TABLE 2

Studies of 18F-FDG Radiologic Tracer in Metastatic Prostate Cancer

Author and yearnClinical stateStudyPurpose and endpointStatistical methodConclusion
Schöder et al. (40), 200591Rising PSARetrospectivePurpose: disease detection (local, nodal, metastatic)True-positive by binary fashionTrue-positive, 31% (28/91)
Endpoints:
 Histopathology
 Decrease in PSA after irradiation to primary site
 Lesions assessed with CIMa
 Follow-up CIM
Morris et al. (37), 200522Metastatic castration-resistantProspectivePurpose: outcome measure of treatmentData analysis at 0, 4, and 12 wk of treatmentPET and clinical status correlated
Endpoints:4 wk, 91%
 Lesions assessed with CIMaTest of discordance12 wk, 94%
 New lesions on PET
 Patient followed until POD or death
 Changes in SUV and PSA with treatment
Chang et al. (39), 200324Rising PSARetrospectivePurpose: disease detection (nodal)Sensitivity, specificitySensitivity, 75% (12/16)
Endpoint: histopathologySpecificity, 100%
Morris et al. (35), 200217Metastatic castration- sensitive and -resistantProspectivePurpose: disease detection (bone, soft tissue)Lesion-based matched-pair dataBone lesion, 71% seen on both PET and BS
Endpoints:Soft-tissue lesion, 39% seen on both PET and CT/MRI
 Lesions assessed with CIMa
 Follow-up CIMa
  • CIM = conventional imaging modality; POD = progression of disease; SUV = standardized uptake value; BS = bone scan.