Evidence map›Paper›PMID 34012060›Full record

ArticleProstate cancer and prostatic diseases2021

The prognostic power of 18F-FDG PET/CT extends to estimating systemic treatment response duration in metastatic castration-resistant prostate cancer (mCRPC) patients.

Matteo Bauckneht, Francesco Bertagna, Maria Isabella Donegani, Rexhep Durmo, Alberto Miceli, Vincenzo De Biasi, Riccardo Laudicella, Giuseppe Fornarini, Alfredo Berruti, Sergio Baldari and 5 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Prostate cancer and prostatic diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Distinct prognostic value of [Communications medicine · 2026
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  10. A convolutional neural network-based system for fully automatic segmentation of whole-body [European journal of nuclear medicine and molecular imaging · 2024
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  13. Role of volumetric parameters obtained fromAnnals of nuclear medicine · 2023
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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 at 5 institutions in 1 country.

Matteo BaucknehtNuclear Medicine, IRCCS Ospedale Policlinico San Martino, Genova, Italy. matteo.bauckneht@hsanmartino.it.ORCID http://orcid.org/0000-0002-1937-9116
Francesco BertagnaNuclear Medicine, Spedali Civili of Brescia and University of Brescia, Brescia, Italy.
Maria Isabella DoneganiNuclear Medicine, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Rexhep DurmoNuclear Medicine, AUSL-IRCCS of Reggio Emilia, Reggio Emilia, Italy.
Alberto MiceliNuclear Medicine, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Vincenzo De BiasiNuclear Medicine, AUSL-IRCCS of Reggio Emilia, Reggio Emilia, Italy.
Riccardo LaudicellaNuclear Medicine, Department of Biomedical and Dental Sciences and of Morpho-functional Imaging, University of Messina, Messina, Italy.
Giuseppe FornariniMedical Oncology Unit 1, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Alfredo BerrutiDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, Medical Oncology Unit, Università degli Studi di Brescia, ASST Spedali Civili, Brescia, Italy.
Sergio BaldariNuclear Medicine, Department of Biomedical and Dental Sciences and of Morpho-functional Imaging, University of Messina, Messina, Italy.
Annibale VersariNuclear Medicine, AUSL-IRCCS of Reggio Emilia, Reggio Emilia, Italy.
Raffaele GiubbiniNuclear Medicine, Spedali Civili of Brescia and University of Brescia, Brescia, Italy.
Gianmario SambucetiNuclear Medicine, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Silvia MorbelliNuclear Medicine, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Domenico AlbanoNuclear Medicine, Spedali Civili of Brescia and University of Brescia, Brescia, Italy.
Ospedale Policlinico San Martino · ITUniversity of Brescia · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITUniversity of Messina · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to test whether the prognostic value of 18 F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography (FDG-PET/CT) in metastatic castration-resistant prostate cancer (mCRPC) extends to the estimation of systemic treatment response duration.

methodsmCRPC patients submitted to FDG-PET/CT in four Italian centers from 2005 to 2020 were retrospectively enrolled. Clinical and biochemical data at the time of imaging were collected, and SUV max of the hottest lesion, total metabolic tumor volume (MTV), and total lesion glycolysis (TLG) were calculated. The correlation between PET- and biochemical-derived parameters with Overall Survival (OS) was analysed. The prediction of treatment response duration was assessed in the subgroup submitted to FDG-PET/CT in the six months preceding Chemotherapy (namely Docetaxel or Cabazitaxel, 24 patients) or Androgen-Receptor Targeted Agents (ARTA, namely Abiraterone or Enzalutamide, 20 patients) administration.

resultsWe enrolled 114 mCRPC patients followed-up for a median interval lasting 15 months. While at univariate analysis, prostate-specific antigen (PSA), Alkaline Phosphatase (ALP), MTV, and TLG were associated with OS, at the multivariate Cox regression analysis, the sole MTV could independently predict OS (p < 0.0001). In the subgroup submitted to FDG-PET/CT before the systemic treatment initiation, PSA and TLG could also predict treatment response duration independently (p < 0.05). Of note, while PSA could not indicate the best treatment choice, lower TLG was associated with higher success rates for ARTA but had no impact on chemotherapy efficacy.

conclusionsFDG-PET/CT's prognostic value extends to predicting treatment response duration in mCRPC, thus potentially guiding the systemic treatment selection.

Indexed as

Positron Emission Tomography Computed TomographyAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorFluorodeoxyglucose F18HumansItalyMaleMiddle AgedNeoplasm GradingPrognosisProstatic Neoplasms, Castration-ResistantRadiopharmaceuticalsRetrospective StudiesTumor BurdenBiomarkers, TumorFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID34012060
PMCPMC8616756
OpenAlexW3163036420

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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.