLigandsMaleMiddle AgedProstatic NeoplasmsRecurrenceAntigens, SurfaceCholinefluoromethylcholineFOLH1 protein, humanGallium RadioisotopesGlutamate Carboxypeptidase IILigands

Identifiers

PMID24072344
PMCPMC3843747
OpenAlexW2080006760

What OpenQuestion holds

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LicenceCC BY
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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.