Evidence map›Paper›PMID 30928607›Full record

Trial reportUrology2019

Location of Recurrence by Gallium-68 PSMA-11 PET Scan in Prostate Cancer Patients Eligible for Salvage Radiotherapy.

Lauren Boreta, Adam J Gadzinski, Susan Y Wu, Melody Xu, Kirsten Greene, Kathryn Quanstrom, Hao G Nguyen, Peter R Carroll, Thomas A Hope, Felix Y Feng

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 53 citations in OpenAlex.

  1. Patterns of disease detection using [European journal of nuclear medicine and molecular imaging · 2021
    Trial
  2. Article
  3. Review
  4. Review
  5. Patterns of failure withCanadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Article
  6. Prognostic significance of a negative PSMA PET/CT in biochemical recurrence of prostate cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Observational
  7. Review
  8. Review
  9. Review
  10. Review
  11. Changes in Management AfterJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  12. Best Approaches and Updates for Prostate Cancer Biochemical Recurrence.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2022
    Review
  13. Review
  14. Review
  15. Review
  16. Pattern of Prostate Cancer Recurrence Assessed byJournal of clinical medicine · 2021
    Article
  17. [European journal of nuclear medicine and molecular imaging · 2021
    Article
  18. Article
  19. Diagnostics (Basel, Switzerland) · 2021
    Article
  20. Clinical value of negativeEuropean journal of nuclear medicine and molecular imaging · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Lauren BoretaDepartment of Radiation Oncology, University of California, San Francisco, CA.
Adam J GadzinskiDepartment of Urology, University of California, San Francisco, CA.
Susan Y WuDepartment of Radiation Oncology, University of California, San Francisco, CA.
Melody XuDepartment of Radiation Oncology, University of California, San Francisco, CA.
Kirsten GreeneDepartment of Urology, University of California, San Francisco, CA.
Kathryn QuanstromDepartment of Urology, University of California, San Francisco, CA.
Hao G NguyenDepartment of Urology, University of California, San Francisco, CA.
Peter R CarrollDepartment of Urology, University of California, San Francisco, CA; University of California San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, CA.
Thomas A HopeUniversity of California San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, CA; Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA; Department of Radiology, San Francisco VA Medical Center, San Francisco, CA.
Felix Y FengDepartment of Radiation Oncology, University of California, San Francisco, CA; University of California San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, CA. Electronic address: Felix.feng@ucsf.edu.
University of California, San Francisco · USSan Francisco VA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify locations of recurrence after radical prostatectomy (RP) with prostate-specific antigen (PSA) <2 by Gallium-68 prostate-specific membrane antigen (PSMA)-11 Positron Emission Tomography (PET) imaging, and to determine whether standard nodal radiation fields would cover the location of prostate cancer recurrence. MATERIALS AND

methodsWe performed a retrospective review of patients with PSMA-PET imaging for biochemical recurrence following RP with PSA ≤2.0 ng/mL and assessed if the recurrent disease was within standard radiation target volumes. We compared patient and clinical variables between men with recurrences covered by standard salvage radiation fields and those with recurrences outside of standard fields.

resultsWe identified 125 patients for study inclusion. The median PSA at imaging was 0.40 ng/mL (interquartile range 0.28-0.63). PSMA-avid disease was found in 66 patients (53%). Of these, 25 patients (38%) had PSMA-avid lesions found outside of the pelvis, 33 (50%) had lesions confined to the pelvic lymph nodes and prostate bed, and 8 (12%) men had PSMA-avid recurrence only in the prostate bed. Salvage radiation including standard Intensity Modulated Radiation Therapy (IMRT) pelvic nodal volumes would not cover PSMA-avid nodal disease in 38 men (30%). PSA at the time of imaging was statistically associated with having PSMA-avid disease outside of standard nodal fields (P <.01).

conclusionThe 68Ga-PSMA-11 PET detects disease in a majority of patients with PSA ≤2.0 following RP. Nearly one-third of men had PSMA-avid disease that would be missed by standard radiation fields. This imaging modality may dramatically impact the design and use of post-RP salvage radiotherapy.

Indexed as

AgedEdetic AcidFollow-Up StudiesGallium IsotopesGallium RadioisotopesHumansMagnetic Resonance ImagingMaleMiddle AgedNeoplasm Recurrence, LocalOligopeptidesPositron-Emission TomographyProstatectomyProstatic NeoplasmsRadiotherapy, AdjuvantReproducibility of ResultsEdetic Acidgallium 68 PSMA-11Gallium IsotopesGallium RadioisotopesOligopeptides

Identifiers

PMID30928607
OpenAlexW2923367097

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.