Evaluation of 99mTc-labeled PSMA-SPECT/CT imaging in prostate cancer patients who have undergone biochemical relapse  

作　　者：Heng-Chuan Su Yao Zhu Guo-Wen Ling Si-Long Hu Xiao-Ping Xu Bo Dai Ding-Wei Ye 

机构地区：[1]Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China [2]Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China [3]Department of Nuclear Medicine, Fudan University Shanghai Cancer Center, Shanghai, China.

出　　处：《Asian Journal of Andrology》2017年第3期267-271,共5页亚洲男性学杂志（英文版）

摘　　要：Using conventional imaging modalities, it is difficult to detect recurrent lesions in prostate cancer patients who have undergone biochemical relapse, especially in patients with low prostate-specific antigen （PSA） levels. We retrospectively reviewed the files of fifty patients with histopathologically confirmed prostate cancer who underwent 99mTc-labeled prostate-specific membrane antigen （PSMA） single-photon emission computed tomography （SPECT）/computed tomography （CT）, magnetic resonance imaging （MRI）, and bone scan within a 30-day period. PSMA-SPECT/CT indicated metastatic lesions in 39 patients and had a higher detection rate （78.0%） than bone scan （34.0%） or MRI （40.0%）. The diagnostic efficiency of PSMA-SPECT/CT imaging for bone and lymph node metastases （50.0% and 42.0%） was better than bone scan （34.0% and 0.0%） or MRI （24.0% and 20.0%）. PSMA-SPECT/CT provided a higher detection rate at serum PSA levels of 〈1 ng ml-1, 1-4 ng ml-1, 4-10 ng ml-1, and 〉10 ng ml-1. No correlation was found between Gleason score, PSA level, and the tracer tumor/background ratio of metastatic lesions. With the aid of PSMA-SPECT/CT imaging, the therapeutic strategy was changed for 31 patients, and this may have enhanced their clinical outcome. In conclusion, PSMA-SPECT/CT imaging could detect more metastatic lesions and achieve a higher detection rate than conventional imaging modalities at different serum PSA levels in prostate cancer patients who had undergone biochemical relapse.Using conventional imaging modalities, it is difficult to detect recurrent lesions in prostate cancer patients who have undergone biochemical relapse, especially in patients with low prostate-specific antigen （PSA） levels. We retrospectively reviewed the files of fifty patients with histopathologically confirmed prostate cancer who underwent 99mTc-labeled prostate-specific membrane antigen （PSMA） single-photon emission computed tomography （SPECT）/computed tomography （CT）, magnetic resonance imaging （MRI）, and bone scan within a 30-day period. PSMA-SPECT/CT indicated metastatic lesions in 39 patients and had a higher detection rate （78.0%） than bone scan （34.0%） or MRI （40.0%）. The diagnostic efficiency of PSMA-SPECT/CT imaging for bone and lymph node metastases （50.0% and 42.0%） was better than bone scan （34.0% and 0.0%） or MRI （24.0% and 20.0%）. PSMA-SPECT/CT provided a higher detection rate at serum PSA levels of 〈1 ng ml-1, 1-4 ng ml-1, 4-10 ng ml-1, and 〉10 ng ml-1. No correlation was found between Gleason score, PSA level, and the tracer tumor/background ratio of metastatic lesions. With the aid of PSMA-SPECT/CT imaging, the therapeutic strategy was changed for 31 patients, and this may have enhanced their clinical outcome. In conclusion, PSMA-SPECT/CT imaging could detect more metastatic lesions and achieve a higher detection rate than conventional imaging modalities at different serum PSA levels in prostate cancer patients who had undergone biochemical relapse.

关 键 词：99mTc CT prostate cancer PSMA SPECT 

分 类 号：R[医药卫生]