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Table 2 Literature review of the impact of PSMA PET on primary staging of patients with prostate cancer

From: Phase 3 multicenter randomized trial of PSMA PET/CT prior to definitive radiation therapy for unfavorable intermediate-risk or high-risk prostate cancer [PSMA dRT]: study protocol

Author and year

Study Design

Location

N

Population

Median PSA ng/mL (range)

Improvement with PSMA PET

Budäus et al. 2016 [48]

R

Hamburg, Germany

30

HR PCa prior to RP

8.8 (1.4–376)

Se 33%, spec 100%, PPV 100%, NPV 69%

Calais et al. 2018 [45]

P

Los Angeles, USA

73

IR/HR PCa prior to RT planning

13.9 (0.22–909)

9.5% uptaged to M1

Demirkol et al. 2015 [49]

R

Istanbul, Turkey

8

HR PCa for staging

15 (0.3–20)

N/A

Fendler et al. 2016 [50]

R

Munich, Germany

21

PCa for staging

N/A

Se 67%, spec 92%, PPV 97%, NPV 42% Acc 72%

Frenzel et al. 2018 [51]

R

Hamburg, Germany

20

PCa prior to RT planning

7.1 (0.48–137)

N/A

Herlemann et al. 2016 [52]

R

Munich, Germany

20

HR PCa prior to RP

a56 (3.3–363)

Se 84%, spec 82%, PPV 84%, NPV 82%

Hijazi et al. 2015 [53]

R

Göttingen, Germany

12

PCa for staging

48 (6–90)

Se 94%, spec 99%, PPV 89%, NPV 99.5%

Hirmas et al. 2018 [54]

R

Amman, Jordan

21

HR PCa for staging

38 (0.6- > 100)

Se 85% Acc 85.7%, PPV 100%

Hruby et al. 2018 [55]

R

NSW, Australia

109

IR/HR PCa prior to EBRT

9.9 (1.23–240)

21% upstaged, 3% downstaged

Kabasakal et al. 2015 [56]

R

Istanbul, Turkey

15

PCa for staging

37.78 (5.12–70.47)

N/A

Maurer et al. 2015 [57]

R

Munich, Germany

130

HR PCa prior to RP

11.6 (0.57–244)

Se 68%, spec 99%, PPV 95%, NPV 94%

Rahbar et al. 2015 [58]

P

Münster, Germany

6

HR PCa prior to RP

52.7 (5.7–111.1)

Se 92%, spec 92%, PPV 96%, NPV 85%

Rhee et al. 2016 [59]

P

Queensland, Australia

20

PCa prior to RP

6.1 (3.5–45)

Se 49%, spec 95%, PPV 85% NPV 88%

Roach et al. 2017 [44]

P

Sydney, Australia

108

IR/HR PCa for staging

8.6 (0.18–120)

20% upstaged, 1% downstaged

Sachpekidis et al. 2016 [60]

P

Heidelberg, Germany

24

HR PCa

24.1 (3.2–200)

N/A

Schwenck et al. 2016 [61]

P

Tübingen, Germany

20

HR PCa for staging, PSMA vs choline

26 (N/A)

N/A

Sterzing et al. 2016 [62]

R

Heidelberg, Germany

15

HR PCa for staging

7 (0.28–45)

13.7% changed their TNM staging

Uprimny et al. 2017 [63]

R

Innsbruck, Austria

90

PCa, other analysis

9.7 (2.2–188.4)

N/A

Van Leeuwen et al. 2017 [64]

P

Sydney, Australia

30

IR/HR PCa prior to RP

8.1 (5.2–10.1)

Se 58%, spec 100%, PPV 94%, NPV 98%

Zamboglou et al. 2015 [65]

R

Freiburg, Germany

22

PCa prior to RT planning

20.4 (1.22–66.9)

GTV-PET larger than GTV-MRI

  1. aValue for mean reported, not median. GTV gross tumor volume, HR High-risk, IR intermediate-risk, LND lymph node dissection, N/A not applicable, NPV negative predictive value, P prospective study, PPV positive predictive value, R retrospective study, RP radical prostatectomy, RT radiotherapy, Se Sensitivity, spec specificity