18F-Choline PET/CT or PET/MR and the evaluation of response to systemic therapy in prostate cancer: are we ready?

Purpose During the last decade, [18F]F-choline positron emission tomography (PET) had a rising role in prostate cancer (PCa) imaging. However, despite auspicious premises, [18F]F-choline PET is not currently recommended for the evaluation of response to therapy assessment in PCa, mainly due to the l...

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Veröffentlicht in:Clinical and translational imaging : reviews in nuclear medicine and molecular imaging 2022, Vol.10 (6), p.687-695
Hauptverfasser: Urso, Luca, Lancia, Federica, Ortolan, Naima, Frapoli, Marta, Rauso, Martina, Artioli, Paolo, Cittanti, Corrado, Uccelli, Licia, Frassoldati, Antonio, Evangelista, Laura, Bartolomei, Mirco
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container_title Clinical and translational imaging : reviews in nuclear medicine and molecular imaging
container_volume 10
creator Urso, Luca
Lancia, Federica
Ortolan, Naima
Frapoli, Marta
Rauso, Martina
Artioli, Paolo
Cittanti, Corrado
Uccelli, Licia
Frassoldati, Antonio
Evangelista, Laura
Bartolomei, Mirco
description Purpose During the last decade, [18F]F-choline positron emission tomography (PET) had a rising role in prostate cancer (PCa) imaging. However, despite auspicious premises, [18F]F-choline PET is not currently recommended for the evaluation of response to therapy assessment in PCa, mainly due to the lack of large-scale prospective trials. Methods We report the cases of seven patients affected by PCa, in which [18F]F-choline PET (either with computed tomography—CT or magnetic resonance imaging—MR) contributed significantly in the systemic therapy response evaluation. Results and conclusion [18F]F-choline PET/CT or PET/MR demonstrated to be a useful imaging modality in the assessment of response to systemic therapy in metastatic PCa patients, irrespective of the stage of disease (either in hormone sensitive and in castrate resistant condition) and the kind of systemic treatment. In most cases, PSA serum values and [18F]F-choline PET showed a synchronous disease evolution after systemic therapy. ADT can alter [18F]F-choline uptake, therefore the time of scan should be correctly planned. Finally, PET/CT with [18F]F-choline is a useful tool for reinforcing the identification of metastatic disease in case of a switch from metastatic castration sensitive to castration resistant PCa.
doi_str_mv 10.1007/s40336-022-00515-7
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However, despite auspicious premises, [18F]F-choline PET is not currently recommended for the evaluation of response to therapy assessment in PCa, mainly due to the lack of large-scale prospective trials. Methods We report the cases of seven patients affected by PCa, in which [18F]F-choline PET (either with computed tomography—CT or magnetic resonance imaging—MR) contributed significantly in the systemic therapy response evaluation. Results and conclusion [18F]F-choline PET/CT or PET/MR demonstrated to be a useful imaging modality in the assessment of response to systemic therapy in metastatic PCa patients, irrespective of the stage of disease (either in hormone sensitive and in castrate resistant condition) and the kind of systemic treatment. In most cases, PSA serum values and [18F]F-choline PET showed a synchronous disease evolution after systemic therapy. ADT can alter [18F]F-choline uptake, therefore the time of scan should be correctly planned. 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subjects Choline
Computed tomography
Diagnostic Radiology
Evaluation
Fluorine isotopes
Genitourinary
Imaging
Interventional Radiology
Magnetic resonance imaging
Medical and Radiation Physics
Medical imaging
Medicine
Medicine & Public Health
Metastasis
Nuclear Medicine
Pictorial
Pictorial Essay
Positron emission
Prostate cancer
Radiology
Radiotherapy
Therapy
Tomography
title 18F-Choline PET/CT or PET/MR and the evaluation of response to systemic therapy in prostate cancer: are we ready?
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