Evidence map›Paper›PMID 24676753›Full record

Trial reportJournal of nuclear medicine : official publication, Society of Nuclear Medicine2014

Prognosis Related to Metastatic Burden Measured by ¹⁸F-Fluorocholine PET/CT in Castration-Resistant Prostate Cancer.

Sandi A Kwee, John Lim, Alex Watanabe, Kathleen Kromer-Baker, Marc N Coel

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Review
  3. Event-free survival afterEuropean journal of nuclear medicine and molecular imaging · 2022
    Article
  4. Article
  5. Article
  6. Review
  7. European journal of nuclear medicine and molecular imaging · 2019
    Article
  8. Prognostic Value ofContrast media & molecular imaging · 2019
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Therapy assessment in prostate cancer using choline and PSMA PET/CT.European journal of nuclear medicine and molecular imaging · 2017
    Review
  14. Article
  15. Article
  16. Review
  17. (11)C-Choline PET/CT in castration-resistant prostate cancer patients treated with docetaxel.European journal of nuclear medicine and molecular imaging · 2016
    Article
  18. Article
  19. Review
  20. Positron emission tomography in prostate cancer: An update on state of the art.Indian journal of urology : IJU : journal of the Urological Society of India
    Review
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

5 authors at 1 institution in 1 country.

Sandi A KweeThe Queen's Medical Center, Honolulu, Hawaii skwee@queens.org.
John LimThe Queen's Medical Center, Honolulu, Hawaii Hamamatsu/Queen's PET Imaging Center, Honolulu, Hawaii; and.
Alex WatanabeThe Queen's Medical Center, Honolulu, Hawaii.
Kathleen Kromer-BakerThe Queen's Medical Center, Honolulu, Hawaii.
Marc N CoelThe Queen's Medical Center, Honolulu, Hawaii Hamamatsu/Queen's PET Imaging Center, Honolulu, Hawaii; and.
Queen's Medical Center · US

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 R21CA139687-02
6 · The paper itself

Abstract

unlabelledThis study investigated the prognostic significance of metabolically active tumor volume (MATV) measurements applied to (18)F-fluorocholine PET/CT in castration-resistant prostate cancer (CRPC).

methods(18)F-fluorocholine PET/CT imaging was performed on 30 patients with CRPC. Metastatic disease was quantified on the basis of maximum standardized uptake value (SUV(max)), MATV, and total lesion activity (TLA = MATV × mean standardized uptake value). Tumor burden indices derived from whole-body summation of PET tumor volume measurements (i.e., net MATV and net TLA) were evaluated as variables in Cox regression and Kaplan-Meier survival analyses.

resultsNet MATV ranged from 0.12 cm(3) to 1,543.9 cm(3) (median, 52.6 cm(3)). Net TLA ranged from 0.40 to 6,688.7 g (median, 225.1 g). Prostate-specific antigen level at the time of PET correlated significantly with net MATV (Pearson r = 0.65, P = 0.0001) and net TLA (r = 0.60, P = 0.0005) but not highest lesional SUV(max) of each scan. Survivors were followed for a median 23 mo (range, 6-38 mo). On Cox regression analyses, overall survival had a significant association with net MATV (P = 0.0068), net TLA (P = 0.0072), and highest lesion SUV(max) (P = 0.0173) and a borderline association with prostate-specific antigen level (P = 0.0458). Only net MATV and net TLA remained significant in univariate-adjusted survival analyses. Kaplan-Meier analysis demonstrated significant differences in survival between groups stratified by median net MATV (log-rank P = 0.0371), net TLA (log-rank P = 0.0371), and highest lesion SUV(max) (log-rank P = 0.0223).

conclusionMetastatic prostate cancer detected by (18)F-fluorocholine PET/CT can be quantified on the basis of volumetric measurements of tumor metabolic activity. The prognostic value of (18)F-fluorocholine PET/CT may stem from this capacity to assess whole-body tumor burden. With further clinical validation, (18)F-fluorocholine PET-based indices of global disease activity and mortality risk could prove useful in patient-individualized treatment of CRPC.

Indexed as

Multimodal ImagingPositron-Emission TomographyTomography, X-Ray ComputedAgedAged, 80 and overCholineHumansMaleMiddle AgedMultivariate AnalysisNeoplasm MetastasisPrognosisProstatic Neoplasms, Castration-ResistantSurvival AnalysisTumor BurdenWhole Body ImagingCholinefluorocholinecastrate resistant prostate cancerfluorocholinepositron emission tomographysurvival

Identifiers

PMID24676753
PMCPMC4424048
OpenAlexW2160903910

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.