ArticleEuropean journal of nuclear medicine and molecular imaging2026
Automated lesion tracking and treatment response classification on [
Article in European journal of nuclear medicine and molecular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aimed to validate an automated lesion-tracking algorithm for [
methodsPaired baseline and follow-up [
resultsA total of 1,066 lesions were identified (559 baseline, 507 follow-up), including 371 CLs, 188 DLs, and 136 NLs, yielding 695 matching decisions. The lesion matching algorithm achieved 95.1% matching accuracy. Lesion mismatches were associated with poorer registration quality. Algorithm-derived patient-level response classifications showed high concordance with ground-truth frameworks, with classification accuracy of 95.5% for RECIP 1.0, 96.2% for PPP, and 96.2% for TLW. All frameworks retained prognostic significance for OS, with progressive disease conferring hazard ratios (HR) of-RECIP 1.0 HR = 2.57 (95% CI 1.33-4.98), PPP HR = 2.02 (95% CI 1.04-3.90), and TLW HR = 2.29 (95% CI 1.22-4.28).
conclusionThe automated lesion-tracking algorithm reproduced expert matches with high accuracy and preserved the prognostic utility of RECIP 1.0, PPP, and TLW in a BCR cohort, supporting its use as a reproducible lesion-matching method for quantitative response assessment on PSMA PET/CT. TRIAL REGISTRATION NUMBER: ACTRN ACTRN12615000608561. Registered 11 June 2015. Retrospectively registered.
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