Table 2.
PSMA PET/CT | Conventional imaging (CT+WBBS) | Conventional imaging (CT alone) | Difference | ||
---|---|---|---|---|---|
PSMA PET/CT vs CT+WBBS | PSMA PET/CT vs CT alone | ||||
True-positive cases detected (metastatic disease and test positive) | 0.034 | 0.023 | 0.025 | 0.011 | 0.009 |
False-negative cases detected (metastatic disease but test negative) | 0.026 | 0.037 | 0.035 | − 0.011 | − 0.009 |
True-negative cases detected (locoregional and test negative) | 0.903 | 0.856 | 0.771 | 0.047 | 0.132 |
False-positive cases detected (locoregional but test positive) | 0.038 | 0.085 | 0.169 | − 0.047 | − 0.132 |
Total cases | 1.000 | 1.000 | 1.000 | 0.000 | 0.000 |
LYs experienced by patients with true-positive result | 0.118 | 0.079 | 0.087 | 0.039 | 0.031 |
LYs experienced by patients with false-negative result | 0.095 | 0.138 | 0.129 | − 0.042 | − 0.033 |
LYs experienced by patients with true-negative result | 10.376 | 9.836 | 8.863 | 0.540 | 1.513 |
LYs experienced by patients with false-positive result | 0.429 | 0.966 | 1.932 | − 0.537 | − 1.503 |
Total LYs gained over the 35 years | 11.019 | 11.018 | 11.011 | 0.001 | 0.008 |
QALYs experienced by patients with true-positive result | 0.075 | 0.050 | 0.055 | 0.025 | 0.020 |
QALYs experienced by patients with false-negative result | 0.057 | 0.082 | 0.076 | − 0.025 | − 0.020 |
QALYs experienced by patients with true-negative result | 7.903 | 7.492 | 6.751 | 0.412 | 1.153 |
QALYs experienced by patients with false-positive result | 0.317 | 0.712 | 1.425 | − 0.396 | − 1.108 |
Total QALYs gained over the 35 years | 8.352 | 8.336 | 8.307 | 0.016 | 0.044 |
CT computed tomography, LYs life-years, PET positron emission tomography, PSMA prostate-specific membrane antigen, QALYs quality-adjusted life-years, WBBS whole body bone scan