Evidence map›Paper›PMID 27771904›Full record

ArticleEJNMMI research2016

Pilot study: use of gallium-68 PSMA PET for detection of metastatic lesions in patients with renal tumour.

Handoo Rhee, John Blazak, Chui Ming Tham, Keng Lim Ng, Benjamin Shepherd, Malcolm Lawson, John Preston, Ian Vela, Paul Thomas, Simon Wood

Registry-linked trialAbstract read
In one paragraph

Article in EJNMMI research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06428708 (Comparison of [18F] PSMA-1007 PET/CT and Conventional Imaging in the Detection of Metastatic Clear Cell Renal Cell Carcinoma), which is not on this map. Cited by 71 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 3 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.

NCT06428708 early_phase1unknown statusnot on this mapstarted 2022, after this paper: background citation

Comparison of [18F] PSMA-1007 PET/CT and Conventional Imaging in the Detection of Metastatic Clear Cell Renal Cell Carcinoma

TypeinterventionalSponsorWestern UniversityRan2022 to 2025Enrolled30ConditionsMetastatic Clear Cell Renal Cell CarcinomaArms[18F] PSMA-1007 PET/CT
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Utility of PSMA PET/CT in Staging and Restaging of Renal Cell Carcinoma: A Systematic Review and Metaanalysis.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
    Pooled it
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  6. [European journal of nuclear medicine and molecular imaging · 2026
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  17. Current trends in the characterization and monitoring of vascular response to cancer therapy.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Review
  18. Review
  19. Characterization ofCancers · 2024
    Article
  20. SABR for oligometastatic renal cell carcinoma.Clinical and translational radiation oncology · 2024
    Article

11 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

10 authors.

Handoo RheeDepartment of Urology, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia. handoorhee@gmail.com.ORCID http://orcid.org/0000-0002-1722-7127
John BlazakDepartment of Nuclear Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Chui Ming ThamDepartment of Urology, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia.
Keng Lim NgDepartment of Urology, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia.
Benjamin ShepherdPathology Queensland, Princess Alexandra Hospital, Brisbane, Australia.
Malcolm LawsonDepartment of Urology, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia.
John PrestonDepartment of Urology, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia.
Ian VelaDepartment of Urology, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia.
Paul ThomasDepartment of Nuclear Medicine, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Simon WoodDepartment of Urology, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study, we prospectively evaluate the diagnostic potential of a gallium-68 (68Ga) prostate-specific membrane antigen (PSMA)-binding ligand and positron emission tomography (PET) in detecting metastatic lesions in patients with renal tumour. The secondary aim was to determine whether the findings would result in the alteration of patient management.

resultsTen patients with renal lesion and potential metastatic disease on conventional imaging were recruited. Patients underwent PSMA PET in addition to standard imaging. Nine patients underwent nephrectomy and 4 patients underwent additional targeted biopsy to provide specimens for histopathological validation. There were 89 pathological lesions on CT, of which 32 were removed or biopsied for histopathological correlation. With PSMA PET, 86 PET avid lesions were identified with 36 samples being available for analysis. Thirty-five of 36 samples were positive for renal cell carcinoma deposits, whilst 1 sample was inconclusive for diagnosis on biopsy. For the histologically confirmed lesions, there were no false-negative PSMA PET lesions; however, CT was false negative in 11. In two patients, surgical strategies were changed based on PSMA PET findings.

conclusionsPSMA PET may potentially have a role in the preoperative staging of advanced renal cell carcinoma as PET detected multiple histologically proven metastatic lesions which were false negative on CT scanning, resulting in change in surgical strategies in some patients. We cautiously support a larger study to confirm these results and to assess the longitudinal impact on patient outcomes.

trial registrationAustralia and New Zealand Clinical Trial Registry (ANZCTR), ACTRN12615000854538 .

Indexed as

MetastasisNephrectomyPETPSMARenal cell carcinoma

Identifiers

PMID27771904
PMCPMC5075321

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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.