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Table 3 Changes in RT plan in studies assessing effect of PSMA PET results on treatment plan

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

N

Inclusion criteria

Median PSA level, ng/mL (range)

Change in planned pelvic RT

% local plan change

% extra-pelvic disease

local plan change details

Calais et al. 2018 [54]

73

IR/HR PCa prior to RT planning

13.9 (0.22–909)

7–19.5%a

9.5%

covered pelvic LNs detected

Frenzel et al. 2018 [51]

20

PCa prior to RT planning

7.1 (0.48–137)

15%

N/A

shifted from IR to HR, one patient had boost to distant PET findings

Hruby et al. 2018 [55]

109

IR/HR PCa prior to RT planning

9.9 (1.23–240)

14.7%

6.4%

covered pelvic LNs detected

Roach et al. 2017 [44]

108

IR/HR PCa prior to RP/ EBRT/ systemic treatment

8.6 (0.18–120)

15%

9%

higher dose and volume

Sterzing et al. 2016 [62]

15

HR PCa for staging

7 (0.28–45)

13%

N/A

covered pelvic LNs detected

  1. aDepending on initial intent to include elective pelvic nodal RT (change: 7%) or not (change: 19.5%). +Mean value reported, not median. EBRT external-beam radiotherapy