001     119414
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024 7 _ |a 10.1007/s00259-013-2525-5
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024 7 _ |a pmc:PMC3843747
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024 7 _ |a 0340-6997
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024 7 _ |a 1432-105X
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024 7 _ |a 1619-7070
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024 7 _ |a 1619-7089
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037 _ _ |a DKFZ-2017-00156
041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Afshar-Oromieh, Ali
|0 P:(DE-He78)440aad6e9a60396ff0bcd7c2862db18c
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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
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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
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588 _ _ |a Dataset connected to CrossRef, PubMed,
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
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700 1 _ |a Zechmann, Christian M
|0 P:(DE-HGF)0
|b 1
700 1 _ |a Malcher, Anna
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700 1 _ |a Eder, Matthias
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700 1 _ |a Eisenhut, Michael
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700 1 _ |a Linhart, Heinz G
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700 1 _ |a Holland-Letz, Tim
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700 1 _ |a Hadaschik, Boris A
|b 7
700 1 _ |a Giesel, Frederik
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700 1 _ |a Debus, Jürgen
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700 1 _ |a Haberkorn, Uwe
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773 _ _ |a 10.1007/s00259-013-2525-5
|g Vol. 41, no. 1, p. 11 - 20
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