Evidence map›Paper›PMID 35170858›Full record

ArticleJournal of medical imaging and radiation oncology2022

Combination of MRI prostate and 18F-DCFPyl PSMA PET/CT detects all clinically significant prostate cancers in treatment-naive patients: An international multicentre retrospective study.

Nishanthinie Parathithasan, Elisa Perry, Kim Taubman, Justin Hegarty, Arpit Talwar, Lih-Ming Wong, Tom Sutherland

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of medical imaging and radiation oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026
    Article
  3. Article
  4. Review
  5. Diagnostic performance ofOncology letters · 2024
    Article
  6. The diagnostic performance ofFrontiers in oncology · 2023
    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

7 authors at 3 institutions in 2 countries.

Nishanthinie ParathithasanSt Vincent's Hospital Medical Imaging Department, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-4222-1488
Elisa PerryFaculty of Medicine, University of Melbourne, Melbourne, Victoria, Australia.
Kim TaubmanSt Vincent's Hospital Medical Imaging Department, Melbourne, Victoria, Australia.
Justin HegartyPacific Radiology, Canterbury, New Zealand.
Arpit TalwarSt Vincent's Hospital Medical Imaging Department, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-7187-3074
Lih-Ming WongSt Vincent's Hospital Medical Imaging Department, Melbourne, Victoria, Australia.
Tom SutherlandSt Vincent's Hospital Medical Imaging Department, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-9668-1995
The University of Melbourne · AUSt Vincent's Hospital Melbourne · AUPacific Radiology (New Zealand) · NZ

Funding

Council of Australian University LibrariansThe University of Melbourne
6 · The paper itself

Abstract

introductionClinical and biochemical assessment and biopsies can miss clinically significant prostate cancers (csPCa) in up to 20% of patients and diagnose clinically insignificant tumours leading to overtreatment. This retrospective study analyses the accuracy of

methodsThis is a retrospective dual-institution study of patients who underwent contemporaneous MRI and PSMA-PET between January 2017 and March 2020 with histologic confirmation. The images were re-reviewed and concordance between modalities assessed. Results were compared with histopathology to determine the ability of MRI and PSMA-PET to detect csPCA.

resultsMRI and PSMA-PET detected the same index lesion in 90.8% of cases with a kappa of 0.82. PET detected an additional 6.2% of index lesions which were MRI occult. MRI detected an additional 3.1% which were PET occult. No additional csPCa was identified on pathology which was not seen on imaging. The sensitivity of PSMA-PET in detecting csPCa is 96.7% and that of MRI is 93.4% with no statistically significant difference between the two (P = 0.232). Both modalities detected all four cases of non-csPCa with these being considered false positives.

conclusionBoth mpMRI and 18F-DCFPyL-PSMA-PET/CT have high sensitivity for detecting csPCa with high agreement between modalities. There were no synchronous csPCa lesions detected on pathology that were not detected on imaging too.

Indexed as

Positron Emission Tomography Computed TomographyProstatic NeoplasmsHumansLysineMagnetic Resonance ImagingMaleProstateRetrospective StudiesUrea2-(3-(1-carboxy-5-((6-fluoropyridine-3-carbonyl)amino)pentyl)ureido)pentanedioic acidLysineUreanuclear medicineoncologic imaginguroradiology

Identifiers

PMID35170858
PMCPMC9790525
OpenAlexW4213208913

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.