Evidence map›Paper›PMID 36650356›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2023

Automated quantification of PET/CT skeletal tumor burden in prostate cancer using artificial intelligence: The PET index.

Sarah Lindgren Belal, Måns Larsson, Jorun Holm, Karen Middelbo Buch-Olsen, Jens Sörensen, Anders Bjartell, Lars Edenbrandt, Elin Trägårdh

Open access · hybridFull text read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Correlation of Positron Emission Tomography and Low-Field Standing Magnetic Resonance Imaging in Horses With Forelimb Lameness Localized to the Foot.Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2026
    Article
  3. coPERCIST: AI-assisted PET-CT response assessment.European journal of nuclear medicine and molecular imaging · 2026
    Article
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  5. Review
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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

8 authors at 4 institutions in 2 countries.

Sarah Lindgren BelalDivision of Nuclear Medicine, Department of Translational Medicine, Lund University, Malmö, Sweden. sarah.lindgren_belal@med.lu.se.ORCID http://orcid.org/0000-0003-2792-9402
Måns LarssonEigenvision AB, Malmö, Sweden.
Jorun HolmDepartment of Nuclear Medicine, Odense University Hospital, Odense, Denmark.
Karen Middelbo Buch-OlsenDepartment of Nuclear Medicine, Odense University Hospital, Odense, Denmark.
Jens SörensenDivision of Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Anders BjartellDivision of Urological Cancer, Department of Translational Medicine, Lund University, Malmö, Sweden.
Lars EdenbrandtDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Elin TrägårdhDivision of Nuclear Medicine, Department of Translational Medicine, Lund University, Malmö, Sweden.
Lund University · SEOdense University Hospital · DKUniversity of Gothenburg · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeConsistent assessment of bone metastases is crucial for patient management and clinical trials in prostate cancer (PCa). We aimed to develop a fully automated convolutional neural network (CNN)-based model for calculating PET/CT skeletal tumor burden in patients with PCa.

methodsA total of 168 patients from three centers were divided into training, validation, and test groups. Manual annotations of skeletal lesions in [

resultsThere was no case in which all readers agreed on prevalence of lesions that the AI model failed to detect. PET index by the AI model correlated moderately strong to physician PET index (mean r = 0.69). Threshold PET index correlated fairly with physician PET index (mean r = 0.49). The sensitivity for lesion detection was 65-76% for AI, 68-91% for physicians, and 44-51% for threshold depending on which physician was considered reference.

conclusionIt was possible to develop an AI-based model for automated assessment of PET/CT skeletal tumor burden. The model's performance was superior to using a threshold and provides fully automated calculation of whole-body skeletal tumor burden. It could be further developed to apply to different radiotracers. Objective scan evaluation is a first step toward developing a PET/CT imaging biomarker for PCa skeletal metastases.

Indexed as

Positron Emission Tomography Computed TomographyProstatic NeoplasmsArtificial IntelligenceHumansMalePositron-Emission TomographyTumor BurdenArtificial intelligenceDeep learningPET-CTProstate cancerTumor burden

Identifiers

PMID36650356
PMCPMC10027829
OpenAlexW4317358754

What OpenQuestion holds

Textfull text, public
LicenceCC BY
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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.