Evidence map›Paper›PMID 36185587›Full record

ArticleEuropean urology open science2022

Impact of Prostate-specific Membrane Antigen Positron Emission Tomography/Computed Tomography in the Management of Oligometastatic Renal Cell Carcinoma.

Cristian Udovicich, Jason Callahan, Mathias Bressel, Wee Loon Ong, Marlon Perera, Ben Tran, Arun Azad, Shankar Haran, Daniel Moon, Sarat Chander and 7 more

Open access · goldAbstract read
In one paragraph

Article in European urology open science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Utility of PSMA PET/CT in Staging and Restaging of Renal Cell Carcinoma: A Systematic Review and Metaanalysis.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2024
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Imaging in Renal Cell Carcinoma Detection.Diagnostics (Basel, Switzerland) · 2024
    Review
  9. Review
  10. Review
  11. Characterization ofCancers · 2024
    Article
  12. Review
  13. Review
  14. SABR for oligometastatic renal cell carcinoma.Clinical and translational radiation oncology · 2024
    Article
  15. FAPI PET/CT: a new kid on the block for RCC.European journal of nuclear medicine and molecular imaging · 2024
    Article
  16. The role of [European journal of nuclear medicine and molecular imaging · 2024
    Article
  17. Article
  18. Review
  19. Article
  20. Review
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

17 authors at 5 institutions in 2 countries.

Cristian UdovicichDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia.
Jason CallahanDepartment of Molecular Imaging and Therapeutic Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne, Australia.
Mathias BresselCentre for Biostatistics and Clinical Trials, Peter MacCallum Cancer Centre, Melbourne, Australia.
Wee Loon OngDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia.
Marlon PereraAustin Health, Department of Surgery, The University of Melbourne, Melbourne, Australia.
Ben TranSir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Australia.
Arun AzadSir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Australia.
Shankar HaranDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia.
Daniel MoonRoyal Melbourne Hospital Clinical School, The University of Melbourne, Melbourne, Australia.
Sarat ChanderDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia.
Mark ShawDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia.
Renu EapenDivision of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia.
Jeremy GoadDivision of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia.
Nathan LawrentschukDivision of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia.
Declan G MurphyDivision of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia.
Michael HofmanSir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Australia.
Shankar SivaDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia.
Peter MacCallum Cancer Centre · AUUniversity of Melbourne · AUMonash University · AUAustin Health · AUSt Vincent's Health · AU

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Background: Prostate-specific membrane antigen (PSMA) is overexpressed in the neovasculature of renal cell carcinoma (RCC). However, there remains limited evidence regarding the use of PSMA positron emission tomography/computed tomography (PET/CT) in RCC. Objective: To assess the impact of PSMA PET/CT in the management of metastatic RCC. Design setting and participants: This was a retrospective review of patients who underwent PSMA PET/CT from 2014 to 2020 for restaging or suspected metastatic RCC in a tertiary academic setting. Outcome measurements and statistical analysis: Management plans before and after PSMA PET/CT were recorded. Impact was classified as high (change of treatment intent, modality, or site), medium (change in treatment method), or low. Secondary outcomes included the patient-level detection rate, PSMA PET/CT parameters, sensitivity, and comparison to CT and, if available, fluorodeoxyglucose (FDG) PET/CT. Results and limitations: Sixty-one patients met the inclusion criteria, of whom 54 (89%) had clear cell RCC. PSMA-positive disease was detected in 51 patients (84%). For 30 patients (49%) there was a change in management due to PSMA PET/CT (high impact, 29 patients, 48%). In 15 patients (25%), more metastases were detected on PSMA PET/CT than on CT. The sensitivity of combined PSMA PET/CT and diagnostic CT was 91% (95% confidence interval 77-98%). In a subcohort of 40 patients, the detection rate was 88% for PSMA and 75% for FDG PET/CT ( Conclusions: PSMA PET/CT is a promising imaging modality in metastatic RCC and led to a change in management in 49% of patients. PSMA PET/CT detected additional metastases compared to CT in 25% of patients and registered a significantly higher SUV Patient summary: We report on a group of patients undergoing a new type of imaging for suspected advanced kidney cancer, called PSMA PET/CT. This imaging changed the management plan in 49% of the patients. PSMA PET/CT detected metastases in 84% of our patients and detected more metastases than computed tomography imaging in 25%.

Indexed as

Clear cell histologyImpactKidney cancerManagement changeMetastasis-directed therapyMolecular imagingOligometastaticPositron emission tomography/computed tomographyProstate-specific membrane antigenRenal cell carcinoma

Identifiers

PMID36185587
PMCPMC9520507
OpenAlexW4293431461

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.