Evidence map›Paper›PMID 41511587›Full record

ArticleEJNMMI research2026

Interreader agreement of intraprostatic prostate cancer detection, local extension and staging using [

Niloefar Ahmadi Bidakhvidi, Elena Lara Jimenez, Hannes Leupe, Sander Jentjens, Marcella Baldewijns, Maxim De Schepper, Annouschka Laenen, Gaëtan Devos, Alexander Giesen, Michel Koole and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in EJNMMI research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03327675 (High Precision Imaging of Prostate Specific Membrane Antigen for Personalized Treatment in Prostate Cancer), which is not on this map. Not yet cited in PubMed.

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

NCT03327675 naunknown statusnot on this map

High Precision Imaging of Prostate Specific Membrane Antigen for Personalized Treatment in Prostate Cancer

TypeinterventionalSponsorUniversitaire Ziekenhuizen KU LeuvenRan2017 to 2025Enrolled188ConditionsProstate CancerArms68Ga-PSMA (HBED-CC) PET
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Niloefar Ahmadi Bidakhvidi *Nuclear Medicine, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-2225-0161
Elena Lara Jimenez *Nuclear Medicine and Molecular Imaging, Department of Imaging and Pathology, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0009-0006-7026-6535
Hannes LeupeNuclear Medicine, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-9080-2370
Sander JentjensNuclear Medicine, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-3602-9078
Marcella BaldewijnsPathology, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-0882-2944
Maxim De SchepperPathology, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-9829-8535
Annouschka LaenenInteruniversity Institute for Biostatistics and Statistical Bioinformatics, Leuven, Belgium.ORCID http://orcid.org/0000-0002-1371-442X
Gaëtan DevosUrology, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-6772-915X
Alexander GiesenUrology, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-3345-4573
Michel KooleNuclear Medicine, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-5862-640X
Christophe M DerooseNuclear Medicine, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-6080-1577
Wouter EveraertsUrology, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-3157-7115
Steven JoniauUrology, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-3195-9890
Karolien GoffinNuclear Medicine, University Hospitals Leuven, Leuven, Belgium. karolien.goffin@uzleuven.be.ORCID http://orcid.org/0000-0002-7453-0229

Funding

Agentschap voor Innovatie door Wetenschap en Technologie IWT.140193
6 · The paper itself

Abstract

backgroundTo investigate the diagnostic performance and interreader agreement of intraprostatic prostate cancer (PCa) detection, local extension and staging using [18F]PSMA-1007 PET in primary PCa, with whole-mount radical prostatectomy specimens as the reference standard. This prospective study included 66 patients with biopsy-proven PCa who underwent [18F]PSMA-1007 PET/MRI prior to radical prostatectomy. Four nuclear medicine physicians independently evaluated intraprostatic lesions, T stage, extracapsular extension (ECE), seminal vesicle invasion (SVI) and bilaterality, based on PROMISE V2 criteria and a standardized scoring template. Diagnostic accuracy was calculated using whole-mount histopathology as reference. Interreader agreement was assessed using Fleiss’ and weighted kappa statistics.

resultsAccurate lesion-level detection of dominant intraprostatic malignant lesions was achieved across readers with mean sensitivity of 96% (range 96–97%). Mean (range) sensitivity for detecting T3a, T3b, ≥T3, ECE, SVI and bilaterality across readers was 23% (0–50%), 39% (16–53%), 40% (10–63%), 33% (5–59%), 43% (16–58%) and 44% (34–53%), respectively. Mean (range) specificity for detecting T3a, T3b, ≥T3, ECE, SVI and bilaterality across readers was 86% (75–100%), 99% (98–100%), 85% (72–100%), 88% (74–100%), 99% (98–100%) and 86% (71–100%), respectively. Interreader agreement was substantial for bilaterality (kappa 0.66), moderate for SVI (kappa 0.57), fair for T stage (kappa 0.37) and slight for ECE (kappa 0.20).

conclusionAccurate lesion-level detection of [18F]PSMA-1007 PET for dominant intraprostatic malignant lesions can be achieved across multiple readers. However, variable diagnostic performance of [18F]PSMA-1007 PET for local tumor extension was seen between readers, highlighting the need for standardized interpretation guidelines to improve reproducibility and clinical reliability.

trial registrationClinicalTrials.gov, NCT03327675. Registered 10 July 2017, https://clinicaltrials.gov/study/NCT03327675?term=NCT03327675%26rank=1 .

Indexed as

[18F]PSMA-1007Interreader agreementPET/MRIProstate cancerPSMA

Identifiers

PMID41511587
PMCPMC12807999

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Registered trials

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.