Abstract
Background: This work aims to present a nuclear medicine imaging service’s data regarding applying positron emission–computing tomography (PET/CT) scans with the radiopharmaceutical 68Ga-PSMA-HBED-CC (68Ga-PSMA-11) to diagnose prostate cancer clinical relapse.
Methods: Eighty patients with a mean age of 68.26 years and an average prostatic-specific antigen blood level of 7.49 ng/ml (lower concentration = 0.17 ng/ml) received 68Ga-PSMA-11 intravenously, and full-body images of PET-CT scan were obtained. Of the total of patients admitted to the imaging service, 87.5% were examined for disease’s biochemical recurrence and clinical relapse, and 70.0% had a previous radical prostatectomy (RP).
Results: Of the patients without RP, 95.8% were detected with intra-glandular disease. The 68Ga- PSMA-11 PET/CT imaging results revealed small lesions, even in patients with low blood levels of prostatic-specific antigen, mainly in metastatic cancer cases in lymph nodes and bones.
Conclusion: The 68Ga-PSMA-11 PET/CT imaging was essential in detecting prostate cancer, with significantly high sensitivity in detecting recurrent cases. Due to its inherent reliability and sensitivity, PET/CT scanning with 68Ga-PSMA-11 received an increasing number of medical requests throughout the present follow-up study, confirming the augmented demand for this clinical imaging procedure in the regional medical community.
Keywords: 68GA-PSMA-11 PET/CT, radiopharmaceutical, peptide ligand, cancer biomarker, prostate cancer, biochemical recurrence, 68Ga-radiotracer.
Graphical Abstract
[http://dx.doi.org/10.1016/j.crad.2007.05.022] [PMID: 18325358]
[http://dx.doi.org/10.2214/AJR.12.8816] [PMID: 22826388]
[http://dx.doi.org/10.1016/S0377-1237(09)80099-3] [PMID: 27408291]
[http://dx.doi.org/10.1053/j.semnuclmed.2016.07.006] [PMID: 27825432]
[http://dx.doi.org/10.1007/s00259-018-4066-4] [PMID: 29905907]
[http://dx.doi.org/10.1007/s00259-017-3670-z] [PMID: 28283702]
[http://dx.doi.org/10.2967/jnumed.115.161299] [PMID: 26294298]
[http://dx.doi.org/10.1097/RLU.0000000000001264] [PMID: 27276202]
[http://dx.doi.org/10.1371/journal.pone.0162303] [PMID: 27611841]
[http://dx.doi.org/10.4103/0972-3919.202255] [PMID: 28533638]
[http://dx.doi.org/10.3390/diagnostics8010016] [PMID: 29439481]
[http://dx.doi.org/10.3109/1061186X.2016.1154564] [PMID: 26887438]
[http://dx.doi.org/10.1016/j.acra.2018.05.020] [PMID: 29935970]
[http://dx.doi.org/10.1186/s13550-015-0114-2] [PMID: 26099227]
[http://dx.doi.org/10.2967/jnumed.116.173757] [PMID: 27056618]
[http://dx.doi.org/10.1007/s00259-016-3435-0] [PMID: 27290607]
[http://dx.doi.org/10.1007/s00259-014-2949-6] [PMID: 25411132]
[http://dx.doi.org/10.2967/jnumed.115.154153] [PMID: 25791990]
[http://dx.doi.org/10.1007/s00259-015-3240-1] [PMID: 26563121]
[http://dx.doi.org/10.2967/jnumed.115.160382] [PMID: 26112024]
[http://dx.doi.org/10.1590/s1677-5538.ibju.2017.0632] [PMID: 30088720]
[http://dx.doi.org/10.1590/0100-3984.2017.0008] [PMID: 29991835]
[http://dx.doi.org/10.1007/s00259-017-3882-2] [PMID: 29282518]
[http://dx.doi.org/10.1148/radiol.2021202771] [PMID: 33787338]
[http://dx.doi.org/10.1148/rg.2018170108] [PMID: 29320333]
[http://dx.doi.org/10.1016/S0140-6736(20)30314-7] [PMID: 32209449]
[http://dx.doi.org/10.1016/j.dsx.2020.06.042] [PMID: 32604016]