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Diagnostic performance of 68Ga-PSMA-11 (HBED-CC) PET/CT in patients with recurrent prostate cancer: evaluation in 1007 patients

Open access
Afshar-Oromieh, Ali, Holland-Letz, Tim, Giesel, Frederik L., Kratochwil, Clemens, Mier, Walter, Haufe, Sabine, Debus, Nils, Eder, Matthias, Eisenhut, Michael, Schäfer, Martin, Neels, Oliver, Hohenfellner, Markus, Kopka, Klaus, Kauczor, Hans-Ulrich, Debus, Jürgen, Haberkorn, Uwe·2017·European Journal of Nuclear Medicine and Molecular Imaging

Abstract

Purpose: Since the clinical introduction of 68 Ga-PSMA-11 PET/CT, this imaging method has rapidly spread and is now regarded as a significant step forward in the diagnosis of recurrent prostate cancer (PCa). The aim of this study was to analyse the influence of several variables with possible influence on PSMA ligand uptake in a large cohort. Methods: We performed a retrospective analysis of 1007 consecutive patients who were scanned with 68 Ga-PSMA-11 PET/CT (1 h after injection) from January 2014 to January 2017 to detect recurrent disease. Patients with untreated primary PCa or patients referred for PSMA radioligand therapy were excluded. The possible effects of different variables including PSA level and PSA doubling time (PSA DT), PSA velocity (PSA Vel), Gleason score (GSC, including separate analysis of GSC 7a and 7b), ongoing androgen deprivation therapy (ADT), patient age and amount of injected activity were evaluated. Results: In 79.5% of patients at least one lesion with characteristics suggestive of recurrent PCa was detected. A pathological (positive) PET/CT scan was associated with PSA level and ADT. GSC, amount of injected activity, patient age, PSA DT and PSA Vel were not associated with a positive PET/CT scan in multivariate analysis. Conclusion: 68 Ga-PSMA-11 PET/CT detects tumour lesions in a high percentage of patients with recurrent PCa. Tumour detection is clearly associated with PSA level and ADT. Only a tendency for an association without statistical significance was found between higher GSC and a higher probability of a pathological PET/CT scan. No associations were found between a pathological 68 Ga-PSMA-11 PET/CT scan and patient age, amount of injected activity, PSA DT or PSA Vel.

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Metadata

Authors
Afshar-Oromieh, A., Holland-Letz, T., Giesel, F. L., Kratochwil, C., Mier, W., Haufe, S., Debus, N., Eder, M., Eisenhut, M., Schäfer, M., Neels, O., Hohenfellner, M., Kopka, K., Kauczor, H.-U., Debus, J., & Haberkorn, U.
Venue
European Journal of Nuclear Medicine and Molecular Imaging
Published
2017-05-12
Volume
44
Issue
8
Pages
1258-1268
ISSN
  • 1619-7070 (ISSN-L)
  • 1619-7089
OpenAlex
W2612014481
Cited by
507
References
52
FWCI
58.93
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Diagnostic performance of 68Ga-PSMA-11 (HBED-CC) PET/CT in patients with recurrent prostate cancer: evaluation in 1007 patients. https://app.cochat.ai/papers/10.1007/s00259-017-3711-7
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Afshar-Oromieh, A., Holland-Letz, T., Giesel, F. L., Kratochwil, C., Mier, W., Haufe, S., Debus, N., Eder, M., Eisenhut, M., Schäfer, M., Neels, O., Hohenfellner, M., Kopka, K., Kauczor, H.-U., Debus, J., & Haberkorn, U. (2017). Diagnostic performance of 68Ga-PSMA-11 (HBED-CC) PET/CT in patients with recurrent prostate cancer: evaluation in 1007 patients. European Journal of Nuclear Medicine and Molecular Imaging. https://doi.org/10.1007/s00259-017-3711-7

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