Evidence map›Paper›PMID 29234845›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2018

EANM guideline for radionuclide therapy with radium-223 of metastatic castration-resistant prostate cancer.

Thorsten D Poeppel, Daria Handkiewicz-Junak, Michael Andreeff, Alexander Becherer, Andreas Bockisch, Eva Fricke, Lilli Geworski, Alexander Heinzel, Bernd J Krause, Thomas Krause and 5 more

Abstract read
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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing 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

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

  1. Pooled it
  2. Trial
  3. DoesEuropean journal of nuclear medicine and molecular imaging · 2026
    Article
  4. Radium - from discovery to the present day - narrative review.Clinical and experimental medicine · 2026
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4 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

15 authors.

Thorsten D PoeppelDepartment of Nuclear Medicine, University Hospital Essen, Hufelandstr. 55, D-45122, Essen, Germany. thorsten.poeppel@uni-due.de.
Daria Handkiewicz-JunakDepartment of Nuclear Medicine and Endocrine Oncology, Centre of Oncology - MSC Institute, Gliwice, Poland.
Michael AndreeffDepartment of Nuclear Medicine, University Hospital Dresden, Dresden, Germany.
Alexander BechererDepartment of Nuclear Medicine, Academic Teaching Hospital Feldkirch, Feldkirch, Austria.
Andreas BockischDepartment of Nuclear Medicine, University Hospital Essen, Hufelandstr. 55, D-45122, Essen, Germany.
Eva FrickeDepartment of Nuclear Medicine, Hospital Lippe, Lemgo, Germany.
Lilli GeworskiDepartment of Medical Physics and Radiation Protection, Hannover Medical School, Hannover, Germany.
Alexander HeinzelDepartment of Nuclear Medicine, University Hospital Aachen, Aachen, Germany.
Bernd J KrauseDepartment of Nuclear Medicine, Rostock University Medical Centre, Rostock, Germany.
Thomas KrauseDepartment of Nuclear Medicine, Inselspital, University Hospital Bern, Bern, Switzerland.
Markus MitterhauserDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
Wilfried SonnenscheinDepartment of Nuclear Medicine, University Hospital Essen, Hufelandstr. 55, D-45122, Essen, Germany.
Lisa BodeiDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Roberto C Delgado-BoltonDepartment of Diagnostic Imaging (Radiology) and Nuclear Medicine, University Hospital San Pedro and Centre for Biomedical Research of La Rioja (CIBIR), Logroño, La Rioja, Spain.
Michael GabrielInstitute of Nuclear Medicine and Endocrinology, Kepler University Hospital, Krankenhausstrasse 9, 4020, Linz, Austria. michael.gabriel@kepleruniklinikum.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radium Ra-223 dichloride (radium-223, Xofigo®) is a targeted alpha therapy approved for the treatment of castration-resistant prostate cancer (CRPC) with symptomatic bone metastases and no known visceral metastatic disease. Radium-223 is the first targeted alpha therapy in this indication providing a new treatment option, with evidence of a significant survival benefit, both in overall survival and in the time to the first symptomatic skeletal-related event. The skeleton is the most common metastatic site in patients with advanced prostate cancer. Bone metastases are a clinically significant cause of morbidity and mortality, often resulting in bone pain, pathologic fracture, or spinal cord compression necessitating treatment. Radium-223 is selectively accumulated in the bone, specifically in areas of high bone turnover, by forming complexes with the mineral hydroxyapatite (the inorganic matrix of the bone). The alpha radiation generated during the radioactive decay of radium-223 produces a palliative anti-tumour effect on the bone metastases. The purpose of this guideline is to assist nuclear medicine specialists in evaluating patients who might be candidates for treatment using radium-223, planning and performing this treatment, understanding and evaluating its consequences, and improving patient management during therapy and follow-up.

Indexed as

Bone NeoplasmsEuropeHumansMalePractice Guidelines as TopicProstatic Neoplasms, Castration-ResistantRadioisotopesRadiumRadioisotopesRadiumRadium-223Alpha emittersBone metastasesProstate cancerRadionuclide therapyRadium-223Survival benefit

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.