Evidence map›Paper›PMID 42094603›Full record

ReviewTheranostics2026

Future opportunities and nuances with the use of PSMA PET in prostate cancer (MD PET 1).

Alicia K Morgans, Christopher M Pieczonka, Evan Y W Yu, Himanshu Nagar, Leonard G Gomella, Medhat M Osman, Phillip J Koo, Steven E Finkelstein

Abstract readReview
In one paragraph

Review in Theranostics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

8 authors.

Alicia K MorgansDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Christopher M PieczonkaU.S. Urology Partners and Associated Medical Professionals of New York, Syracuse, NY, USA.
Evan Y W YuFred Hutchinson Cancer Center and University of Washington, Seattle, WA, USA.
Himanshu NagarMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Leonard G GomellaDepartment of Urology, Thomas Jefferson University, Philadelphia, PA, USA.
Medhat M OsmanDepartment of Radiology, Division of Nuclear Medicine, Saint Louis University Hospital, St. Louis, MO, USA.
Phillip J KooProstate Cancer Foundation, Santa Monica, CA, USA.
Steven E FinkelsteinU.S. Urology Partners and Associated Medical Professionals of New York, Syracuse, NY, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Imaging with prostate-specific membrane antigen (PSMA) PET has significantly improved prostate cancer staging with superior diagnostic performance compared to conventional methods. Although it is increasingly adopted in clinical practice, several barriers hinder its full integration into routine workflows. This review highlights the existing knowledge gaps, infrastructure limitations, and inconsistencies in interpretation that affect the utility of PSMA PET across healthcare settings. We examine the potential reasons behind variability in scan performance, including scanner design, detector technology, sensitivity, and resolution, as well as the accreditation status of the facilities and reader expertise. We also highlight the inconsistent understanding of PSMA PET ordering practices, particularly among urologists, and the influence of ownership-driven utilization, both of which contribute to underuse and overuse. Radiology reporting that lacks sufficient detail and a shortage of trained nuclear medicine specialists may present additional challenges to effective treatment planning, although diagnostic radiologists also contribute to PET scan interpretation. This review highlights the potential role of standardized reporting protocols, accreditation, expanded education, and integration of AI tools in enhancing diagnostic accuracy and consistency. Additionally, we examine the impact of PSMA PET on clinical decision-making in unfavorable intermediate-, high risk-, and biochemically recurrent prostate cancer, as well as the emerging role of PSMA PET-derived metrics in staging, biopsy guidance, and treatment planning. While PSMA PET has shown value in modifying management strategies, its clinical benefit requires validation through future, prospective, outcome-driven studies. In addition, emerging applications of PSMA PET in non-prostate malignancies hold the potential to transform diagnostic and therapeutic approaches beyond prostate cancer.

Indexed as

Antigens, SurfaceGlutamate Carboxypeptidase IIPositron-Emission TomographyProstatic NeoplasmsHumansMaleNeoplasm StagingAntigens, SurfaceFOLH1 protein, humanGlutamate Carboxypeptidase IIclinical decision-makingdiagnostic imagingMD PETprostate cancerprostate-specific membrane antigenPSMA-PET/CT

Identifiers

PMID42094603
PMCPMC13141699

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.