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@ARTICLE{Kesch:141416,
author = {C. Kesch and J.-P. Radtke and A. Wintsche and M.
Wiesenfarth$^*$ and M. Luttje and C. Gasch and S.
Dieffenbacher and C. Pecqueux and D. Teber and G. Hatiboglu
and J. Nyarangi-Dix and T. Simpfendörfer and G. Schönberg
and A. Dimitrakopoulou-Strauss$^*$ and M. Freitag$^*$ and A.
Duensing and C. Grüllich and D. Jäger and M. Götz$^*$ and
N. Grabe and M.-R. Schweiger and S. Pahernik and S. Perner
and E. Herpel and W. Roth and K. Wieczorek and K.
Maier-Hein$^*$ and J. Debus and U. Haberkorn$^*$ and F.
Giesel$^*$ and J. Galle and B. Hadaschik and H.-P.
Schlemmer$^*$ and M. Hohenfellner and D. Bonekamp$^*$ and H.
Sültmann$^*$ and S. Duensing},
title = {{C}orrelation between genomic index lesions and mp{MRI} and
68{G}a-{PSMA}-{PET}/{CT} imaging features in primary
prostate cancer.},
journal = {Scientific reports},
volume = {8},
number = {1},
issn = {2045-2322},
address = {[London]},
publisher = {Macmillan Publishers Limited, part of Springer Nature},
reportid = {DKFZ-2018-01922},
pages = {16708},
year = {2018},
abstract = {Magnetic resonance imaging (MRI) and prostate specific
membrane antigen (PSMA)- positron emission tomography
(PET)/computed tomography (CT)-imaging of prostate cancer
(PCa) are emerging techniques to assess the presence of
significant disease and tumor progression. It is not known,
however, whether and to what extent lesions detected by
these imaging techniques correlate with genomic features of
PCa. The aim of this study was therefore to define a genomic
index lesion based on chromosomal copy number alterations
(CNAs) as marker for tumor aggressiveness in prostate
biopsies in direct correlation to multiparametric (mp) MRI
and 68Ga-PSMA-PET/CT imaging features. CNA profiles of 46
biopsies from five consecutive patients with clinically
high-risk PCa were obtained from radiologically suspicious
and unsuspicious areas. All patients underwent mpMRI,
MRI/TRUS-fusion biopsy, 68Ga-PSMA-PET/CT and a radical
prostatectomy. CNAs were directly correlated to imaging
features and radiogenomic analyses were performed. Highly
significant CNAs (≥10 Mbp) were found in 22 of 46
biopsies. Chromosome 8p, 13q and 5q losses were the most
common findings. There was an strong correspondence between
the radiologic and the genomic index lesions. The
radiogenomic analyses suggest the feasibility of developing
radiologic signatures that can distinguish between
genomically more or less aggressive lesions. In conclusion,
imaging features of mpMRI and 68Ga-PSMA-PET/CT can guide to
the genomically most aggressive lesion of a PCa.
Radiogenomics may help to better differentiate between
indolent and aggressive PCa in the future.},
cin = {C060 / E060 / E010 / E132 / E230 / B063 / L101},
ddc = {600},
cid = {I:(DE-He78)C060-20160331 / I:(DE-He78)E060-20160331 /
I:(DE-He78)E010-20160331 / I:(DE-He78)E132-20160331 /
I:(DE-He78)E230-20160331 / I:(DE-He78)B063-20160331 /
I:(DE-He78)L101-20160331},
pnm = {312 - Functional and structural genomics (POF3-312)},
pid = {G:(DE-HGF)POF3-312},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30420756},
doi = {10.1038/s41598-018-35058-3},
url = {https://inrepo02.dkfz.de/record/141416},
}