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Table 3 TNM Staging on planar, SPECT, and SPECT/CT

From: Optimizing PSMA scintigraphy for resource limited settings – a retrospective comparative study

 

SPECT/CT

Planar

SPECT

Stage IIIAa

69 (72.6%)

77 (81.1%)

73 (76.8%)

Stage IIIB/C

4 (4.2%)

0

0

Stage IVA

6 (6.3%)

5 (5.3%)

5 (5.3%)

Stage IVB

16 (16.8%)

13 (13.7%)

17 (17.9%)

Incorrectly stagedb

N/Ab

11 (11.6%)

10 (10.5%)

Downstaged:

N/Ab

10 (10.5%)

7 (7.4%)

IIIB/C → ≤ IIIA

 

4

4

IVA → ≤ IIIA

 

2

1

IVB → ≤ IIIA

 

3

1

IVB → IVA

 

1

1

Upstaged:

N/A

1 (1.1%)

3 (3.2%)

≤IIIA → IVB

 

1

2

IVA → IVB

 

0

1

  1. a Prostate scintigraphy cannot distinguish between stages IIIA and lower
  2. b SPECT/CT assessment used as reference method to determine upstaged and downstaged cases on planar and SPECT