Evidence map›Paper›PMID 37624414›Full record

ArticleEuropean radiology2024

Reliability and practicability of PSMA-RADS 1.0 for structured reporting of PSMA-PET/CT scans in prostate cancer patients.

Freba Grawe, Franziska Blom, Michael Winkelmann, Caroline Burgard, Christine Schmid-Tannwald, Lena M Unterrainer, Gabriel T Sheikh, Paulo L Pfitzinger, Philipp Kazmierczak, Clemens C Cyran and 6 more

Open access · hybridAbstract read
In one paragraph

Article in European radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
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

9 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 1 country.

Freba GraweDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Franziska BlomDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Michael WinkelmannDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Caroline BurgardDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377, Munich, Germany.
Christine Schmid-TannwaldDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Lena M UnterrainerDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377, Munich, Germany.
Gabriel T SheikhDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377, Munich, Germany.
Paulo L PfitzingerDepartment of Nuclear Medicine, Saarland University Hospital, Kirrberger Str., Geb. 50, 66421, Homburg, Germany.
Philipp KazmierczakDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Clemens C CyranDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Jens RickeDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Christian G StiefDepartment of Urology, University Hospital, LMU Munich, 81377, Munich, Germany.
Peter BartensteinDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377, Munich, Germany.
Johannes RuebenthalerDepartment of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Matthias P Fabritius *Department of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Thomas Geyer *Department of Radiology, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. Thomas.Geyer@med.uni-muenchen.de.
Ludwig-Maximilians-Universität München · DELMU Klinikum · DESaarland University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAs structured reporting is increasingly used in the evaluation of prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA-PET/CT) for prostate cancer, there is a need to assess the reliability of these frameworks. This study aimed to evaluate the intra- and interreader agreement among readers with varying levels of experience using PSMA-RADS 1.0 for interpreting PSMA-PET/CT scans, even when blinded to clinical data, and therefore to determine the feasibility of implementing this reporting system in clinical practice.

methodsPSMA-PET/CT scans of 103 patients were independently evaluated by 4 readers with different levels of experience according to the reporting and data system (RADS) for PSMA-PET/CT imaging PSMA-RADS 1.0 at 2 time points within 6 weeks. For each scan, a maximum of five target lesions were freely chosen and stratified according to PSMA-RADS 1.0. Overall scan score and compartment-based scores were assessed. Intra- and interreader agreement was determined using the intraclass correlation coefficient (ICC).

resultsPSMA-RADS 1.0 demonstrated excellent interreader agreement for both overall scan scores (ICC ≥ 0.91) and compartment-based scores (ICC ≥ 0.93) across all four readers. The framework showed excellent intrareader agreement for overall scan scores (ICC ≥ 0.86) and compartment-based scores (ICC ≥ 0.95), even among readers with varying levels of experience.

conclusionsPSMA-RADS 1.0 is a reliable method for assessing PSMA-PET/CT with strong consistency and agreement among readers. It shows great potential for establishing a standard approach to diagnosing and planning treatment for prostate cancer patients, and can be used confidently even by readers with less experience. CLINICAL RELEVANCE STATEMENT: This study underlines that PSMA-RADS 1.0 is a valuable and highly reliable scoring system for PSMA-PET/CT scans of prostate cancer patients and can be used confidently by radiologists with different levels of experience in routine clinical practice. KEY POINTS: PSMA-RADS version 1.0 is a scoring system for PSMA-PET/CT scans. Its reproducibility needs to be analyzed in order to make it applicable to clinical practice. Excellent interreader and intrareader agreement for overall scan scores and compartment-based scores using PSMA-RADS 1.0 were seen in readers with varying levels of experience. PSMA-RADS 1.0 is a reliable tool for accurately diagnosing and planning treatment for prostate cancer patients, and can be used confidently in clinical routine.

Indexed as

Positron Emission Tomography Computed TomographyProstatic NeoplasmsDiagnostic ImagingGallium RadioisotopesHumansMaleRadiologistsReproducibility of ResultsGallium RadioisotopesPositron emission tomography computed tomographyProstate cancerPSMA

Identifiers

PMID37624414
PMCPMC10853294
OpenAlexW4386150986

What Socratic holds

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Registered trials

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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 Socratic graph.