Will 68Ga PSMA-radioligands be the only choice for nuclear medicine in prostate cancer in the near future? A clinical update

V Cuccurullo, G D di Stasio, L Evangelista, A Ciarmiello, L Mansi

Research output: Contribution to journalReview articlepeer-review

Abstract

Prostate Cancer (PCa) represents the most common malignant tumor in men but according to the European Association of Urology (EAU) guidelines, a mass screening for PCa diagnosis should not be performed due to over-diagnosis and over-treatment related problems. An early clinical diagnosis is possible, mainly based on digital rectal examination and Prostatic Specific Agent (PSA) testing. However, the only mandatory test to define the presence of PCa is ultrasound guided-biopsy, obtained on multiple samples, which has also a high prognostic value. In this context, diagnostic imaging plays an important role as confirmed by EAU that in a 2016 update of their guidelines on PCa stated the importance of Positron Emission Tomography (PET) with 11C- or 18F-choline combined with computed tomography (CT) to identify local relapse, lymph node involvement and metastatic spread at all stages. Consequently, in 2017, the European Association of Nuclear Medicine (EANM) together with the Society of Nuclear Medicine and Molecular Imaging (SNMMI) published new guidelines for 68Ga-Prostate Specific Membrane Antigen (PSMA) PET/CT to help physicians in the recommendation, execution and interpretation of PET/CT scans in patients with PCa. Thus, the aim of this 'evidence paper' is to define the current diagnostic algorithm in PCa in order to increase the general level of confidence in approaching such a crucial topic.

Original languageEnglish
Pages (from-to)103-109
Number of pages7
JournalRevista Espanola de Medicina Nuclear e Imagen Molecular
Volume37
Issue number2
DOIs
Publication statusPublished - Feb 10 2018

Keywords

  • Adenocarcinoma/blood
  • Algorithms
  • Bone Neoplasms/diagnostic imaging
  • Carbon Radioisotopes/pharmacokinetics
  • Choline/analogs & derivatives
  • Edetic Acid/analogs & derivatives
  • Fluorine Radioisotopes/pharmacokinetics
  • Fluorodeoxyglucose F18/pharmacokinetics
  • Gallium Radioisotopes/pharmacokinetics
  • Humans
  • Male
  • Mass Screening
  • Neoplasm Staging/methods
  • Nuclear Medicine/trends
  • Oligopeptides/pharmacokinetics
  • Positron Emission Tomography Computed Tomography
  • Prostate-Specific Antigen/blood
  • Prostatic Neoplasms/blood
  • Radionuclide Imaging/methods
  • Radiopharmaceuticals/pharmacokinetics
  • Sensitivity and Specificity

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