Evidence map›Paper›PMID 32519046›Full record

Trial reportClinical & experimental metastasis2020

The clinical efficacy of PSMA PET/MRI in biochemically recurrent prostate cancer compared with standard of care imaging modalities and confirmatory histopathology: results of a single-centre, prospective clinical trial.

A Joshi, M J Roberts, M Perera, E Williams, H Rhee, D Pryor, M Lehman, P Heathcote, S Wood, J Coucher and 3 more

Abstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Clinical & experimental metastasis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Frontiers in oncology · 2023
    Pooled it
  4. Article
  5. The Diagnostic Performance ofIranian journal of public health · 2024
    Review
  6. Review
  7. [Research progress on prostate-specific membrane antigen ligand positron emission tomography imaging of prostate cancer].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2022
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Diagnostics (Basel, Switzerland) · 2021
    Article
  13. Review
  14. Review
  15. Urological technology: where will we be in 20 years' time?Therapeutic advances in urology · 2018
    Review
  16. Article
  17. 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

13 authors at 4 institutions in 1 country.

A JoshiDepartment of Urology, Princess Alexandra Hospital, Brisbane, Australia.
M J RobertsDepartment of Urology, Princess Alexandra Hospital, Brisbane, Australia.
M PereraDepartment of Urology, Princess Alexandra Hospital, Brisbane, Australia.
E WilliamsAustralian Prostate Cancer Research Centre - Queensland, Institute of Health and Biomedical Innovation, Queensland University of Technology, Princess Alexandra Hospital, Translational Research Institute, Brisbane, QLD, Australia.
H RheeDepartment of Urology, Princess Alexandra Hospital, Brisbane, Australia.
D PryorDepartment of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Australia.
M LehmanDepartment of Radiation Oncology, Princess Alexandra Hospital, Brisbane, Australia.
P HeathcoteDepartment of Urology, Princess Alexandra Hospital, Brisbane, Australia.
S WoodDepartment of Urology, Princess Alexandra Hospital, Brisbane, Australia.
J CoucherDepartment of Radiology, Princess Alexandra Hospital, Brisbane, Australia.
S GustafsonDepartment of Radiology, Princess Alexandra Hospital, Brisbane, Australia.
K MilesDepartment of Nuclear Medicine, Princess Alexandra Hospital, Brisbane, Australia.
I VelaDepartment of Urology, Princess Alexandra Hospital, Brisbane, Australia. ian.vela@qut.edu.au.
Princess Alexandra Hospital · AUThe University of Queensland · AUQueensland University of Technology · AUTranslational Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Prospective evidence for the clinical role and efficacy of prostate specific membrane antigen (PSMA) positron emission tomography (PET)/magnetic resonance imaging (MRI) combining MRI characterization and localization of lesions with PET avidity in comparison to conventional imaging is limited. In a prospective clinical trial, we aimed to evaluate the diagnostic yield and therapeutic impact of PSMA PET/MRI in men with biochemical recurrence (BCR) following curative therapy. A single-centre, prospective clinical trial at the Princess Alexandra Hospital recruited 30 patients with BCR. Patients underwent PSMA PET/MRI and concurrent conventional CT chest, abdomen, pelvis and whole-body bone scan. Biopsy was performed when safety possible for histological correlation of identified lesions. Clinical efficacy and impact of PSMA PET findings were evaluated. 30 patients with BCR were recruited (median PSA 0.69 ng/ml). PSMA avid lesions were present in 21 patients (70%). 23 patients were previously treated with definitive surgery, 6 patients received external beam radiotherapy and 1 patient had low dose rate brachytherapy. A total of 8 of 9 lesions biopsied were positive (88.9% histological correlation). PSMA PET/MRI detected local recurrence (p = 0.005) and pelvic lesions (p = 0.06) more accurately than conventional imaging. PSMA PET/MRI may be useful in staging men with biochemical recurrence, especially when PSA is low. Our data demonstrates a high detection rate, especially for locally recurrent disease, and highlights the role of this modality when PSA is low. This modality has the potential to significantly improve prostate cancer detection and may have implications for earlier salvage treatment, avoidance of futile local therapy and change patient management to lead to improved outcomes.

Indexed as

AgedHumansMagnetic Resonance ImagingMaleNeoplasm Recurrence, LocalPositron Emission Tomography Computed TomographyProspective StudiesProstateProstate-Specific AntigenProstatic NeoplasmsTomography, X-Ray ComputedProstate-Specific AntigenBiochemical recurrenceNuclear medicineProstate cancerPSMA

Identifiers

PMID32519046
OpenAlexW3033812862

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.