Bone scan Neoplasm staging Positron-emission tomography Prostate-specific antigen Prostatic neoplasms

Journal

Asian journal of urology
ISSN: 2214-3882
Titre abrégé: Asian J Urol
Pays: Singapore
ID NLM: 101699720

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 10 04 2019
revised: 18 09 2019
accepted: 04 12 2019
entrez: 17 5 2021
pubmed: 18 5 2021
medline: 18 5 2021
Statut: ppublish

Résumé

To evaluate the use of Gallium-68 prostate-specific membrane antigen positron emission tomography/computed tomography ( We conducted a review of our prospectively maintained, institutional database to identify 384 patients with post-prostatectomy biochemical failure/recurrence who underwent PSMA PET/CT, CTAP and BS from February 2015 to August 2017 in Nepean Hospital, tertiary referral centre. The results of the three imaging modalities were analysed for their ability to detect local recurrence and distant metastases. PSMA PET/CT and CTAP imaging were separately performed on the same day and the BS was performed within several days (mostly in 24 h). Difference in detection rates was determined between the modalities and the Chi square test was used to determine significance. A total of 384 patients were identified with a median prostate-specific antigen (PSA) of 0.465 ng/mL (interquartile range =0.19-2.00 ng/mL). Overall, PSMA PET/CT was positive for 245 (63.8%) patients whereas CTAP and BS were positive in 174 patients (45.3%). A total of 98 patients (25.5%) had local or distant metastasis detected on PSMA only, while 20 patients (5.2%) had recurrences detected on CTAP but not on PSMA PET/CT. The use of PSMA PET/CT has a higher detection rate of predicted local or distant metastasis compared to CTAP and BS in the staging of patients with biochemical recurrences after radical prostatectomy.

Identifiants

pubmed: 33996472
doi: 10.1016/j.ajur.2020.02.001
pii: S2214-3882(20)30004-7
pmc: PMC8099644
doi:

Types de publication

Journal Article

Langues

eng

Pagination

170-175

Informations de copyright

© 2021 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.V.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Yuigi Yuminaga (Y)

Nepean Urology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Chris Rothe (C)

Nepean Radiology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Jonathan Kam (J)

Nepean Urology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Kieran Beattie (K)

Nepean Urology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Mohan Arianayagam (M)

Nepean Urology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Chuong Bui (C)

Nepean Radiology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Bertram Canagasingham (B)

Nepean Urology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Richard Ferguson (R)

Nepean Urology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Mohamed Khadra (M)

Nepean Urology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Raymond Ko (R)

Nepean Urology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Ken Le (K)

Nepean Radiology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Diep Nguyen (D)

Nepean Radiology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Celi Varol (C)

Nepean Urology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Matthew Winter (M)

Nepean Urology Research Group, Nepean Hospital, Penrith New South Wales, Australia.

Classifications MeSH