Evidence map›Paper›PMID 31350604›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2019

Comparison of PSMA-ligand PET/CT and multiparametric MRI for the detection of recurrent prostate cancer in the pelvis.

Ali Afshar-Oromieh, Bernd Vollnberg, Ian Alberts, Alexandrine Bähler, Christos Sachpekidis, Lotte Dijkstra, Fabian Haupt, Silvan Boxler, Tobias Gross, Tim Holland-Letz and 5 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
  2. Detecting and Locating the Site of Local Relapse UsingMolecular imaging and biology · 2023
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  3. Hybrid imaging with [Cancer imaging : the official publication of the International Cancer Imaging Society · 2022
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  4. Comparison of PSMA-basedAmerican journal of nuclear medicine and molecular imaging · 2022
    Article
  5. PSMA-basedAmerican journal of nuclear medicine and molecular imaging · 2022
    Article
  6. Article
  7. CanEuropean journal of nuclear medicine and molecular imaging · 2021
    Article
  8. Article
  9. Review
  10. Article
  11. Digital versus analogue PET in [European journal of nuclear medicine and molecular imaging · 2020
    Article
  12. Review
  13. Article
  14. Diagnostic accuracy ofScience progress
    Article
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.

Ali Afshar-OromiehDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. ali.afshar@insel.ch.ORCID http://orcid.org/0000-0002-4492-4243
Bernd VollnbergDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Ian AlbertsDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Alexandrine BählerDepartment of Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Christos SachpekidisDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Lotte DijkstraDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Fabian HauptDepartment of Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Silvan BoxlerDepartment of Urology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Tobias GrossDepartment of Urology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Tim Holland-LetzDepartment of Biostatistics, German Cancer Research Center, Heidelberg, Germany.
George ThalmannDepartment of Urology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Johannes HeverhagenDepartment of Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Axel RomingerDepartment of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Kirsi HärmäDepartment of Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Martin H MaurerDepartment of Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSo far, there have been very few studies which provide a direct comparison between MRI and PSMA-ligand PET/CT for the detection of recurrent prostate cancer (rPC). This present study therefore aims to provide further clinical data in order to resolve this urgent clinical question, and thereby strengthen clinical recommendations.

methodsA retrospective analysis was performed for patients who were scanned at our institution with whole-body PSMA-PET/CT (tracer: 68Ga-PSMA-11) between January 2017 and September 2018 in order to detect rPC. Amongst them, 43 underwent an additional pelvic MRI within 2 months. Both modalities were compared as follows: a consensus read of the PET data was performed by two nuclear physicians. All lesions were recorded with respect to their type and localization. The same process was conducted by two radiologists for pelvic MRI. Thereafter, both modalities were directly compared for every patient and lesion.

resultsOverall, 30/43 patients (69.8%) presented with a pathologic MRI and 38/43 (88.4%) with a pathologic PSMA-PET/CT of the pelvis. MRI detected 53 pelvic rPC lesions (13 of them classified as "uncertain") and PSMA-PET/CT detected 75 pelvic lesions (three classified as "uncertain"). The superiority of PSMA-PET/CT was statistically significant only if uncertain lesions were classified as false-positive.

conclusionsPSMA-PET/CT detected more pelvic lesions characteristic for rPC when compared to MRI. In order to detect rPC, a potential future scenario could be conducting first a PSMA-PET/CT. Combining the advantages of both modalities in hybrid PET/MRI scanners would be an ideal future scenario.

Indexed as

Multiparametric Magnetic Resonance ImagingPositron Emission Tomography Computed TomographyAgedAged, 80 and overAntigens, SurfaceGlutamate Carboxypeptidase IIHumansLigandsMaleMiddle AgedMultimodal ImagingNeoplasm Recurrence, LocalProstatic NeoplasmsReference ValuesReproducibility of ResultsRetrospective StudiesAntigens, SurfaceFOLH1 protein, humanGlutamate Carboxypeptidase IILigands68Ga-PSMA-11MRIPET/CTProstate cancerProstate-Specific Membrane AntigenPSMA

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Registered trials

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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.