Evidence map›Paper›PMID 38263835›Full record

ArticleThe British journal of radiology2024

Role of non-contrast CT component of prostate-specific membrane antigen PET/CT scan in the detection of peripheral zone prostate cancer.

Piyush Aggarwal, R G Krishna Kumar, Chandan J Das, Vijay Kubihal, T Kishan Subudhi, M A Khan, Rakesh Kumar

Abstract read
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Article in The British journal of radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Piyush AggarwalDepartment of Radio-Diagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi 110029, India.ORCID 0000-0001-6067-6326
R G Krishna KumarDepartment of Radio-Diagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi 110029, India.ORCID 0000-0003-2603-9846
Chandan J DasDepartment of Radio-Diagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi 110029, India.ORCID 0000-0001-6505-5940
Vijay KubihalDepartment of Radio-Diagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi 110029, India.
T Kishan SubudhiDepartment of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi 110029, India.
M A KhanDepartment of Bio-statistics, All India Institute of Medical Sciences, New Delhi 110029, India.
Rakesh KumarDepartment of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi 110029, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to look for feasibility of non-contrast CT (NCCT) in detecting peripheral zone prostate cancer (PCa).

methodsA retrospective analysis included 50 biopsy-proven PCa patients between April 2019 and March 2022 who underwent staging whole body prostate-specific membrane antigen (PSMA)/CT prior to treatment. The control subjects were 50 randomly selected adult male patients who underwent PET/CT for non-prostate malignancy during the same time period. Two readers independently calculated the Hounsfield unit (HU) of normal peripheral zone, central zone, and corresponding PSMA avid focus in cases.

resultsNo significant difference was seen in the mean HU value of normal peripheral zone between cases and controls. Significant difference in the mean HU was seen between the PSMA avid focus in cases (40.1 ± 6.2) and normal peripheral zone of cases (28.2 ± 7.0) and controls (27.7 ± 5.8). No significant difference was found between the mean HU values of high-grade PCa and non-high-grade PCa. Receiver operating characteristic (ROC) curve analysis revealed a mean HU cut-off of ≥35 for detecting PCa with a sensitivity and specificity of 86% and 90%, respectively, between cases and controls (AUC 0.88).

conclusionDetection of clinically significant PCa is possible on routinely performed NCCT scans. Radiologists should routinely look for and convey these findings to facilitate further work-up and early detection of PCa. ADVANCES IN KNOWLEDGE: Our study adds to the knowledge that NCCT scans performed for unrelated indications can serve as a screening tool for clinically significant PCa.

Indexed as

Positron Emission Tomography Computed TomographyProstatic NeoplasmsAdultHumansMaleProstateRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID38263835
PMCPMC11027233

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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.