Evidence map›Paper›PMID 37174058›Full record

ArticleCancers2023

Tumor Sink Effect with Prostate-Specific Membrane Antigen-Targeted Theranostics in Patients with Metastatic Castration-Resistant Prostate Cancer: Intra-Individual Evaluations.

Caroline Burgard, Florian Rosar, Robert J Marlowe, Mark Bartholomä, Sebastian Dewes, Andrea Schaefer-Schuler, Johannes Linxweiler, Fadi Khreish, Samer Ezziddin

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Evaluating Xerostomia as a side effect of [European journal of nuclear medicine and molecular imaging · 2025
    Pooled it
  2. First-in-human evaluation of [European journal of nuclear medicine and molecular imaging · 2026
    Article
  3. Article
  4. Article
  5. FDG/PSMA discordance in [Frontiers in oncology · 2026
    Review
  6. Article
  7. The tumour sink effect onCancer imaging : the official publication of the International Cancer Imaging Society · 2025
    Observational
  8. Hematological toxicity of [EJNMMI radiopharmacy and chemistry · 2025
    Article
  9. Review
  10. Review
  11. A Comparison ofDiagnostics (Basel, Switzerland) · 2024
    Article
  12. Article
  13. Impact of [Cancers · 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

9 authors at 1 institution in 1 country.

Caroline BurgardDepartment of Nuclear Medicine, Saarland University-Medical Center, 66421 Homburg, Germany.ORCID 0000-0003-1522-8860
Florian RosarDepartment of Nuclear Medicine, Saarland University-Medical Center, 66421 Homburg, Germany.ORCID 0000-0002-2985-4099
Robert J MarloweSpencer-Fontayne Corporation, Jersey City, NJ 07304, USA.ORCID 0000-0002-0943-2294
Mark BartholomäDepartment of Nuclear Medicine, Saarland University-Medical Center, 66421 Homburg, Germany.ORCID 0000-0002-0361-2833
Sebastian DewesDepartment of Nuclear Medicine, Saarland University-Medical Center, 66421 Homburg, Germany.
Andrea Schaefer-SchulerDepartment of Nuclear Medicine, Saarland University-Medical Center, 66421 Homburg, Germany.
Johannes LinxweilerDepartment of Urology, Saarland University-Medical Center, 66421 Homburg, Germany.ORCID 0000-0003-2852-2436
Fadi KhreishDepartment of Nuclear Medicine, Saarland University-Medical Center, 66421 Homburg, Germany.ORCID 0000-0002-1036-7477
Samer EzziddinDepartment of Nuclear Medicine, Saarland University-Medical Center, 66421 Homburg, Germany.ORCID 0000-0003-4110-3375
Saarland University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

"Tumor sink effects", decreased physiological uptake of radiopharmaceuticals due to sequestration by a tumor, may impact radioligand therapy (RLT) toxicity and dosing. We investigated these effects with prostate-specific membrane antigen (PSMA)-targeted radiopharmaceuticals in the healthy organs-at-risk (the parotid glands, kidneys, liver, and spleen) of 33 patients with metastatic castration-resistant prostate cancer (mCRPC). We retrospectively performed three intra-individual comparisons. First, we correlated changes from baseline to post-RLT (after two 177-lutetium (177Lu)-PSMA-617 cycles) in total lesional PSMA (∆TLP) and organ mean standardized uptake values (∆SUVmean). Second, in 25 RLT responders, we compared the organ SUVmean post-RLT versus that at baseline. Lastly, we correlated the baseline TLP and organ SUVmean. Data were acquired via 68-gallium-PSMA-11 positron emission tomography before the first and after the second 177Lu-PSMA-617 cycle. In the parotid glands and spleen, ∆TLP and ∆SUVmean showed a significant inverse correlation (r = -0.40,

Indexed as

metastatic castration-resistant prostate cancer (mCRPC)positron emission tomography/computed tomography (PET/CT)prostate-specific membrane antigen (PSMA)radioligand therapy (RLT)tumor sink effect

Identifiers

PMID37174058
PMCPMC10177482
OpenAlexW4376630060

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.