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024 7 _ |a pmc:PMC4906063
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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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082 _ _ |a 610
100 1 _ |a Giesel, Frederik
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245 _ _ |a Intra-individual comparison of (68)Ga-PSMA-11-PET/CT and multi-parametric MR for imaging of primary prostate cancer.
260 _ _ |a Heidelberg [u.a.]
|c 2016
|b Springer-Verl.
336 7 _ |a article
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520 _ _ |a Multi-parametric magnetic resonance imaging (MP-MRI) is currently the most comprehensive work up for non-invasive primary tumor staging of prostate cancer (PCa). Prostate-specific membrane antigen (PSMA)-Positron emission tomography-computed tomography (PET/CT) is presented to be a highly promising new technique for N- and M-staging in recurrent PCa-patients. The actual investigation analyses the potential of (68)Ga-PSMA11-PET/CT to assess the extent of primary prostate cancer by intra-individual comparison to MP-MRI.In a retrospective study, ten patients with primary PCa underwent MP-MRI and PSMA-PET/CT for initial staging. All tumors were proven histopathological by biopsy. Image analysis was done in a quantitative (SUVmax) and qualitative (blinded read) fashion based on PI-RADS. The PI-RADS schema was then translated into a 3D-matrix and the euclidian distance of this coordinate system was used to quantify the extend of agreement.Both MP-MRI and PSMA-PET/CT presented a good allocation of the PCa, which was also in concordance to the tumor location validated in eight-segment resolution by biopsy. An Isocontour of 50 % SUVmax in PSMA-PET resulted in visually concordant tumor extension in comparison to MP-MRI (T2w and DWI). For 89.4 % of sections containing a tumor according to MP-MRI, the tumor was also identified in total or near-total agreement (euclidian distance ≤1) by PSMA-PET. Vice versa for 96.8 % of the sections identified as tumor bearing by PSMA-PET the tumor was also found in total or near-total agreement by MP-MRI.PSMA-PET/CT and MP-MRI correlated well with regard to tumor allocation in patients with a high pre-test probability for large tumors. Further research will be needed to evaluate its value in challenging situation such as prostatitis or after repeated negative biopsies.
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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 Sterzing, F.
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700 1 _ |a Schlemmer, H. P.
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700 1 _ |a Holland-Letz, T.
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700 1 _ |a Mier, W.
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700 1 _ |a Rius, M.
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700 1 _ |a Afshar-Oromieh, A.
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700 1 _ |a Kopka, K.
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700 1 _ |a Debus, J.
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700 1 _ |a Haberkorn, U.
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700 1 _ |a Kratochwil, C.
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773 _ _ |a 10.1007/s00259-016-3346-0
|g Vol. 43, no. 8, p. 1400 - 1406
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