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100 1 _ |a Karpinski, Madeleine J
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245 _ _ |a Updated Prostate Cancer Risk Groups by Prostate-specific Membrane Antigen Positron Emission Tomography Prostate Cancer Molecular Imaging Standardized Evaluation (PPP2): Results from an International Multicentre Registry Study.
260 _ _ |a Amsterdam [u.a.]
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500 _ _ |a Volume 88, Issue 5, November 2025, Pages 484-495
520 _ _ |a We established prognostic nomograms incorporating prostate-specific membrane antigen (PSMA) positron emission tomography (PET) parameters standardised by Prostate Cancer Molecular Imaging Standardized Evaluation (PROMISE; PPP1). Here, we develop an updated PPP2 risk score from a large international multicentre registry study.We included 6128 prostate cancer patients who underwent PSMA-PET at 20 hospitals in Europe, USA, and Australia between 2013 and 2022. Investigator sites were split 2:1 into the development (4044 patients) and validation (2084 patients) cohorts. We created nomograms of version 2 (PPP2) based on Cox regression models with the least absolute shrinkage and selection operator penalty for overall survival (development cohort). Performance of both nomograms was measured using Harrell's C-index and calibration plots and a head-to-head comparison with the National Comprehensive Cancer Network (NCCN) risk score by receiver operating characteristic curves (validation cohort).Predictors were distant metastases (extrapelvic nodal metastases [M1a], bone metastases [M1b], and visceral metastases [M1c]), PSMA expression score, and total lesion count (visual PPP2) or total tumour volume (quantitative PPP2). C-indices (95% confidence interval) in the validation cohort were 0.80 (0.78-0.82; visual) and 0.80 (0.79-0.82; quantitative), respectively. Accuracy of both the PPP2 nomograms was superior to the NCCN risk score (n = 1034, area under the curve 0.84 vs 0.76; p < 0.001). The retrospective design represents a limitation of the study.PPP nomograms were improved in an international multicentre study to predict accurately the 3- and 5-yr overall survival probabilities of prostate cancer. PPP2 yielded superior accuracy to the NCCN risk score. A free software tool has been created for PROMISE and PPP2 assessments (promise-pet.org).
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650 _ 7 |a Overall survival
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650 _ 7 |a Prognosis
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650 _ 7 |a Prostate Cancer Molecular Imaging Standardized Evaluation nomogram
|2 Other
650 _ 7 |a Prostate cancer
|2 Other
650 _ 7 |a Prostate-specific membrane antigen positron emission tomography
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700 1 _ |a Rahbar, Kambiz
|b 1
700 1 _ |a Bögemann, Martin
|b 2
700 1 _ |a Nikoukar, Laya Rahbar
|b 3
700 1 _ |a Schäfers, Michael
|b 4
700 1 _ |a Hoberück, Sebastian
|b 5
700 1 _ |a Miederer, Matthias
|b 6
700 1 _ |a Hölscher, Tobias
|b 7
700 1 _ |a Rasul, Sazan
|b 8
700 1 _ |a Miszczyk, Marcin
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700 1 _ |a Lanfranchi, Francesco
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700 1 _ |a Bauckneht, Matteo
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700 1 _ |a Pfob, Christian H
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700 1 _ |a Kind, Felix
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700 1 _ |a Goffin, Karolien
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700 1 _ |a Hüsing, Anika
|b 15
700 1 _ |a Kesch, Claudia
|b 16
700 1 _ |a Herrmann, Ken
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700 1 _ |a Stuschke, Martin
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700 1 _ |a Gafita, Andrei
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700 1 _ |a Hüsing, Johannes
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700 1 _ |a Calais, Jeremie
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700 1 _ |a Hofman, Michael S
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700 1 _ |a Hope, Thomas A
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700 1 _ |a Miksch, Jonathan
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700 1 _ |a Soeterik, Timo F W
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700 1 _ |a Di Giorgio, Andrea
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700 1 _ |a Farolfi, Andrea
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700 1 _ |a Bjartell, Anders
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700 1 _ |a Trägårdh, Elin
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700 1 _ |a Unterrainer, Lena M
|b 30
700 1 _ |a Holzgreve, Adrien
|b 31
700 1 _ |a Sheikh, Gabriel T
|b 32
700 1 _ |a Rauscher, Isabel
|b 33
700 1 _ |a Eiber, Matthias
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700 1 _ |a Hadaschik, Boris A
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700 1 _ |a Fendler, Wolfgang P
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LibraryCollectionCLSMajorCLSMinorLanguageAuthor
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