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024 7 _ |a 10.1007/s00259-015-3206-3
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024 7 _ |a pmid:26508290
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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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100 1 _ |a Freitag, Martin
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245 _ _ |a Comparison of hybrid (68)Ga-PSMA PET/MRI and (68)Ga-PSMA PET/CT in the evaluation of lymph node and bone metastases of prostate cancer.
260 _ _ |a Heidelberg [u.a.]
|c 2016
|b Springer-Verl.
336 7 _ |a article
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520 _ _ |a To evaluate the reproducibility of the combination of hybrid PET/MRI and the (68)Ga-PSMA-11 tracer in depicting lymph node (LN) and bone metastases of prostate cancer (PC) in comparison with that of PET/CT.A retrospective analysis of 26 patients who were subjected to (68)Ga-PSMA PET/CTlow-dose (1 h after injection) followed by PET/MRI (3 h after injection) was performed. MRI sequences included T1-w native, T1-w contrast-enhanced, T2-w fat-saturated and diffusion-weighted sequences (DWIb800). Discordant PET-positive and morphological findings were evaluated. Standardized uptake values (SUV) of PET-positive LNs and bone lesions were quantified and their morphological size and conspicuity determined.Comparing the PET components, the proportion of discordant PSMA-positive suspicious findings was very low (98.5 % of 64 LNs concordant, 100 % of 28 bone lesions concordant). Two PET-positive bone metastases could not be confirmed morphologically using CTlow-dose, but could be confirmed using MRI. In 12 of 20 patients, 47 PET-positive LNs (71.9 %) were smaller than 1 cm in short axis diameter. There were significant linear correlations between PET/MRI SUVs and PET/CT SUVs in the 64 LN metastases (p < 0.0001) and in the 28 osseous metastases (p < 0.0001) for SUVmean and SUVmax, respectively. The LN SUVs were significantly higher on PET/MRI than on PET/CT (p SUVmax < 0.0001; p SUVmean < 0.0001) but there was no significant difference between the bone lesion SUVs (p SUVmax = 0.495; p SUVmean = 0.381). Visibility of LNs was significantly higher on MRI using the T1-w contrast-enhanced fat-saturated sequence (p = 0.013), the T2-w fat-saturated sequence (p < 0.0001) and the DWI sequence (p < 0.0001) compared with CTlow-dose. For bone lesions, only the overall conspicuity was higher on MRI compared with CTlow-dose (p < 0.006).Nodal and osseous metastases of PC are accurately and reliably depicted by hybrid PET/MRI using (68)Ga-PSMA-11 with very low discordance compared with PET/CT including PET-positive LNs of normal size. The correlation between PET/MRI SUVs and PET/CT SUVs was linear in LN and bone metastases but was significantly lower in control (non-metastatic) tissue.
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650 _ 7 |a Glu-NH-CO-NH-Lys-(Ahx)-((68)Ga(HBED-CC))
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650 _ 7 |a Oligopeptides
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650 _ 7 |a Edetic Acid
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700 1 _ |a Radtke, Jan Philipp
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700 1 _ |a Hadaschik, Boris A
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700 1 _ |a Kopp-Schneider, Annette
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700 1 _ |a Eder, Matthias
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700 1 _ |a Kopka, Klaus
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700 1 _ |a Haberkorn, Uwe
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700 1 _ |a Röthke, Matthias
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700 1 _ |a Schlemmer, Heinz-Peter
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700 1 _ |a Afshar-Oromieh, Ali
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773 _ _ |a 10.1007/s00259-015-3206-3
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