PSMA-Targeting Positron Emission Agents for Imaging Solid Tumors Other Than Non-Prostate Carcinoma: A Systematic Review
Despite its name, prostate-specific membrane antigen (PSMA) has been shown using immunohistochemistry (IHC) to also be over-expressed in the tumor neovasculature of a wide variety of solid tumors other than prostate carcinoma. Accordingly, positron-emitting radiolabeled small molecules targeting PSM...
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description | Despite its name, prostate-specific membrane antigen (PSMA) has been shown using immunohistochemistry (IHC) to also be over-expressed in the tumor neovasculature of a wide variety of solid tumors other than prostate carcinoma. Accordingly, positron-emitting radiolabeled small molecules targeting PSMA, initially developed for positron emission tomography in prostate carcinomas, are currently being explored for their staging and restaging potential as an alternative imaging modality in other solid tumor types where 18-F-fluorodeoxyglucose (FDG)-PET imaging has low diagnostic accuracy. In this paper, the currently available literature in this field is reviewed. Preliminary, mainly retrospective studies are encouraging, with evidence of improved diagnostic sensitivity and specificity in clear cell renal carcinoma, glioma, and hepatocellular carcinoma, leading to a change in patient management in several patients. However, the results published thus far warrant confirmation by larger prospective studies additionally assessing the longitudinal impact on patient outcomes. |
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Accordingly, positron-emitting radiolabeled small molecules targeting PSMA, initially developed for positron emission tomography in prostate carcinomas, are currently being explored for their staging and restaging potential as an alternative imaging modality in other solid tumor types where 18-F-fluorodeoxyglucose (FDG)-PET imaging has low diagnostic accuracy. In this paper, the currently available literature in this field is reviewed. Preliminary, mainly retrospective studies are encouraging, with evidence of improved diagnostic sensitivity and specificity in clear cell renal carcinoma, glioma, and hepatocellular carcinoma, leading to a change in patient management in several patients. 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Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). 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Accordingly, positron-emitting radiolabeled small molecules targeting PSMA, initially developed for positron emission tomography in prostate carcinomas, are currently being explored for their staging and restaging potential as an alternative imaging modality in other solid tumor types where 18-F-fluorodeoxyglucose (FDG)-PET imaging has low diagnostic accuracy. In this paper, the currently available literature in this field is reviewed. Preliminary, mainly retrospective studies are encouraging, with evidence of improved diagnostic sensitivity and specificity in clear cell renal carcinoma, glioma, and hepatocellular carcinoma, leading to a change in patient management in several patients. However, the results published thus far warrant confirmation by larger prospective studies additionally assessing the longitudinal impact on patient outcomes.</description><subject>Animals</subject><subject>Antigens, Surface - metabolism</subject><subject>Brain tumors</subject><subject>Clear cell-type renal cell carcinoma</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic systems</subject><subject>Fluorodeoxyglucose F18</subject><subject>Glioma</subject><subject>Glioma cells</subject><subject>Glutamate Carboxypeptidase II - metabolism</subject><subject>Hepatocellular carcinoma</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Kidney cancer</subject><subject>Liver cancer</subject><subject>Lymphatic system</subject><subject>Medical imaging</subject><subject>Metastasis</subject><subject>Neoplasms - diagnosis</subject><subject>Neoplasms - metabolism</subject><subject>Patients</subject><subject>Positron emission</subject><subject>Positron emission tomography</subject><subject>Positron-Emission Tomography - methods</subject><subject>Prostate</subject><subject>Prostate cancer</subject><subject>Prostate carcinoma</subject><subject>Radiopharmaceuticals</subject><subject>Review</subject><subject>Solid tumors</subject><subject>Tomography</subject><subject>Tumors</subject><issn>1422-0067</issn><issn>1661-6596</issn><issn>1422-0067</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkc1v1DAQxS0EoqVw44wsceFAwN-JOSCtVi1UKnTF5m45jpP1KrFb22nV_76uWqqF04w0Pz3New-A9xh9oVSir24_J4KwZE0jXoBjzAipEBL1y4P9CLxJaY8QoYTL1-CIYt5gQZtjcLvZ_lpVrY6jzc6PcBOSyzF4eDq7lFxZVqP1OcEhRHg-6_EB2obJ9bBd5hATvMw7G2G70x7-Dr7axJCyzhaudTTOh1l_gyu4vUvZzjo7A__YG2dv34JXg56Sffc0T0B7dtquf1YXlz_O16uLyjBMcsVqI7tBEyRpjzHtDbeMScG56CwRouYD6ztc85pKqXFXrrLRUiJs9CAwpyfg-6Ps1dLNtjfFStSTuopu1vFOBe3UvxfvdmoMN0o0CNeMFIFPTwIxXC82ZVVyMXaatLdhSYpQhBltKKYF_fgfug9L9MWdIpw1AmGB6kJ9fqRMCSpFOzw_g5F6KFQdFlrwD4cGnuG_DdJ79xWcdQ</recordid><startdate>20191002</startdate><enddate>20191002</enddate><creator>Van de Wiele, Christophe</creator><creator>Sathekge, Mike</creator><creator>de Spiegeleer, Bart</creator><creator>de Jonghe, Pieter Jan</creator><creator>Beels, Laurence</creator><creator>Maes, Alex</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20191002</creationdate><title>PSMA-Targeting Positron Emission Agents for Imaging Solid Tumors Other Than Non-Prostate Carcinoma: A Systematic Review</title><author>Van de Wiele, Christophe ; 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subjects | Animals Antigens, Surface - metabolism Brain tumors Clear cell-type renal cell carcinoma Diagnosis, Differential Diagnostic systems Fluorodeoxyglucose F18 Glioma Glioma cells Glutamate Carboxypeptidase II - metabolism Hepatocellular carcinoma Humans Immunohistochemistry Kidney cancer Liver cancer Lymphatic system Medical imaging Metastasis Neoplasms - diagnosis Neoplasms - metabolism Patients Positron emission Positron emission tomography Positron-Emission Tomography - methods Prostate Prostate cancer Prostate carcinoma Radiopharmaceuticals Review Solid tumors Tomography Tumors |
title | PSMA-Targeting Positron Emission Agents for Imaging Solid Tumors Other Than Non-Prostate Carcinoma: A Systematic Review |
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