Evidence map›Paper›PMID 39606160›Full record

ArticleBJR open2024

The quantitative impact of prostate-specific membrane antigen (PSMA) PET/CT staging in newly diagnosed metastatic prostate cancer and treatment-decision implications.

Hoda Abdel-Aty, Nabil Hujairi, Iain Murray, Yathushan Yogeswaran, Nicholas van As, Nicholas James

Abstract read
In one paragraph

Article in BJR open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

6 authors.

Hoda Abdel-AtyDivision of Radiotherapy and Imaging, Institute of Cancer Research, London, SW3 6JB, United Kingdom.ORCID https://orcid.org/0000-0003-2755-4532
Nabil HujairiDivision of Radiotherapy and Imaging, Institute of Cancer Research, London, SW3 6JB, United Kingdom.
Iain MurrayDivision of Radiotherapy and Imaging, Institute of Cancer Research, London, SW3 6JB, United Kingdom.
Yathushan YogeswaranMRC Clinical Trials Unit, Institute of Clinical Trials & Methodology, University College London, London, WC1V 6LJ, United Kingdom.
Nicholas van AsDivision of Radiotherapy and Imaging, Institute of Cancer Research, London, SW3 6JB, United Kingdom.
Nicholas JamesDivision of Radiotherapy and Imaging, Institute of Cancer Research, London, SW3 6JB, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To quantify the stage-shift with prostate-specific membrane antigen (PSMA) PET/CT imaging in metastatic prostate cancer and explore treatment implications. Methods: Single-centre, retrospective analysis of patients with newly diagnosed [ Results: We analysed 62 patients with a median age was 72 years (range 48-86). On PSMA PET/CT, 31/62 (50%) patients had oligometastatic disease, and 31/62 (50%) had polymetastatic disease. Prostate radiotherapy was delivered in 20/31 (65%) patients with oligometastatic disease and 17/31 (55%) with polymetastatic disease. 23/62 (37%) patients were reclassified as M0 on conventional imaging. PSMA PET/CT had a 2.9-fold increase in detecting bone metastases. Bone metastases concordance was found in 10/50 (20%) by number and 30/33 (91%) by site. PSMA PET/CT had a 2.2-fold increase in detecting nodal metastases. Nodal metastases concordance was found in 5/46 (11%) by number and 25/26 (96%) by site. There was significant positive correlation between PSMA PET/CT and conventional imaging for detecting bone [ Conclusion: The magnitude of PSMA PET/CT-driven stage-shift is highly variable and unpredictable with implications on treatment decisions, future trial design, and potentially clinical outcomes. Advances in knowledge: The magnitude of "frame-shift" with PSMA PET/CT imaging is highly variable and unpredictable which may unreliably change treatment decisions dependent on image-defined disease extent. Prospective randomized trials are required to determine the relationship between PSMA PET/CT-guided treatment choices and outcomes.

Indexed as

oligometastatic diseasePET/CTpolymetastatic diseaseprostate-specific membrane antigenstereotactic ablative body radiotherapy

Identifiers

PMID39606160
PMCPMC11601884

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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.