Evidence map›Paper›PMID 40647421›Full record

ArticleCancers2025

Interpretation of PSMA-PET Among Urologists: A Prospective Multicentric Evaluation.

Guglielmo Mantica, Francesco Chierigo, Francesca Ambrosini, Francesca D'Amico, Greta Celesti, Arianna Ferrari, Fabrizio Gallo, Maurizio Schenone, Andrea Benelli, Carlo Introini and 12 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

22 authors.

Guglielmo ManticaDepartment of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, 16126 Genova, Italy.ORCID 0000-0003-4361-4523
Francesco ChierigoDepartment of Urology, ASST Santi Paolo e Carlo, 20153 Milan, Italy.ORCID 0000-0001-7357-0758
Francesca AmbrosiniIRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy.
Francesca D'AmicoDepartment of Health Sciences (DISSAL), University of Genoa, 16126 Genova, Italy.
Greta CelestiDepartment of Health Sciences (DISSAL), University of Genoa, 16126 Genova, Italy.
Arianna FerrariDepartment of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, 16126 Genova, Italy.
Fabrizio GalloDepartment of Urology, San Paolo Hospital, 17100 Savona, Italy.
Maurizio SchenoneDepartment of Urology, San Paolo Hospital, 17100 Savona, Italy.
Andrea BenelliE.O. Ospedali Galliera, UOC Urologia, 16128 Genova, Italy.
Carlo IntroiniE.O. Ospedali Galliera, UOC Urologia, 16128 Genova, Italy.ORCID 0000-0002-7746-9291
Rosario LeonardiCasa di Cura Musumeci-Gecas, 95030 Gravina di Catania, Italy.ORCID 0000-0002-5611-8169
Alessandro CalarcoDepartment of Urology, San Carlo di Nancy Hospital, 00165 Rome, Italy.ORCID 0000-0001-6893-2179
Francesco EspertoDepartment of Urology, Fondazione Campus Bio-Medico of Rome, 00128 Rome, Italy.ORCID 0000-0002-0108-1864
Andrea PacchettiDepartment of Urology, ASST Lariana, Sant'Anna Hospital, San Fermo della Battaglia, 22042 Como, Italy.
Rocco PapaliaDepartment of Urology, Fondazione Campus Bio-Medico of Rome, 00128 Rome, Italy.
Giorgio BozziniDepartment of Urology, ASST Lariana, Sant'Anna Hospital, San Fermo della Battaglia, 22042 Como, Italy.ORCID 0000-0001-6274-314X
Armando SeraoUrologia, AO SS Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy.
Valentina PauDepartment of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, 16126 Genova, Italy.
Gianmario SambucetiIRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy.
Carlo TerroneDepartment of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, 16126 Genova, Italy.
Giuseppe FornariniIRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy.ORCID 0000-0003-4754-6572
Matteo BaucknehtIRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy.ORCID 0000-0002-1937-9116

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProstate-specific membrane antigen (PSMA)-PET imaging has significantly improved prostate cancer (PCa) staging, yet its interpretation remains challenging, even for experienced specialists. No prior study has assessed urologists' ability to interpret PSMA-PET.

methodsWe conducted a multicenter prospective study involving 63 urologists from eight Italian institutions. Participants evaluated 20 PSMA-PET scans of high-risk PCa cases, with no clinical information provided. Proficiency was defined as correctly identifying at least two of three staging components (T, N, M) in ≥75% of cases. Associations between performance and factors such as hierarchy (resident vs. consultant), institution type, surgical volume, and multidisciplinary team (MDT) presence were analyzed using univariable and multivariable logistic regression.

resultsOnly one participant achieved full staging proficiency, while 44% reached the ≥75% threshold for partial (almost correct) staging. Urologists from centers with ≥300 PCa diagnoses per year demonstrated better T and M stage identification. Institutions with ≥150 robot-assisted radical prostatectomies (RARPs) per year and those with MDTs showed higher accuracy in M staging. No significant predictors of proficiency emerged in the multivariable analysis, although hierarchy and surgical volume approached significance for nodal metastasis detection.

conclusionPSMA-PET interpretation is complex for urologists, with particular challenges in T and M staging. High institutional case volumes and MDT involvement may enhance interpretation skills. Structured training programs and increased exposure to multidisciplinary imaging discussions are essential to optimize urologists' diagnostic proficiency and ultimately improve patient care.

Indexed as

interobserver agreementPCaprostate cancerPSMA-PET

Identifiers

PMID40647421
PMCPMC12249311

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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.