医学
前列腺癌
生化复发
前列腺切除术
前瞻性队列研究
骨盆
核医学
前列腺
多参数磁共振成像
癌症
放射科
泌尿科
病理
内科学
作者
Małgorzata Mojsak,Piotr Szumowski,Aleksandra Amelian,Marcin Hładuński,B. Kubas,Janusz Myśliwiec,Jan Kochanowicz,Marcin Moniuszko
出处
期刊:Cancers
[MDPI AG]
日期:2023-08-20
卷期号:15 (16): 4185-4185
被引量:1
标识
DOI:10.3390/cancers15164185
摘要
The use of 18F-PSMA-1007 and the role of PET/MR in the diagnosis of prostate cancer are not conclusively confirmed. There are reports indicating the potential pros and cons of using 18F-PSMA-1007 as well as the PET/MR technique in prostate cancer recurrence, but they are not yet included in the EAU guidelines. The aim of the study was to assess the effectiveness of 18F-PSMA-1007 PET/MR in detecting BCR lesions at very low PSA levels <0.5 ng/mL. Methods: Sixty patients with BCR after radical prostatectomy (RP) with PSA ranged 0.1–0.5 ng/mL were enrolled in a prospective study. All patients underwent simultaneous whole-body and pelvic 18F-PSMA-1007 PET/MR. The obtained results were verified by 12-month follow-up. Results: Fifty-three lesions were detected in 45 patients with 75% detection rate. The mean PSA value was 0.31 ng/mL. Of all PSMA-positive foci, 91% were localized in the pelvis, and only 9% of lesions were located in the extrapelvic region. Local recurrences were detected in 29%, PSMA-positive lymph nodes were detected in 64% of patients and bone metastases lesions were detected in 7% of patients. Conclusions: 18F-PSMA-1007 PET/MR seems to be an excellent diagnostic tool in patients with early BCR with very low PSA levels, especially with dt PSA < 6 months. The synergistic effect of combining 18F-PSMA-1007 and whole-body PET/MR with precise multiparametric assessment of pelvic lesions is of particular benefit in early BCR.
科研通智能强力驱动
Strongly Powered by AbleSci AI