Home > Publications database > Comparison of PET imaging with a (68)Ga-labelled PSMA ligand and (18)F-choline-based PET/CT for the diagnosis of recurrent prostate cancer.30 > print |
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100 | 1 | _ | |a Afshar-Oromieh, Ali |0 P:(DE-He78)440aad6e9a60396ff0bcd7c2862db18c |b 0 |e First author |u dkfz |
245 | _ | _ | |a Comparison of PET imaging with a (68)Ga-labelled PSMA ligand and (18)F-choline-based PET/CT for the diagnosis of recurrent prostate cancer.30 |
260 | _ | _ | |a Heidelberg [u.a.] |c 2014 |b Springer-Verl. |
336 | 7 | _ | |a article |2 DRIVER |
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520 | _ | _ | |a Positron emission tomography (PET) with choline tracers has found widespread use for the diagnosis of prostate cancer (PC). However, choline metabolism is not increased in a considerable number of cases, whereas prostate-specific membrane antigen (PSMA) is overexpressed in most PCs. Therefore, a (68)Ga-labelled PSMA ligand could be superior to choline tracers by obtaining a high contrast. The aim of this study was to compare such a novel tracer with standard choline-based PET/CT.Thirty-seven patients with biochemical relapse of PC [mean prostate-specific antigen (PSA) 11.1 ± 24.1 ng/ml, range 0.01-116] were retrospectively analysed after (18)F-fluoromethylcholine and (68)Ga-PSMA PET/CT within a time window of 30 days. Radiotracer uptake that was visually considered as PC was semi-quantitatively analysed by measuring the maximum standardized uptake values (SUVmax) of the scans acquired 1 h after injection of (68)Ga-PSMA complex solution (median 132 MBq, range 59-263 MBq) and (18)F-fluoromethylcholine (median 237 MBq, range 114-374 MBq), respectively. In addition, tumour to background ratios were calculated.A total of 78 lesions characteristic for PC were detected in 32 patients using (68)Ga-PSMA PET/CT and 56 lesions were detected in 26 patients using choline PET/CT. The higher detection rate in (68)Ga-PSMA PET/CT was statistically significant (p=0.04). In five patients no lesion was found with both methods. All lesions detected by (18)F-fluoromethylcholine PET/CT were also seen by (68)Ga-PSMA PET/CT. In (68)Ga-PSMA PET/CT SUVmax was clearly (>10 %) higher in 62 of 78 lesions (79.1 %) and the tumour to background ratio was clearly (>10 %) higher in 74 of 78 lesions (94.9 %) when compared to (18)F-fluoromethylcholine PET/CT.(68)Ga-PSMA PET/CT can detect lesions characteristic for PC with improved contrast when compared to standard (18)F-fluoromethylcholine PET/CT, especially at low PSA levels. |
536 | _ | _ | |a 315 - Imaging and radiooncology (POF3-315) |0 G:(DE-HGF)POF3-315 |c POF3-315 |f POF III |x 0 |
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650 | _ | 7 | |a Antigens, Surface |2 NLM Chemicals |
650 | _ | 7 | |a Gallium Radioisotopes |2 NLM Chemicals |
650 | _ | 7 | |a Ligands |2 NLM Chemicals |
650 | _ | 7 | |a fluoromethylcholine |2 NLM Chemicals |
650 | _ | 7 | |a Glutamate Carboxypeptidase II |0 EC 3.4.17.21 |2 NLM Chemicals |
650 | _ | 7 | |a glutamate carboxypeptidase II, human |0 EC 3.4.17.21 |2 NLM Chemicals |
650 | _ | 7 | |a Choline |0 N91BDP6H0X |2 NLM Chemicals |
700 | 1 | _ | |a Zechmann, Christian M |0 P:(DE-HGF)0 |b 1 |
700 | 1 | _ | |a Malcher, Anna |0 P:(DE-HGF)0 |b 2 |
700 | 1 | _ | |a Eder, Matthias |0 P:(DE-He78)331382460d902d1341dc73db8b990f97 |b 3 |u dkfz |
700 | 1 | _ | |a Eisenhut, Michael |0 P:(DE-HGF)0 |b 4 |
700 | 1 | _ | |a Linhart, Heinz G |0 P:(DE-HGF)0 |b 5 |
700 | 1 | _ | |a Holland-Letz, Tim |0 P:(DE-He78)457c042884c901eb0a02c18bb1d30103 |b 6 |u dkfz |
700 | 1 | _ | |a Hadaschik, Boris A |b 7 |
700 | 1 | _ | |a Giesel, Frederik |0 P:(DE-He78)5ca7e97b2769bb97f8c73431c6566b94 |b 8 |u dkfz |
700 | 1 | _ | |a Debus, Jürgen |0 P:(DE-He78)8714da4e45acfa36ce87c291443a9218 |b 9 |u dkfz |
700 | 1 | _ | |a Haberkorn, Uwe |0 P:(DE-He78)13a0afba029f5f64dc18b25ef7499558 |b 10 |e Last author |u dkfz |
773 | _ | _ | |a 10.1007/s00259-013-2525-5 |g Vol. 41, no. 1, p. 11 - 20 |0 PERI:(DE-600)2098375-X |n 1 |p 11 - 20 |t European journal of nuclear medicine and molecular imaging |v 41 |y 2014 |x 1619-7089 |
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