Evidence map›Paper›PMID 38724653›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2024

Pre-therapy PET-based voxel-wise dosimetry prediction by characterizing intra-organ heterogeneity in PSMA-directed radiopharmaceutical theranostics.

Song Xue, Andrei Gafita, Yu Zhao, Lorenzo Mercolli, Fangxiao Cheng, Isabel Rauscher, Calogero D'Alessandria, Robert Seifert, Ali Afshar-Oromieh, Axel Rominger and 2 more

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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. Outcome-driven dosimetry optimization for [European journal of nuclear medicine and molecular imaging · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Dual-tracer PET/CT and cocktail therapy with [European journal of nuclear medicine and molecular imaging · 2026
    Article
  6. Swin UNETR-based prediction of [BMC medical imaging · 2026
    Article
  7. Review
  8. Prognostic Value of Cycle 1 SPECT SUVJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. 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

12 authors.

Song XueDept. Nuclear Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
Andrei GafitaDept. Nuclear Medicine, Technical University of Munich, Munich, Germany.
Yu ZhaoChair for Computer Aided Medical Procedures, School of Computation, Information and Technology, Technical University of Munich, Munich, Germany.
Lorenzo MercolliDept. Nuclear Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
Fangxiao ChengDept. Nuclear Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
Isabel RauscherDept. Nuclear Medicine, Technical University of Munich, Munich, Germany.
Calogero D'AlessandriaDept. Nuclear Medicine, Technical University of Munich, Munich, Germany.
Robert SeifertDept. Nuclear Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
Ali Afshar-OromiehDept. Nuclear Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
Axel RomingerDept. Nuclear Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.
Matthias EiberDept. Nuclear Medicine, Technical University of Munich, Munich, Germany.
Kuangyu ShiDept. Nuclear Medicine, Bern University Hospital, University of Bern, Bern, Switzerland. kuangyu.shi@unibe.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveTreatment planning through the diagnostic dimension of theranostics provides insights into predicting the absorbed dose of RPT, with the potential to individualize radiation doses for enhancing treatment efficacy. However, existing studies focusing on dose prediction from diagnostic data often rely on organ-level estimations, overlooking intra-organ variations. This study aims to characterize the intra-organ theranostic heterogeneity and utilize artificial intelligence techniques to localize them, i.e. to predict voxel-wise absorbed dose map based on pre-therapy PET.

methods23 patients with metastatic castration-resistant prostate cancer treated with [

resultsInconsistent intra-organ patterns emerged between PET imaging and dose map, with moderate correlations existing in the kidney (r = 0.77), liver (r = 0.5), and spleen (r = 0.58) (P < 0.025). Simulation results indicated the intra-organ pharmacokinetic heterogeneity might explain this inconsistency. The DL-based method achieved a lower average voxel-wise normalized root mean squared error of 0.79 ± 0.27%, regarding to ground-truth dose map, outperforming the organ-dose guided projection (1.11 ± 0.57%) (P < 0.05). DVH analysis demonstrated good prediction accuracy (R

conclusionOur results demonstrated the intra-organ heterogeneity of pharmacokinetics may complicate pre-therapy dosimetry prediction. DL has the potential to bridge this gap for pre-therapy prediction of voxel-wise heterogeneous dose map.

Indexed as

Antigens, SurfaceGlutamate Carboxypeptidase IIProstatic Neoplasms, Castration-ResistantRadiometryRadiopharmaceuticalsAgedHumansMaleMiddle AgedPositron-Emission TomographyPositron Emission Tomography Computed TomographyPrecision MedicineRetrospective StudiesAntigens, SurfaceFOLH1 protein, humanGlutamate Carboxypeptidase IIRadiopharmaceuticals[177Lu]Lu-PSMA I&TDeep learningDosimetryIntra-organ heterogeneityRadiopharmaceutical therapy

Identifiers

PMID38724653
PMCPMC11368979

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.