Evidence map›Paper›PMID 30003375›Full record

SynthesisWorld journal of urology2019

The utility of PET-based imaging for prostate cancer biochemical recurrence: a systematic review and meta-analysis.

Niranjan J Sathianathen, Mohit Butaney, Badrinath R Konety

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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.

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

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

  1. Pooled it
  2. The Diagnostic Role ofFrontiers in oncology · 2021
    Pooled it
  3. Pooled it
  4. Radiographic Progression With and Without Prostate-Specific Antigen Rise in Patients With Advanced Prostate Cancer Treated With Enzalutamide.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Trial
  5. Exploratory cost-effectiveness analysis ofClinical & experimental metastasis · 2020
    Trial
  6. Review
  7. Article
  8. Controversies in the use of next-generation imaging for evaluation and treatment decision-making in patients with prostate cancer after biochemical recurrence: views from a Spanish expert panel.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  9. Review
  10. Article
  11. Review
  12. Assessing the effectiveness of MRI,Polish journal of radiology · 2024
    Article
  13. Diagnostic value of [Therapeutic advances in medical oncology · 2024
    Article
  14. PSMA PET-CT in the Diagnosis and Staging of Prostate Cancer.Diagnostics (Basel, Switzerland) · 2022
    Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Diagnostic performance ofCanadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    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

3 authors.

Niranjan J SathianathenDepartment of Urology, University of Minnesota, MMC 394, Minneapolis, MN, 55455, USA. nsathian@umn.edu.
Mohit ButaneyDepartment of Urology, University of Minnesota, MMC 394, Minneapolis, MN, 55455, USA.
Badrinath R KonetyDepartment of Urology, University of Minnesota, MMC 394, Minneapolis, MN, 55455, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionConventional imaging modalities have been poor in characterizing the true extent of disease in men with biochemical recurrence following primary treatment for prostate cancer. Functional imaging with positron emission tomography (PET) has shown promise of being a superior imaging modality. We conducted a systematic review and meta-analysis to define the diagnostic accuracy of PET/CT using 11C-choline, 18F-FACBC, or 68Ga-PSMA in detecting recurrent prostate cancer.

methodsWe searched multiple databases in line with the preferred reporting items for systematic review and meta-analysis (PRISMA) statement to define the diagnostic accuracy of 11C-choline, 18F-FACBC, or 68Ga-PSMA PET/CT. Only studies secondarily staging participants with biochemical recurrence and those with an appropriate reference standard (pathology, further imaging, and/or clinical response) were eligible for analysis.

resultsTwenty-one studies with 3202 participants met the inclusion criteria. Of these, 11C-choline, 18F-FACBC, and 68Ga-PSMA were the tracer investigated in 16, 5, and 1 studies, respectively. The summary sensitivity for each tracer was 80.9% (95% CI 70.4-88.3%), 79.7% (95% CI 51.9-93.4%), and 76.4% (95% CI 68.3-82.9%), respectively. The corresponding summary specificity was 84.1% (95% CI 70.2-92.2%), 61.9% (95% CI 41.1-79.0%), and 99.8% (95% CI 97.5-100%), respectively. Detection rates ranged between 58.6 and 82.8%. All included studies were judged to be at high risk of bias primarily due to study limitations pertaining to the reference standard.

conclusionThere is a lack of high-quality data to verify the accuracy of PET-based imaging using 11C-choline, 18F-FACBC, or 68Ga-PSMA. The early results are encouraging that these techniques are superior to conventional imaging modalities, which would allow salvage therapies to be optimized.

Indexed as

Carbon RadioisotopesCarboxylic AcidsCholineCyclobutanesGallium IsotopesGallium RadioisotopesHumansMaleMembrane GlycoproteinsNeoplasm Recurrence, LocalOrganometallic CompoundsPositron Emission Tomography Computed TomographyProstate-Specific AntigenProstatic NeoplasmsRadiopharmaceuticalsCarbon RadioisotopesCarboxylic AcidsCholineCyclobutanesfluciclovine F-18gallium 68 PSMA-11Gallium IsotopesGallium RadioisotopesMembrane GlycoproteinsOrganometallic CompoundsProstate-Specific AntigenRadiopharmaceuticalsCancer stagingPositron emission tomographyProstate cancerSystematic review

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.