Evidence map›Paper›PMID 26563121›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2016

Extent of disease in recurrent prostate cancer determined by [(68)Ga]PSMA-HBED-CC PET/CT in relation to PSA levels, PSA doubling time and Gleason score.

Frederik A Verburg, David Pfister, Axel Heidenreich, Andreas Vogg, Natascha I Drude, Stefan Vöö, Felix M Mottaghy, Florian F Behrendt

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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 3 pooled it
22.7field-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.

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

75 citing papers in PubMed, 3 syntheses or guidelines pooled it, 180 citations in OpenAlex.

  1. Pooled it
  2. Metaanalysis ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Pooled it
  3. Pooled it
  4. Prospective evaluation of the performance of [European journal of nuclear medicine and molecular imaging · 2019
    Trial
  5. European journal of nuclear medicine and molecular imaging · 2019
    Trial
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  13. PredictingAcademic radiology · 2024
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  14. Updates on Management of Biochemical Recurrent Prostate Cancer.Current treatment options in oncology · 2024
    Review
  15. Review
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  18. Scientific reports · 2022
    Article
  19. [Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2022
    Article
  20. Predictors of Bone Metastases atDiagnostics (Basel, Switzerland) · 2022
    Article

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

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

8 authors at 3 institutions in 2 countries.

Frederik A VerburgDepartment of Nuclear Medicine, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany. fverburg@ukaachen.de.
David PfisterDepartment of Urology, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Axel HeidenreichDepartment of Urology, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Andreas VoggDepartment of Nuclear Medicine, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Natascha I DrudeDepartment of Nuclear Medicine, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Stefan VööDepartment of Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
Felix M MottaghyDepartment of Nuclear Medicine, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Florian F BehrendtDepartment of Nuclear Medicine, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
RWTH Aachen University · DEMaastricht University · NLUniversitätsklinikum Aachen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine the relationship between the extent of disease determined by [(68)Ga]PSMA-HBED-CC-PET/CT and the important clinical measures prostate-specific antigen (PSA), PSA doubling time (PSAdt) and Gleason score.

methodsWe retrospectively studied the first 155 patients with recurrent prostate cancer (PCA) referred to our university hospital for [(68)Ga]PSMA-HBED-CC PET/CT.

resultsPET/CT was positive in 44%, 79% and 89% of patients with PSA levels of ≤1, 1-2 and ≥2 ng/ml, respectively. Patients with high PSA levels showed higher rates of local prostate tumours (p < 0.001), and extrapelvic lymph node (p = 0.037) and bone metastases (p = 0.013). A shorter PSAdt was significantly associated with pelvic lymph node (p = 0.026), extrapelvic lymph node (p = 0.001), bone (p < 0.001) and visceral (p = 0.041) metastases. A high Gleason score was associated with more frequent pelvic lymph node metastases (p = 0.039). In multivariate analysis, both PSA and PSAdt were independent determinants of scan positivity and of extrapelvic lymph node metastases. PSAdt was the only independent marker of bone metastases (p = 0.001). Of 20 patients with a PSAdt <6 months and a PSA ≥2 ng/ml, 19 (95%) had a positive scan and 12 (60%) had M1a disease. Of 14 patients with PSA <1 ng/ml and PSAdt >6 months, only 5 (36%) had a positive scan and 1 (7%) had M1a disease.

conclusion[(68)Ga]PSMA-HBED-CC PET/CT will identify PCA lesions even in patients with very low PSA levels. Higher PSA levels and shorter PSAdt are independently associated with scan positivity and extrapelvic metastases, and can be used for patient selection for [(68)Ga]PSMA-HBED-CC PET/CT.

Indexed as

AdultAgedAntigens, SurfaceEdetic AcidGallium RadioisotopesGlutamate Carboxypeptidase IIHumansMaleMiddle AgedMultimodal ImagingMultivariate AnalysisNeoplasm MetastasisNeoplasm Recurrence, LocalNeoplasm StagingPositron-Emission TomographyProstate-Specific AntigenAntigens, SurfaceEdetic AcidFOLH1 protein, humanGallium RadioisotopesGlutamate Carboxypeptidase IIN,N'-bis(2-hydroxy-5-(ethylene-beta-carboxy)benzyl)ethylenediamine N,N'-diacetic acidProstate-Specific Antigen[68Ga]PSMA-HBED-CC PET/CTGleason scoreProstate cancerPSAPSA doubling time

Identifiers

PMID26563121
OpenAlexW2234163738

What OpenQuestion holds

Textmetadata
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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.