Evidence map›Paper›PMID 25791990›Full record

ArticleJournal of nuclear medicine : official publication, Society of Nuclear Medicine2015

Evaluation of Hybrid ⁶⁸Ga-PSMA Ligand PET/CT in 248 Patients with Biochemical Recurrence After Radical Prostatectomy.

Matthias Eiber, Tobias Maurer, Michael Souvatzoglou, Ambros J Beer, Alexander Ruffani, Bernhard Haller, Frank-Philipp Graner, Hubert Kübler, Uwe Haberkorn, Michael Eisenhut and 3 more

Erratum issued 4 registry-linked trialsAbstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 4 registered trials, which are not on this map. Cited by 469 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
469citing papers in PubMed, 4 pooled it
122.7field-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.

NCT03388346 phase2 / phase3completednot on this mapstarted 2018, after this paper: background citation

68Ga PSMA-HBED-CC in Intermediate to High-Risk Preprostatectomy Patients

TypeinterventionalSponsorMichael Graham PhD, MDRan2018 to 2021Enrolled22ConditionsProstate Cancer, Prostatic Neoplasm, Prostatic Neoplasms, Castration-Resistant, Prostatic Neoplasm of Uncertain BehaviorArmsGa-68 PSMA-HBED-CC PET
NCT03389451 phase2 / phase3completednot on this mapstarted 2018, after this paper: background citation

68Ga PSMA-HBED-CC PET in Patients With Biochemical Recurrence

TypeinterventionalSponsorMichael Graham PhD, MDRan2018 to 2019Enrolled30ConditionsProstate Cancer, Prostatic Neoplasm, Prostatic Neoplasms, Castration-Resistant, Prostatic Cancer RecurrentArmsGa-68 PSMA-HBED-CC PET
NCT03822845 phase2 / phase3completednot on this mapstarted 2019, after this paper: background citation

Clinical Accuracy Assessment of 68Ga PSMA-HBED-CC PET in Patients With Biochemical Recurrence

TypeinterventionalSponsorMichael Graham PhD, MDRan2019 to 2021Enrolled6ConditionsProstatic Neoplasms, Prostatic Neoplasms, Castration-ResistantArmsGa-68 PSMA-HBED-CC PET
NCT05936658 phase3active not recruitingnot on this mapstarted 2023, after this paper: background citation

A Multi-center, Open-label, Single Arm Phase III Clinical Trial for the Diagnostic Efficacy Assessment and Safety Evaluation by [18F]Florastamin PET/CT Imaging Examination in Patients With Suspected Recurrent or Metastatic Prostate Cancer

TypeinterventionalSponsorFutureChemRan2023 to 2025Enrolled138ConditionsHigh Risk Prostate CarcinomaArms[F-18]Florastamin
3 · Its place in the literature

Who cites it

469 citing papers in PubMed, 4 syntheses or guidelines pooled it, 993 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Incremental Impact of [Molecular imaging and biology · 2022
    Trial
  7. Diagnostic Performance ofClinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
  8. A microdose clinical trial to evaluate [European journal of nuclear medicine and molecular imaging · 2021
    Trial
  9. Impact ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
    Trial
  10. Trial
  11. Prospective Evaluation of PSMA-TargetedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
    Trial
  12. Theranostics · 2020
    Trial
  13. Trial
  14. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Trial
  15. A Prospective Study onJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Trial
  16. Cancer theranostics.Nature reviews. Cancer · 2026
    Review
  17. Review
  18. [International journal of urology : official journal of the Japanese Urological Association · 2026
    Article
  19. Review
  20. Value of a repeatEuropean journal of nuclear medicine and molecular imaging · 2026
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Matthias EiberDepartment of Nuclear Medicine, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany Department of Radiology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany matthias.eiber@tum.de.
Tobias MaurerDepartment of Urology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Michael SouvatzoglouDepartment of Nuclear Medicine, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Ambros J BeerDepartment of Nuclear Medicine, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany Department of Nuclear Medicine, University Hospital Ulm, Ulm, Germany.
Alexander RuffaniDepartment of Nuclear Medicine, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Bernhard HallerKlinikum Rechts der Isar, Institute of Medical Statistics and Epidemiology, Technische Universität München, Munich, Germany.
Frank-Philipp GranerDepartment of Nuclear Medicine, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Hubert KüblerDepartment of Urology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Uwe HaberkornDepartment of Nuclear Medicine, University Hospital of Heidelberg, Heidelberg, Germany; and.
Michael EisenhutDepartment of Nuclear Medicine, University Hospital of Heidelberg, Heidelberg, Germany; and.
Hans-Jürgen WesterTechnische Universität München, Pharmaceutical Radiochemistry, Garching, Germany.
Jürgen E GschwendDepartment of Urology, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Markus SchwaigerDepartment of Nuclear Medicine, Klinikum Rechts der Isar, Technische Universität München, Munich, Germany.
Technical University of Munich · DEKlinikum rechts der Isar · DEHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledThe expression of prostate-specific membrane antigen (PSMA) is increased in prostate cancer. Recently, (68)Ga-PSMA (Glu-NH-CO-NH-Lys-(Ahx)-[(68)Ga(HBED-CC)]) was developed as a PSMA ligand. The aim of this study was to investigate the detection rate of (68)Ga-PSMA PET/CT in patients with biochemical recurrence after radical prostatectomy.

methodsTwo hundred forty-eight of 393 patients were evaluable for a retrospective analysis. Median prostate-specific antigen (PSA) level was 1.99 ng/mL (range, 0.2-59.4 ng/mL). All patients underwent contrast-enhanced PET/CT after injection of 155 ± 27 MBq of (68)Ga-PSMA ligand. The detection rates were correlated with PSA level and PSA kinetics. The influence of antihormonal treatment, primary Gleason score, and contribution of PET and morphologic imaging to the final diagnosis were assessed.

resultsTwo hundred twenty-two (89.5%) patients showed pathologic findings in (68)Ga-PSMA ligand PET/CT. The detection rates were 96.8%, 93.0%, 72.7%, and 57.9% for PSA levels of ≥2, 1 to <2, 0.5 to <1, and 0.2 to <0.5 ng/mL, respectively. Whereas detection rates increased with a higher PSA velocity (81.8%, 82.4%, 92.1%, and 100% in <1, 1 to <2, 2 to <5, and ≥5 ng/mL/y, respectively), no significant association could be found for PSA doubling time (82.7%, 96.2%, and 90.7% in >6, 4-6, and <4 mo, respectively). (68)Ga-PSMA ligand PET (as compared with CT) exclusively provided pathologic findings in 81 (32.7%) patients. In 61 (24.6%) patients, it exclusively identified additional involved regions. In higher Gleason score (≤7 vs. ≥8), detection efficacy was significantly increased (P = 0.0190). No significant difference in detection efficacy was present regarding antiandrogen therapy (P = 0.0783).

conclusionHybrid (68)Ga-PSMA ligand PET/CT shows substantially higher detection rates than reported for other imaging modalities. Most importantly, it reveals a high number of positive findings in the clinically important range of low PSA values (<0.5 ng/mL), which in many cases can substantially influence the further clinical management.

Indexed as

Multimodal ImagingOligopeptidesPositron-Emission TomographyProstatectomyTomography, X-Ray ComputedAgedAged, 80 and overEdetic AcidGallium IsotopesGallium RadioisotopesHumansKineticsLigandsMaleMiddle AgedProstate-Specific AntigenEdetic Acidgallium 68 PSMA-11Gallium IsotopesGallium RadioisotopesLigandsOligopeptidesProstate-Specific Antigenbiochemical recurrencehybrid imagingPET/CTprostate cancerPSMA ligand

Identifiers

PMID25791990
OpenAlexW2137670219

What OpenQuestion holds

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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.