Skip to main content

Main menu

  • Home
  • Content
    • Current
    • Ahead of print
    • Past Issues
    • JNM Supplement
    • SNMMI Annual Meeting Abstracts
    • Continuing Education
    • JNM Podcasts
  • Subscriptions
    • Subscribers
    • Institutional and Non-member
    • Rates
    • Journal Claims
    • Corporate & Special Sales
  • Authors
    • Submit to JNM
    • Information for Authors
    • Assignment of Copyright
    • AQARA requirements
  • Info
    • Reviewers
    • Permissions
    • Advertisers
  • About
    • About Us
    • Editorial Board
    • Contact Information
  • More
    • Alerts
    • Feedback
    • Help
    • SNMMI Journals
  • SNMMI
    • JNM
    • JNMT
    • SNMMI Journals
    • SNMMI

User menu

  • Subscribe
  • My alerts
  • Log in
  • Log out
  • My Cart

Search

  • Advanced search
Journal of Nuclear Medicine
  • SNMMI
    • JNM
    • JNMT
    • SNMMI Journals
    • SNMMI
  • Subscribe
  • My alerts
  • Log in
  • Log out
  • My Cart
Journal of Nuclear Medicine

Advanced Search

  • Home
  • Content
    • Current
    • Ahead of print
    • Past Issues
    • JNM Supplement
    • SNMMI Annual Meeting Abstracts
    • Continuing Education
    • JNM Podcasts
  • Subscriptions
    • Subscribers
    • Institutional and Non-member
    • Rates
    • Journal Claims
    • Corporate & Special Sales
  • Authors
    • Submit to JNM
    • Information for Authors
    • Assignment of Copyright
    • AQARA requirements
  • Info
    • Reviewers
    • Permissions
    • Advertisers
  • About
    • About Us
    • Editorial Board
    • Contact Information
  • More
    • Alerts
    • Feedback
    • Help
    • SNMMI Journals
  • View or Listen to JNM Podcast
  • Visit JNM on Facebook
  • Join JNM on LinkedIn
  • Follow JNM on Twitter
  • Subscribe to our RSS feeds
Research ArticleClinical Investigation

Reproducibility and Accuracy of the PRIMARY Score on PSMA PET and of PI-RADS on Multiparametric MRI for Prostate Cancer Diagnosis Within a Real-World Database

Louise Emmett, Nathan Papa, William Counter, Jeremie Calais, Francesco Barbato, Irene Burger, Matthias Eiber, Matthew J. Roberts, Shikha Agrawal, Anthony Franklin, Alan Xue, Krishan Rasiah, Nikeith John, Daniel Moon, Mark Frydenberg, John Yaxley, Phillip Stricker, Keith Wong, Geoff Coughlin, Troy Gianduzzo, Boon Kua, Bao Ho, Andrew Nguyen, Victor Liu, Jonathan Lee, Edward Hsiao, Tom Sutherland, Elisa Perry, Wolfgang P. Fendler and Thomas A. Hope
Journal of Nuclear Medicine January 2024, 65 (1) 94-99; DOI: https://doi.org/10.2967/jnumed.123.266164
Louise Emmett
1Department of Theranostics and Nuclear Medicine, St. Vincent’s Hospital Sydney, Sydney, New South Wales, Australia;
2Garvan Institute of Medical Research, Sydney, New South Wales, Australia;
3St. Vincent’s Clinical School, University of New South Wales, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nathan Papa
2Garvan Institute of Medical Research, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
William Counter
1Department of Theranostics and Nuclear Medicine, St. Vincent’s Hospital Sydney, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jeremie Calais
4Ahmanson Translational Theranostics, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, UCLA, Los Angeles, California;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Francesco Barbato
5Department of Nuclear Medicine, University of Duisburg–Essen and German Cancer Consortium–University Hospital Essen, Essen, Germany;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Irene Burger
6Department of Nuclear Medicine, Kantonsspital Baden, Baden, Switzerland;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Matthias Eiber
7Department of Nuclear Medicine, School of Medicine, Technical University Munich, Munich, Germany;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Matthew J. Roberts
8Department of Urology, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Shikha Agrawal
1Department of Theranostics and Nuclear Medicine, St. Vincent’s Hospital Sydney, Sydney, New South Wales, Australia;
2Garvan Institute of Medical Research, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anthony Franklin
8Department of Urology, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alan Xue
9Department of Surgery, Faculty of Medicine, Monash University, Melbourne, Victoria, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Krishan Rasiah
10Department of Urology, Royal North Shore Hospital, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nikeith John
1Department of Theranostics and Nuclear Medicine, St. Vincent’s Hospital Sydney, Sydney, New South Wales, Australia;
3St. Vincent’s Clinical School, University of New South Wales, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Daniel Moon
11Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mark Frydenberg
9Department of Surgery, Faculty of Medicine, Monash University, Melbourne, Victoria, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John Yaxley
12Wesley Hospital, Brisbane, Queensland, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Phillip Stricker
13St. Vincent’s Prostate Cancer Centre, Darlinghurst, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Keith Wong
1Department of Theranostics and Nuclear Medicine, St. Vincent’s Hospital Sydney, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Geoff Coughlin
12Wesley Hospital, Brisbane, Queensland, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Troy Gianduzzo
12Wesley Hospital, Brisbane, Queensland, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Boon Kua
12Wesley Hospital, Brisbane, Queensland, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bao Ho
1Department of Theranostics and Nuclear Medicine, St. Vincent’s Hospital Sydney, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Andrew Nguyen
1Department of Theranostics and Nuclear Medicine, St. Vincent’s Hospital Sydney, Sydney, New South Wales, Australia;
3St. Vincent’s Clinical School, University of New South Wales, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Victor Liu
1Department of Theranostics and Nuclear Medicine, St. Vincent’s Hospital Sydney, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jonathan Lee
1Department of Theranostics and Nuclear Medicine, St. Vincent’s Hospital Sydney, Sydney, New South Wales, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Edward Hsiao
9Department of Surgery, Faculty of Medicine, Monash University, Melbourne, Victoria, Australia;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tom Sutherland
15Department of Radiology, St. Vincent’s Hospital Melbourne, Melbourne, Victoria, Australia; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elisa Perry
15Department of Radiology, St. Vincent’s Hospital Melbourne, Melbourne, Victoria, Australia; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Wolfgang P. Fendler
5Department of Nuclear Medicine, University of Duisburg–Essen and German Cancer Consortium–University Hospital Essen, Essen, Germany;
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Thomas A. Hope
16Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Additional Files
  • Figure
    • Download figure
    • Open in new tab
    • Download powerpoint
  • FIGURE 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 1.

    Five-point PRIMARY score (4).

  • FIGURE 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 2.

    Cohen κ-coefficient for PRIMARY and PI-RADS divided into 2 categories or left as 5 categories. Overall coefficient and 95% CI are presented as thicker symbols and lines, with pairwise interrater values presented next to these as thinner, fainter symbols and lines.

  • FIGURE 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 3.

    Sensitivity vs. (1 − specificity) overall for 68Ga-PSMA PET and MRI derived from PRIMARY and PI-RADS scores, respectively. Faint markers and lines denote individual readers.

  • FIGURE 4.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 4.

    Cumulative percentage distribution of ISUP grade group by positive or negative 68Ga-PSMA PET result and 3 categories of PI-RADS. GG = grade group.

  • FIGURE 5.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 5.

    PSMA PET imaging for patient with ISUP grade group 5 on histopathology, negative result on 68Ga-PSMA PET central read, and PI-RADS 3 on MRI. Central readers had 1-h training session on PRIMARY score with little prior exposure, and this lesion was missed by both readers. This image is technically PRIMARY score 4 (arrows) with focal lesion apically (SUVmax, 3.5).

  • FIGURE 6.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 6.

    Horizontal box plot of SUVmax by ISUP grade group, taken as mean of 2 readers’ reports. Not shown are 1 ISUP grade group 3 lesion (SUVmax, 62) and 2 ISUP grade group 5 lesions (SUVmax, 44 and 46).

Tables

  • Figures
  • Additional Files
    • View popup
    TABLE 1.

    Patient Characteristics (n = 227)

    CharacteristicData
    Age (y)68 (61–74)
    PSA (ng/mL)6.8 (4.8–10.3)
    Days from MRI to biopsy33 (14–79)
    Days from PET to biopsy15 (6–35)
    Grade group
     No cancer58 (26)
     116 (7.0)
     249 (22)
     335 (15)
     413 (5.7)
     556 (25)
    PI-RADS*
     12 (0.9)
     270 (31)
     326 (11)
     456 (25)
     573 (32)
    PRIMARY†
     Negative (1,2)78 (34)
     Positive (3–5)149 (66)
    • ↵* Taken as majority score from at least 2 readers.

    • ↵† Taken as majority read from 2 of 3 readers if discordant.

    • Qualitative data are number and percentage; continuous data are median and interquartile range.

    • View popup
    TABLE 2.

    Diagnostic Accuracy for PI-RADS, PRIMARY, and Combination

    ParameterSensitivitySpecificityPositive predictive valueNegative predictive value
    PRIMARY86% (79%–91%)76% (64%–85%)88% (82%–93%)72% (61%–81%),
    PI-RADS89% (83%–93%)74% (63%–84%)88% (82%–93%76% (65%–86%)
    Combination94% (89%–97%)68% (56%–78%).86% (80%–91%)85% (73%–93%)

Additional Files

  • Figures
  • Tables
  • Supplemental Data

    Files in this Data Supplement:

    • Supplemental Data
PreviousNext
Back to top

In this issue

Journal of Nuclear Medicine: 65 (1)
Journal of Nuclear Medicine
Vol. 65, Issue 1
January 1, 2024
  • Table of Contents
  • Table of Contents (PDF)
  • About the Cover
  • Index by author
  • Complete Issue (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Journal of Nuclear Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Reproducibility and Accuracy of the PRIMARY Score on PSMA PET and of PI-RADS on Multiparametric MRI for Prostate Cancer Diagnosis Within a Real-World Database
(Your Name) has sent you a message from Journal of Nuclear Medicine
(Your Name) thought you would like to see the Journal of Nuclear Medicine web site.
Citation Tools
Reproducibility and Accuracy of the PRIMARY Score on PSMA PET and of PI-RADS on Multiparametric MRI for Prostate Cancer Diagnosis Within a Real-World Database
Louise Emmett, Nathan Papa, William Counter, Jeremie Calais, Francesco Barbato, Irene Burger, Matthias Eiber, Matthew J. Roberts, Shikha Agrawal, Anthony Franklin, Alan Xue, Krishan Rasiah, Nikeith John, Daniel Moon, Mark Frydenberg, John Yaxley, Phillip Stricker, Keith Wong, Geoff Coughlin, Troy Gianduzzo, Boon Kua, Bao Ho, Andrew Nguyen, Victor Liu, Jonathan Lee, Edward Hsiao, Tom Sutherland, Elisa Perry, Wolfgang P. Fendler, Thomas A. Hope
Journal of Nuclear Medicine Jan 2024, 65 (1) 94-99; DOI: 10.2967/jnumed.123.266164

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Reproducibility and Accuracy of the PRIMARY Score on PSMA PET and of PI-RADS on Multiparametric MRI for Prostate Cancer Diagnosis Within a Real-World Database
Louise Emmett, Nathan Papa, William Counter, Jeremie Calais, Francesco Barbato, Irene Burger, Matthias Eiber, Matthew J. Roberts, Shikha Agrawal, Anthony Franklin, Alan Xue, Krishan Rasiah, Nikeith John, Daniel Moon, Mark Frydenberg, John Yaxley, Phillip Stricker, Keith Wong, Geoff Coughlin, Troy Gianduzzo, Boon Kua, Bao Ho, Andrew Nguyen, Victor Liu, Jonathan Lee, Edward Hsiao, Tom Sutherland, Elisa Perry, Wolfgang P. Fendler, Thomas A. Hope
Journal of Nuclear Medicine Jan 2024, 65 (1) 94-99; DOI: 10.2967/jnumed.123.266164
Twitter logo Facebook logo LinkedIn logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
    • Visual Abstract
    • Abstract
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSION
    • DISCLOSURE
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • The PRIMARY Score: Present and Future
  • Google Scholar

More in this TOC Section

  • First-in-Human Study of 18F-Labeled PET Tracer for Glutamate AMPA Receptor [18F]K-40: A Derivative of [11C]K-2
  • Detection of HER2-Low Lesions Using HER2-Targeted PET Imaging in Patients with Metastatic Breast Cancer: A Paired HER2 PET and Tumor Biopsy Analysis
  • [11C]Carfentanil PET Whole-Body Imaging of μ-Opioid Receptors: A First in-Human Study
Show more Clinical Investigation

Similar Articles

Keywords

  • multiparametric MRI
  • PSMA
  • prostate-specific membrane antigen
  • PET
  • prostate cancer
  • diagnosis
SNMMI

© 2025 SNMMI

Powered by HighWire