Evidence map›Paper›PMID 31139496›Full record

ArticleAmerican journal of nuclear medicine and molecular imaging2019

Radiolabelled choline versus PSMA PET/CT in prostate cancer restaging: a meta-analysis.

Giorgio Treglia, Ricardo Pereira Mestre, Matteo Ferrari, Davide G Bosetti, Mariarosa Pascale, Eleni Oikonomou, Sara De Dosso, Fernando Jermini, John O Prior, Enrico Roggero and 1 more

Open access · greenAbstract read
In one paragraph

Article in American journal of nuclear medicine and molecular imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
6.1field-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

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Recommendations from the Galician Oncological Society and the Galician Society of Nuclear Medicine for the use ofClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Guideline
  3. Contrast media & molecular imaging · 2021
    Pooled it
  4. [European journal of nuclear medicine and molecular imaging · 2023
    Trial
  5. Phase III Study ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Trial
  6. Review
  7. Journal of racial and ethnic health disparities · 2026
    Article
  8. [The Prostate · 2026
    Observational
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. 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
  20. The Diagnostic Performance ofIranian journal of public health · 2024
    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

11 authors at 4 institutions in 1 country.

Giorgio TregliaClinic of Nuclear Medicine and Molecular Imaging, Imaging Institute of Southern Switzerland Bellinzona and Lugano, Switzerland.
Ricardo Pereira MestreClinic of Medical Oncology, Oncology Institute of Southern Switzerland Bellinzona, Switzerland.
Matteo FerrariClinic of Urology, Regional Hospital of Bellinzona, Ente Ospedaliero Cantonale Bellinzona, Switzerland.
Davide G BosettiClinic of Radiation Oncology, Oncology Institute of Southern Switzerland Bellinzona, Switzerland.
Mariarosa PascaleClinical Trial Unit, Ente Ospedaliero Cantonale Bellinzona, Switzerland.
Eleni OikonomouClinic of Medical Oncology, Oncology Institute of Southern Switzerland Bellinzona, Switzerland.
Sara De DossoClinic of Medical Oncology, Oncology Institute of Southern Switzerland Bellinzona, Switzerland.
Fernando JerminiClinic of Urology, Regional Hospital of Lugano, Ente Ospedaliero Cantonale Lugano, Switzerland.
John O PriorDepartment of Nuclear Medicine and Molecular Imaging, Lausanne University Hospital and University of Lausanne Lausanne, Switzerland.
Enrico RoggeroClinic of Medical Oncology, Oncology Institute of Southern Switzerland Bellinzona, Switzerland.
Luca GiovanellaClinic of Nuclear Medicine and Molecular Imaging, Imaging Institute of Southern Switzerland Bellinzona and Lugano, Switzerland.
Institute of Oncology Research · CHEnte Ospedaliero Cantonale · CHOspedale regionale di Lugano · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Both radiolabelled choline and prostate specific membrane antigen (PSMA) positron emission tomography/computed tomography (PET/CT) could be used in patients with biochemical recurrent prostate cancer (BRPCa). We aimed to perform a meta-analysis about the head-to-head comparison of detection rate (DR) between these methods in BRPCa. A comprehensive literature search of studies listed in PubMed/MEDLINE, EMBASE and Cochrane library databases through October 2018 and regarding the head-to-head comparison of DR between radiolabelled choline and PSMA PET/CT in BRPCa was carried out. Overall pooled DR was calculated on a per patient-based analysis; subgroup analyses taking into account different prostate-specific antigen (PSA) cut-off values were performed. Five studies (257 BRPCa patients) were included. The meta-analysis provided the following overall DR: 56% [95% confidence interval (95% CI): 37-75%] for radiolabelled choline PET/CT and 78% (95% CI: 70-84%) for radiolabelled PSMA PET/CT. Significant difference of DR was found only in patients with PSA ≤ 1 ng/ml [the DR of radiolabelled choline and PSMA PET/CT were 27% (95% CI: 17-39%) and 54% (95% CI: 43-65%), respectively]. Radiolabelled PSMA PET/CT proved to be clearly superior in detecting BRPCa lesions at low PSA levels (≤ 1 ng/ml) when compared to radiolabelled choline PET/CT. On the other hand, the superiority of radiolabelled PSMA PET/CT was less evident in patients with PSA > 1 ng/ml. More studies and in particular cost-effectiveness analyses comparing these imaging methods are warranted.

Indexed as

cholinePETpositron emission tomographyprostatePSAPSMA

Identifiers

PMID31139496
PMCPMC6526363
OpenAlexW2955493805

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.