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@ARTICLE{Woo:305651,
author = {S. Woo and L. Russo and S. J. Withey and A. Dehghanpour and
R. García-Figueiras and I. G. Schoots and G. Petralia and
A. Lakhani and T. Penzkofer and M. Pecoraro and C.-J. Wu and
J. Walz and M. Eiber and W. P. Fendler$^*$ and S. Gillessen
and R. Perez-Lopez and F. E. Lecouvet and T. D. Barwick and
A. R. Padhani},
collaboration = {E. P. M. W. Group},
title = {{ESUR}: {O}pportunities for {PSMA}-{PET}/{CT} and
whole-body {MRI} in advanced prostate cancer.},
journal = {European radiology},
volume = {nn},
issn = {0938-7994},
address = {Heidelberg},
publisher = {Springer},
reportid = {DKFZ-2025-02283},
pages = {nn},
year = {2025},
note = {epub},
abstract = {Prostate-specific membrane antigen (PSMA) positron emission
tomography (PET) computed tomography (CT), and whole-body
magnetic resonance imaging (WB-MRI) are superior to
conventional CT and bone scan imaging for detecting
metastatic disease in patients with prostate cancer. While
these higher-accuracy imaging methods have already shown the
potential to enhance patient outcomes, a thorough
understanding of the relationship between the treatment
landscape and disease volume on conventional imaging, as
well as the prognostic significance of the prostate-specific
antigen response, is crucial for determining how they can be
more effectively incorporated. Prospective clinical trials
are required to evaluate whether PSMA-PET/CT and WB-MRI can
genuinely improve clinically relevant endpoints for patients
through precise treatment adaptations. In this paper, we
explore the specific opportunities of PSMA-PET/CT and WB-MRI
as biomarkers in multiple clinical domains, including
metastasis detection and staging, disease characterisation
and aggressiveness assessments, biopsy target selection,
impacts on treatment planning, evaluation of therapeutic
response, and theranostics. We highlight the central
research questions that require attention. KEY POINTS:
Question Can PSMA-PET/CT and WB-MRI, with their superior
ability to detect metastases in prostate cancer, truly
improve patient outcomes? Findings High-accuracy imaging
improves metastasis detection, staging, assessment of
disease aggressiveness, and enables more personalised
treatment planning for advanced prostate cancer patients.
Clinical relevance PSMA-PET/CT and WB-MRI have the potential
to alter the management of men with advanced prostate
cancer, but prospective clinical trials are needed to
confirm benefits for survival or quality of life before
recommending routine use.},
keywords = {Advanced prostate cancer (Other) / Metastasis (Other) /
Prostate specific membrane antigen positron emission
tomography (Other) / Whole-body magnetic resonance imaging
(Other)},
cin = {ED01},
ddc = {610},
cid = {I:(DE-He78)ED01-20160331},
pnm = {899 - ohne Topic (POF4-899)},
pid = {G:(DE-HGF)POF4-899},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41193908},
doi = {10.1007/s00330-025-12089-9},
url = {https://inrepo02.dkfz.de/record/305651},
}