Evidence map›Paper›PMID 34648046›Full record

ArticleNeuroradiology2022

Ga-68 PSMA PET/CT in recurrent high-grade gliomas: evaluating PSMA expression in vivo.

Arunav Kumar, Sreedharan Thankarajan ArunRaj, Khush Bhullar, K P Haresh, Subhash Gupta, Sanjana Ballal, Madhav Yadav, Manmohan Singh, Nishikant Avinash Damle, Ajay Garg and 2 more

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Article in Neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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  5. [Frontiers in oncology · 2024
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  6. Nuclear Medicine and Cancer Theragnostics: Basic Concepts.Diagnostics (Basel, Switzerland) · 2023
    Review
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  12. [Frontiers in oncology · 2022
    Article
  13. Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
    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

12 authors at 1 institution in 1 country.

Arunav KumarDepartment of Nuclear Medicine and PET/CT, All India Institute of Medical Sciences, New Delhi, India.
Sreedharan Thankarajan ArunRajDepartment of Nuclear Medicine and PET/CT, All India Institute of Medical Sciences, New Delhi, India.
Khush BhullarDepartment of Neuroimaging & Interventional Neuroradiology, All India Institute of Medical Sciences, New Delhi, India.
K P HareshDepartment of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India.
Subhash GuptaDepartment of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India.
Sanjana BallalDepartment of Nuclear Medicine and PET/CT, All India Institute of Medical Sciences, New Delhi, India.
Madhav YadavDepartment of Nuclear Medicine and PET/CT, All India Institute of Medical Sciences, New Delhi, India.
Manmohan Singh
Nishikant Avinash DamleDepartment of Nuclear Medicine and PET/CT, All India Institute of Medical Sciences, New Delhi, India.
Ajay GargDepartment of Neuroimaging & Interventional Neuroradiology, All India Institute of Medical Sciences, New Delhi, India.
Madhavi TripathiDepartment of Nuclear Medicine and PET/CT, All India Institute of Medical Sciences, New Delhi, India. madhavi.dave.97@gmail.com.ORCID http://orcid.org/0000-0003-1033-1690
Chandrasekhar BalDepartment of Nuclear Medicine and PET/CT, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe planned this prospective study to evaluate PSMA expression in recurrent high-grade gliomas (rHGG), including anaplastic astrocytoma and glioblastoma using Glu-NH-CO-NH-Lys-(Ahx)-[Ga-68 (HBED-CC)]- (Ga-68 PSMA) positron emission tomography (PET), with its theranostic potential in mind.

methodsThis was a prospective study enrolling patients with clinical and MRI evidence of rHGG on follow-up. Three treated cases of HGG with RN on MRI were also included as negative controls. Abnormal tracer accumulation in the brain parenchyma, more than the contralateral hemisphere was interpreted as positive study. For semiquantitative analysis, a 3D spherical region of interest (ROI) was drawn around the site of the abnormal Ga-68 PSMA uptake, and the ratio of SUVmax of tumor (T) to SUVmax of the contralateral corresponding area (TBR) was calculated. Each patients' PSMA brain PET was fused to the corresponding MRI and reviewed for concordance.

resultsThirty patients were included in the study, a total of 49 lesions were detected on MRI, and fused PET/MR images showed increased Ga-68 PSMA uptake in all these lesions. Multifocal lesions were better appreciated on fused PET-MR images, and concordance between MRI and PET was 100 % for patient and lesion-wise detection. Recurrent glioma lesions showed SUVmax and SUVmean values (median and IQR) 6.0 (4.4-8.2) and 3.3 (2.8-3.7), respectively. Lesions labeled as radiation necrosis on MRI did not show tracer accumulation.

conclusionGa-68 PSMA has potential utility for evaluating recurrence in HGG and its potential for theranostics would encourage its use in the evaluation of these patients.

Indexed as

GlioblastomaGliomaGallium RadioisotopesHumansNeoplasm Recurrence, LocalOligopeptidesPositron-Emission TomographyPositron Emission Tomography Computed TomographyProspective StudiesGallium-68Gallium RadioisotopesOligopeptidesGa-68 PSMAPETPET/MRI fusionRecurrent high-grade glioma

Identifiers

PMID34648046
OpenAlexW3205697301

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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.