Evidence map›Paper›PMID 25889163›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2015

FDG-PET/CT for pre-operative staging and prognostic stratification of patients with high-grade prostate cancer at biopsy.

Jean-Mathieu Beauregard, Annie-Claude Blouin, Vincent Fradet, André Caron, Yves Fradet, Claude Lemay, Louis Lacombe, Thierry Dujardin, Rabi Tiguert, Goran Rimac and 2 more

Abstract read
In one paragraph

Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. FDG PET/CT - not PSMA trendy, but available, comfortable, and complementary.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
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  13. Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    Article
  14. Review
  15. The Role of [Cancers · 2021
    Article
  16. The Evolving Role ofFrontiers in oncology · 2021
    Article
  17. Review
  18. GLUT1 expression in high-risk prostate cancer: correlation withProstate cancer and prostatic diseases · 2020
    Article
  19. Prostate international · 2019
    Article
  20. 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

12 authors.

Jean-Mathieu BeauregardDivision of Nuclear Medicine, Department of Radiology and Cancer Research Center, Université Laval, Quebec City, Canada. jean-mathieu.beauregard@chuq.qc.ca.
Annie-Claude BlouinDivision of Urology, Department of Surgery and Cancer Research Center, Université Laval, Quebec City, Canada. annie-claude.blouin.1@ulaval.ca.
Vincent FradetDivision of Urology, Department of Surgery and Cancer Research Center, Université Laval, Quebec City, Canada. vfradet@me.com.
André CaronDivision of Urology, Department of Surgery and Cancer Research Center, Université Laval, Quebec City, Canada. Andre.Caron@crchudequebec.ulaval.ca.
Yves FradetDivision of Urology, Department of Surgery and Cancer Research Center, Université Laval, Quebec City, Canada. Y.Fradet@diagnocure.com.
Claude LemayCentre hospitalier du Christ-Roi, Quebec City, Canada. annie-claude.blouin.1@ulaval.ca.
Louis LacombeDivision of Urology, Department of Surgery and Cancer Research Center, Université Laval, Quebec City, Canada. Louis.Lacombe@crchudequebec.ulaval.ca.
Thierry DujardinDivision of Urology, Department of Surgery and Cancer Research Center, Université Laval, Quebec City, Canada. th.dujardin@videotron.ca.
Rabi TiguertDivision of Urology, Department of Surgery and Cancer Research Center, Université Laval, Quebec City, Canada. rbtiguert@yahoo.com.
Goran RimacDivision of Urology, Department of Surgery and Cancer Research Center, Université Laval, Quebec City, Canada. goran.rimac.1@ulaval.ca.
Frédérick BouchardDivision of Urology, Department of Surgery and Cancer Research Center, Université Laval, Quebec City, Canada. frederick.bouchard.1@ulaval.ca.
Frédéric PouliotDivision of Urology, Department of Surgery and Cancer Research Center, Université Laval, Quebec City, Canada. frederic.pouliot@crchuq.ulaval.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of (18)F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) in prostate cancer (PCa) has not been well defined yet. Because high-grade PCa tends to exhibit increased glycolytic rate, FDG-PET/CT could be useful in this setting. The aim of this study was to assess the value of FDG-PET/CT for pre-operative staging and prognostic stratification of patients with high-grade PCa at biopsy.

methodsFifty-four patients with a Gleason sum≥8 PCa at biopsy underwent FDG-PET/CT as part of the staging workup. Thirty-nine patients underwent radical prostatectomy (RP) and pelvic lymph node (LN) dissection, 2 underwent LN dissection only, and 13 underwent non-surgical treatments. FDG-PET/CT findings from clinical reports, blinded reading and quantitative analysis were correlated with clinico-pathological characteristics at RP.

resultsSuspicious foci of increased FDG uptake were found in the prostate, LNs and bones in 44, 13 and 6% of patients, respectively. Higher clinical stage, post-RP Gleason sum and pattern, and percentage of cancer involvement within the prostate were significantly associated with the presence of intraprostatic FDG uptake (IPFU) (P<0.05 in all cases). Patients without IPFU who underwent RP were downgraded to Gleason≤7 in 84.6% of cases, as compared to 30.8% when IPFU was reported (P=0.003). Qualitative and quantitative IPFU were significantly positively correlated with post-RP Gleason pattern and sum, and pathological T stage. Absence and presence of IPFU were associated with a median 5-year cancer-free survival probability of 70.2 and 26.9% (P=0.0097), respectively, using the CAPRA-S prognostic tool.

conclusionThese results suggest that, among patients with a high-grade PCa at biopsy, FDG-PET/CT could improve pre-treatment prognostic stratification by predicting primary PCa pathological grade and survival probability following RP.

Indexed as

Fluorodeoxyglucose F18Tomography, X-Ray ComputedAdenocarcinomaAgedBone and BonesHumansLymph NodesMaleMiddle AgedNeoplasm StagingPositron-Emission TomographyPrognosisProstatic NeoplasmsRadiopharmaceuticalsFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID25889163
PMCPMC4352558

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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.