Evidence map›Paper›PMID 42063589›Full record

ArticleBJUI compass2026

Bone scan index rise prior to osteonecrosis of the jaw with bone-modifying agents in prostate cancer.

Masaru Tani, Koji Hatano, Takashi Kamiya, Masatoshi Konishi, Atsuki Matsukawa, Hiromu Horitani, Syunsuke Inoguchi, Tomohiro Kanaki, Akihiro Yoshimura, Yuki Horibe and 13 more

Abstract read
In one paragraph

Article in BJUI compass, 2026. 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. 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

23 authors.

Masaru TaniDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Koji HatanoDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.ORCID https://orcid.org/0000-0002-8409-5152
Takashi KamiyaDepartment of Medical Technology The University of Osaka Hospital Osaka Japan.
Masatoshi KonishiDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Atsuki MatsukawaDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Hiromu HoritaniDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Syunsuke InoguchiDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Tomohiro KanakiDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Akihiro YoshimuraDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Yuki HoribeDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Yutong LiuDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Nesrine SassiDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Toshiki OkaDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Yohei OkudaDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Gaku YamamichiDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Yu IshizuyaDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Takuji HayashiDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Yoshiyuki YamamotoDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.ORCID https://orcid.org/0000-0002-1271-3521
Taigo KatoDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.
Tadashi WatabeDepartment of Nuclear Medicine and Tracer Kinetics The University of Osaka Graduate School of Medicine Osaka Japan.
Atsunari KawashimaDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.ORCID https://orcid.org/0000-0001-9369-4264
Kayako IsohashiDepartment of Nuclear Medicine and Tracer Kinetics The University of Osaka Graduate School of Medicine Osaka Japan.
Norio NonomuraDepartment of Urology The University of Osaka Graduate School of Medicine Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the maximum bone scan index in the jaw (BSIJmax) before the development of clinical medication-related osteonecrosis of the jaw (MRONJ) in patients with prostate cancer. Methods: We retrospectively analysed 135 patients with prostate cancer and bone metastases who received bone-modifying agents (BMAs) between 2008 and 2025. Bone scintigraphy data were collected at baseline and during the BMA treatment. BSIJmax was calculated using computer-assisted diagnostic software (BONENAVI). Primary endpoints were BSIJmax in the maxilla and mandible before the clinical diagnosis of MRONJ, compared with baseline values. Secondary endpoints included area under the receiver operating characteristic curves (AUCs) for diagnosing MRONJ using BSIJmax in the maxilla and mandible. Results: Among 135 patients, 27 developed MRONJ during a median follow-up of 74 months (interquartile range, 41-124 months). Mandibular BSIJmax values before the clinical diagnosis of MRONJ were significantly higher than baseline values (0.090 vs. 0.027, Conclusion: The mandibular BSIJmax increased before the clinical diagnosis of MRONJ. The incorporation of BSIJmax into bone scintigraphy may enable early detection of MRONJ and timely intervention in patients with prostate cancer receiving BMA therapy.

Indexed as

bone metastasesbone‐modifying agentbone scan indexbone scintigraphydenosumabmandiblemaxillamedication‐related osteonecrosis of the jawprostate cancerzoledronic acid

Identifiers

PMID42063589
PMCPMC13124443

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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.