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024 | 7 | _ | |a 10.2967/jnumed.117.200220 |2 doi |
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024 | 7 | _ | |a 0161-5505 |2 ISSN |
024 | 7 | _ | |a 1535-5667 |2 ISSN |
024 | 7 | _ | |a 2159-662X |2 ISSN |
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037 | _ | _ | |a DKFZ-2018-01490 |
041 | _ | _ | |a eng |
082 | _ | _ | |a 610 |
100 | 1 | _ | |a Rathke, Hendrik |b 0 |
245 | _ | _ | |a Intraindividual Comparison of 99mTc-Methylene Diphosphonate and Prostate-Specific Membrane Antigen Ligand 99mTc-MIP-1427 in Patients with Osseous Metastasized Prostate Cancer. |
260 | _ | _ | |a New York, NY |c 2018 |b Soc. |
336 | 7 | _ | |a article |2 DRIVER |
336 | 7 | _ | |a Output Types/Journal article |2 DataCite |
336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1538461028_12288 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
336 | 7 | _ | |a JOURNAL_ARTICLE |2 ORCID |
336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
520 | _ | _ | |a The objective of this study was to evaluate the rate of detection of bone metastases obtained with the prostate-specific membrane antigen (PSMA)-targeting tracer 99mTc-MIP-1427, as opposed to conventional bone scanning with 99mTc-methylene diphosphonate (99mTc-MDP), in a collective of patients with known advanced-stage osseous metastasized prostate cancer. Methods: Twenty-one patients with known metastatic disease were staged with both conventional bone scanning and PSMA ligand scintigraphy within a time frame of less than 10 d. Imaging included planar whole-body scanning and SPECT or SPECT/CT with 2 bed positions 3 h after injection of either 500-750 MBq of 99mTc-MIP-1427 or 600-750 MBq of 99mTc-MDP. Lesions were scored as typical tumor, equivocal (benign/malignant), or normal within a standard reporting schema divided into defined anatomic regions. Masked and consensus readings were performed with sequential unmasking: planar scans first, then SPECT/CT, the best evaluable comparator (including MRI), PET/CT, and follow-up examinations. Results: Eleven patients had PSMA-positive visceral metastases that were predictably not diagnosed with conventional bone scanning. However, SPECT/CT was required to distinguish between soft-tissue uptake and overlapping bone. Four patients had extensive 99mTc-MDP-negative bone marrow lesions. Seven patients had superscan characteristics on bone scans; in contrast, the extent of red marrow involvement was more evident on PSMA scans. Only 3 patients had equivalent results on bone scans and PSMA scans. In 16 patients, more suspect lesions were detected with PSMA scanning than with bone scanning. In 2 patients (10%), a PSMA-negative tumor phenotype was present. Conclusion: PSMA scanning provided a clear advantage over bone scanning by reducing the number of equivocal findings in most patients. SPECT/CT was pivotal for differentiating bone metastases from extraosseous tumor lesions. |
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700 | 1 | _ | |a Afshar-Oromieh, Ali |b 1 |
700 | 1 | _ | |a Giesel, Frederik Lars |b 2 |
700 | 1 | _ | |a Kremer, Christophe |b 3 |
700 | 1 | _ | |a Flechsig, Paul |b 4 |
700 | 1 | _ | |a Haufe, Sabine |b 5 |
700 | 1 | _ | |a Mier, Walter |b 6 |
700 | 1 | _ | |a Holland-Letz, Tim |0 P:(DE-He78)457c042884c901eb0a02c18bb1d30103 |b 7 |u dkfz |
700 | 1 | _ | |a De Bucourt, Maximilian |b 8 |
700 | 1 | _ | |a Armor, Thomas |b 9 |
700 | 1 | _ | |a Babich, John W |b 10 |
700 | 1 | _ | |a Haberkorn, Uwe |0 P:(DE-He78)13a0afba029f5f64dc18b25ef7499558 |b 11 |u dkfz |
700 | 1 | _ | |a Kratochwil, Clemens |b 12 |
773 | _ | _ | |a 10.2967/jnumed.117.200220 |g Vol. 59, no. 9, p. 1373 - 1379 |0 PERI:(DE-600)2040222-3 |n 9 |p 1373 - 1379 |t Journal of nuclear medicine |v 59 |y 2018 |x 2159-662X |
909 | C | O | |o oai:inrepo02.dkfz.de:137610 |p VDB |
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