PET/CT and biochemical recurrence of prostate adenocarcinoma: Added value of 68 Ga-PSMA-11 when 18 F-fluorocholine is non-contributive

Since April 201, we have introduced PET/CT using a ligand of prostate-specific membrane antigen labeled with gallium-68 (PSMA-11). We aimed to evaluate its positivity rate and impact in patients presenting biochemical recurrence of prostate cancer whose F-fluorocholine (FCH) PET/CT was non-contribut...

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Veröffentlicht in:Progrès en urologie (Paris) 2017-06, Vol.27 (8-9), p.474
Hauptverfasser: Gauthé, M, Belissant, O, Girard, A, Zhang Yin, J, Ohnona, J, Cottereau, A-S, Nataf, V, Balogova, S, Pontvert, D, Lebret, T, Guillonneau, B, Cussenot, O, Talbot, J-N
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container_issue 8-9
container_start_page 474
container_title Progrès en urologie (Paris)
container_volume 27
creator Gauthé, M
Belissant, O
Girard, A
Zhang Yin, J
Ohnona, J
Cottereau, A-S
Nataf, V
Balogova, S
Pontvert, D
Lebret, T
Guillonneau, B
Cussenot, O
Talbot, J-N
description Since April 201, we have introduced PET/CT using a ligand of prostate-specific membrane antigen labeled with gallium-68 (PSMA-11). We aimed to evaluate its positivity rate and impact in patients presenting biochemical recurrence of prostate cancer whose F-fluorocholine (FCH) PET/CT was non-contributive. Patients were prospectively included between April and December 2016. PET/CT was performed 60min after injection of 2MBq/kg of body mass of Ga-PSMA-11. Three anatomical areas were considered: prostatic lodge, pelvic lymph nodes and distant locations. The impact of PSMA-11 PET/CT was assessed by comparing changes in therapeutic strategy decided during multidisciplinary meeting. Thirty-three patients were included. The mean PSA serum level measured on the month of the PSMA-11 PET/CT was 2,8ng/mL. Twenty-five (76%) PSMA-11 PET/CT were positive, 7 (21%) negative and 1 (3%) equivocal. Of 11 patients whose FCH PET/CT showed equivocal foci, PSMA-11 PET/CT confirmed those foci in 5 cases. Follow-up was available for 18 patients (55%). PSMA-11 PET/CT results led to a change in management in 12 patients (67%). Ga-PSMA-11 PET/CT is useful in detecting recurrence of prostate cancer, by identifying residual disease which was not detected on other imaging modalities and by changing management of 2 patients out of 3. 5.
doi_str_mv 10.1016/j.purol.2017.04.004
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subjects Adenocarcinoma - blood
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - surgery
Aged
Biomarkers - blood
Choline - analogs & derivatives
Follow-Up Studies
Gallium Radioisotopes
Humans
Male
Middle Aged
Neoplasm Recurrence, Local - blood supply
Neoplasm Recurrence, Local - diagnostic imaging
Neoplasm Recurrence, Local - surgery
Positron Emission Tomography Computed Tomography - methods
Prospective Studies
Prostate-Specific Antigen - blood
Prostatectomy
Prostatic Neoplasms - blood
Prostatic Neoplasms - diagnostic imaging
Prostatic Neoplasms - surgery
Radiopharmaceuticals
Treatment Outcome
title PET/CT and biochemical recurrence of prostate adenocarcinoma: Added value of 68 Ga-PSMA-11 when 18 F-fluorocholine is non-contributive
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