TY - JOUR AU - Freitag, Martin AU - Radtke, Jan Philipp AU - Afshar-Oromieh, Ali AU - Roethke, Matthias C AU - Hadaschik, Boris A AU - Gleave, Martin AU - Bonekamp, David AU - Kopka, Klaus AU - Eder, Matthias AU - Heusser, Thorsten AU - Kachelriess, Marc AU - Wieczorek, Kathrin AU - Sachpekidis, Christos AU - Flechsig, Paul AU - Giesel, Frederik AU - Hohenfellner, Markus AU - Haberkorn, Uwe AU - Schlemmer, Heinz-Peter AU - Dimitrakopoulou-Strauss, A. TI - Local recurrence of prostate cancer after radical prostatectomy is at risk to be missed in (68)Ga-PSMA-11-PET of PET/CT and PET/MRI: comparison with mpMRI integrated in simultaneous PET/MRI. JO - European journal of nuclear medicine and molecular imaging VL - 44 IS - 5 SN - 1619-7089 CY - Heidelberg [u.a.] PB - Springer-Verl. M1 - DKFZ-2017-01024 SP - 776 - 787 PY - 2017 AB - The positron emission tomography (PET) tracer (68)Ga-PSMA-11, targeting the prostate-specific membrane antigen (PSMA), is rapidly excreted into the urinary tract. This leads to significant radioactivity in the bladder, which may limit the PET-detection of local recurrence (LR) of prostate cancer (PC) after radical prostatectomy (RP), developing in close proximity to the bladder. Here, we analyze if there is additional value of multi-parametric magnetic resonance imaging (mpMRI) compared to the (68)Ga-PSMA-11-PET-component of PET/CT or PET/MRI to detect LR.One hundred and nineteen patients with biochemical recurrence after prior RP underwent both hybrid (68)Ga-PSMA-11-PET/CTlow-dose (1 h p.i.) and -PET/MRI (2-3 h p.i.) including a mpMRI protocol of the prostatic bed. The comparison of both methods was restricted to the abdomen with focus on LR (McNemar). Bladder-LR distance and recurrence size were measured in axial T2w-TSE. A logistic regression was performed to determine the influence of these variables on detectability in (68)Ga-PSMA-11-PET. Standardized-uptake-value (SUVmean) quantification of LR was performed.There were 93/119 patients that had at least one pathologic finding. In addition, 18/119 Patients (15.1 KW - (68Ga)Glu-urea-Lys(Ahx)-HBED-CC (NLM Chemicals) KW - Organometallic Compounds (NLM Chemicals) LB - PUB:(DE-HGF)16 C6 - pmid:27988802 DO - DOI:10.1007/s00259-016-3594-z UR - https://inrepo02.dkfz.de/record/120596 ER -