ArticleEuropean journal of nuclear medicine and molecular imaging2026
Development and validation of a preoperative
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. It is linked to trial NCT06604377 (Model of Predicting Biochemical Recurrence After Radical Prostate Cancer Based on Pre-treatment PSMA PET / MR Image Features), which is not on this map. Not yet cited in PubMed.
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Model of Predicting Biochemical Recurrence After Radical Prostate Cancer Based on Pre-treatment PSMA PET / MR Image Features
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Authors and funding
13 authors.
Funding
Abstract
purposeTo develop and externally validate a preoperative
methodsThis multicentre retrospective study included 210 patients from three centres (training, n = 150; external validation, n = 60). Predictors were selected by 10-fold cross-validated LASSO-Cox regression using the one-standard-error criterion and entered into a multivariable Cox model. Performance at 1-3 years was assessed using time-dependent AUCs, calibration, IPCW Brier scores, and decision-curve analysis. Incremental value beyond CAPRA-S was evaluated using likelihood-ratio tests (LRTs). Sensitivity analyses assessed the potential influence of persistent postoperative PSA and secondary treatment initiated before BCR.
resultsSeventy-five patients experienced the study endpoint of biochemical recurrence. The final model included ADCmin-TBR, TMR, and PET/MR T-stage. Time-dependent AUCs were 0.703-0.858 in the training cohort and 0.766-0.846 in the validation cohort. DeLong tests showed no significant AUC differences from CAPRA-S; however, adding the PET/MR model improved fit at 2 and 3 years in the derivation cohort (both LRT p < 0.001) and at 3 years in the external validation cohort (LRT p = 0.031). DCA showed positive net benefit across most clinically relevant thresholds. ADCmin-TBR and TMR remained directionally stable across sensitivity analyses, whereas the T-stage effect was attenuated after treatment censoring.
conclusionsThe
trial registrationClinicalTrials.gov (NCT06604377) retrospectively registered on September 17, 2024.
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