Home > Publications database > Salvage radiotherapy is effective in patients with PSMA-PET-negative biochemical recurrence- results of a retrospective study. > print |
001 | 275934 | ||
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024 | 7 | _ | |a 10.1016/j.radonc.2023.109678 |2 doi |
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024 | 7 | _ | |a 0167-8140 |2 ISSN |
024 | 7 | _ | |a 1879-0887 |2 ISSN |
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037 | _ | _ | |a DKFZ-2023-00922 |
041 | _ | _ | |a English |
082 | _ | _ | |a 610 |
100 | 1 | _ | |a Scharl, Sophia |b 0 |
245 | _ | _ | |a Salvage radiotherapy is effective in patients with PSMA-PET-negative biochemical recurrence- results of a retrospective study. |
260 | _ | _ | |a Amsterdam [u.a.] |c 2023 |b Elsevier Science |
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 1687355745_6281 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
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336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
500 | _ | _ | |a 2023 Jul;184:109678 |
520 | _ | _ | |a /Purpose: The present study aimed to assess whether SRT to the prostatic fossa should be initiated in a timely manner after detecting biochemical recurrence (BR) in patients with prostate cancer, when no correlate was identified with prostate-specific membrane antigen positron emission tomography (PSMA-PET).This retrospective, multicenter analysis included 1222 patients referred for PSMA-PET after a radical prostatectomy due to BR. Exclusion criteria were: pathological lymph node metastases, prostate-specific antigen (PSA) persistence, distant or lymph node metastases, nodal irradiation, and androgen deprivation therapy (ADT). This led to a cohort of 341 patients. Biochemical progression-free survival (BPFS) was the primary study endpoint.The median follow-up was 28.0 months. The 3-year BPFS was 71.6% in PET-negative cases and 80.8% in locally PET-positive cases. This difference was significant in univariate (p=0.019), but not multivariate analyses (p=0.366, HR: 1.46, 95%CI: 0.64-3.32). The 3-year BPFS in PET-negative cases was significantly influenced by age (p=0.005), initial pT3/4 (p<0.001), pathology scores (ISUP) ≥3 (p=0.026), and doses to fossa >70 Gy (p=0.027) in univariate analyses. In multivariate analyses, only age (HR: 1.096, 95%CI: 1.023-1.175, p=0.009) and PSA-doubling time (HR: 0.339, 95%CI: 0.139-0.826, p=0.017) remained significant.To our best knowledge, this study provided the largest SRT analysis in patients without ADT that were lymph node-negative on PSMA-PET. A multivariate analysis showed no significant difference in BPFS between locally PET-positive and PET-negative cases. These results supported the current EAU recommendation to initiate SRT in a timely manner after detecting BR in PET negative patients. |
536 | _ | _ | |a 315 - Bildgebung und Radioonkologie (POF4-315) |0 G:(DE-HGF)POF4-315 |c POF4-315 |f POF IV |x 0 |
588 | _ | _ | |a Dataset connected to CrossRef, PubMed, , Journals: inrepo02.dkfz.de |
650 | _ | 7 | |a PET negative |2 Other |
650 | _ | 7 | |a PSMA PET-CT |2 Other |
650 | _ | 7 | |a prostate cancer |2 Other |
650 | _ | 7 | |a salvage radiotherapy |2 Other |
700 | 1 | _ | |a Zamboglou, Constantinos |0 P:(DE-HGF)0 |b 1 |
700 | 1 | _ | |a Strouthos, Iosif |b 2 |
700 | 1 | _ | |a Farolfi, Andrea |b 3 |
700 | 1 | _ | |a Serani, Francesca |b 4 |
700 | 1 | _ | |a Lanzafame, Helena |b 5 |
700 | 1 | _ | |a Giuseppe Morganti, Alessio |b 6 |
700 | 1 | _ | |a Trapp, Christian |b 7 |
700 | 1 | _ | |a Koerber, Stefan A |0 P:(DE-HGF)0 |b 8 |
700 | 1 | _ | |a Debus, Jürgen |0 P:(DE-He78)8714da4e45acfa36ce87c291443a9218 |b 9 |u dkfz |
700 | 1 | _ | |a Peeken, Jan C |0 P:(DE-HGF)0 |b 10 |
700 | 1 | _ | |a Vogel, Marco M E |0 P:(DE-HGF)0 |b 11 |
700 | 1 | _ | |a Vrachimis, Alexis |b 12 |
700 | 1 | _ | |a K B Spohn, Simon |0 P:(DE-HGF)0 |b 13 |
700 | 1 | _ | |a Ruf, Juri |0 P:(DE-HGF)0 |b 14 |
700 | 1 | _ | |a Grosu, Anca-Ligia |0 P:(DE-HGF)0 |b 15 |
700 | 1 | _ | |a Ceci, Francesco |b 16 |
700 | 1 | _ | |a Fendler, Wolfgang P |b 17 |
700 | 1 | _ | |a Bartenstein, Peter |b 18 |
700 | 1 | _ | |a Kroeze, Stephanie G C |b 19 |
700 | 1 | _ | |a Guckenberger, Matthias |b 20 |
700 | 1 | _ | |a Krafcsik, Manuel |b 21 |
700 | 1 | _ | |a Klopscheck, Christina |b 22 |
700 | 1 | _ | |a Fanti, Stefano |b 23 |
700 | 1 | _ | |a Hruby, George |b 24 |
700 | 1 | _ | |a Emmett, Louise |b 25 |
700 | 1 | _ | |a Belka, Claus |b 26 |
700 | 1 | _ | |a Stief, Christian |b 27 |
700 | 1 | _ | |a Schmidt-Hegemann, Nina-Sophie |b 28 |
700 | 1 | _ | |a Henkenberens, Christoph |b 29 |
700 | 1 | _ | |a Mayer, Benjamin |b 30 |
700 | 1 | _ | |a Miksch, Jonathan |b 31 |
700 | 1 | _ | |a Shelan, Mohamed |b 32 |
700 | 1 | _ | |a Aebersold, Daniel M |b 33 |
700 | 1 | _ | |a Thamm, Reinhard |b 34 |
700 | 1 | _ | |a Wiegel, Thomas |b 35 |
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