Evidence map›Paper›PMID 26307268›Full record

ArticleClinical oral investigations2016

Bone scintigraphy predicts bisphosphonate-induced osteonecrosis of the jaw (BRONJ) in patients with metastatic castration-resistant prostate cancer (mCRPC).

Christian Thomas, Magdalena Spanidis, Christina Engel, Frederik C Roos, Sebastian Frees, Andreas Neisius, Christian Hampel, Peter Rubenwolf, Joachim W Thüroff, Christian Walter and 1 more

Abstract read
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In one paragraph

Article in Clinical oral investigations, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Application of navigation system during surgery for medication-related osteonecrosis of the jaw.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. The Japanese dental science review · 2019
    Review
  12. Highlights from 2017: impactful topics published in the Annals of Nuclear Medicine.European journal of nuclear medicine and molecular imaging · 2019
    Review
  13. Article
  14. Article
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  16. 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

11 authors at 1 institution in 1 country.

Christian ThomasDepartment of Urology, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany. thomasch@uni-mainz.de.
Magdalena SpanidisDepartment of Urology, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Christina EngelDepartment of Oral and Maxillofacial Surgery, University of Mainz, Augustusplatz 2, 55131, Mainz, Germany.
Frederik C RoosDepartment of Urology, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Sebastian FreesDepartment of Urology, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Andreas NeisiusDepartment of Urology, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Christian HampelDepartment of Urology, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Peter RubenwolfDepartment of Urology, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Joachim W ThüroffDepartment of Urology, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Christian WalterDepartment of Oral and Maxillofacial Surgery, University of Mainz, Augustusplatz 2, 55131, Mainz, Germany.
Matthias MiedererDepartment of Nuclear Medicine, University of Mainz, Langenbeckstrasse 1, 55131, Mainz, Germany.
Johannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to evaluate the role of bone scintigraphy (BS) in early prediction of clinically asymptomatic bisphosphonate (BP)-related osteonecrosis of the jaws (BRONJ) in patients with metastatic castration-resistant prostate cancer (mCRPC). MATERIAL AND

methodsBS of mCRPC patients treated with BP was evaluated for pathologic tracer uptake of the jaws in BS suspicious for BRONJ. Results were compared to development of clinically evident BRONJ. Sensitivity, specificity and predictive values of BS for the detection of BRONJ as well as time from beginning of BP therapy to pathologic tracer uptake in BS and time from pathologic tracer uptake in BS to clinically evident BRONJ were determined.

resultsThirty BP-treated patients were included. Nine patients (30%) had pathologic BS lesions of the jaws. Six patients (20%) developed BRONJ. Sensitivity and specificity of BS for BRONJ prediction were 67 and 79%. Median time from the start of BP treatment to pathologic tracer uptake in BS was 28 months (range 10-33) and from pathologic tracer uptake in BS to clinically evident BRONJ 6.5 months (range 2-19). Pathologic tracer uptake in BS was significantly more often observed in patients who developed BRONJ compared to patients who did not (p = 0.049; OR 7.6).

conclusionsPatients with pathologic tracer uptake in the jaws in BS significantly more often develop BRONJ. An unsuspicious BS is predictive for absence of BRONJ in the future. CLINICAL RELEVANCE: We conclude that when BS has been performed, it should not only be used to assess tumour stage and treatment response but also to check for pathologic tracer uptake in the jaws in BS to detect BRONJ at an early stage in mCRPC patients receiving bisphosphonates.

Indexed as

Bisphosphonate-Associated Osteonecrosis of the JawBone Density Conservation AgentsDiphosphonatesHumansJawMaleOsteonecrosisProstatic Neoplasms, Castration-ResistantRadionuclide ImagingBone Density Conservation AgentsDiphosphonatesBisphosphonate-relatedBone metastasesOsteonecrosis of the jawProstate cancer

Identifiers

PMID26307268
OpenAlexW2211021819

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.