You need JavaScript to view this

Influence of PSA, PSA velocity and PSA doubling time on contrast-enhanced {sup 18}F-choline PET/CT detection rate in patients with rising PSA after radical prostatectomy

Abstract

To evaluate the accuracy of contrast-enhanced {sup 18}F-choline PET/CT in restaging patients with prostate cancer after radical prostatectomy in relation to PSA, PSA velocity (PSAve) and PSA doubling time (PSAdt). PET/CT was performed in 49 patients (age range 58-87 years) with rising PSA (mean 4.13 ng/ml) who were divided in four groups according to PSA level: {<=}1 ng/ml, 1 to {<=}2 ng/ml, 2 to {<=}4 ng/ml, and >4 ng/ml. PSAve and PSAdt were measured. PET and CT scans were interpreted separately and then together. PET/CT diagnosed relapse in 33 of the 49 patients (67%). The detection rates were 20%, 55%, 80% and 87% in the PSA groups {<=}1, 1 to {<=}2, 2 to {<=}4 and >4 ng/ml, respectively. PET/CT was positive in 7 of 18 patients (38.9%) with a PSA {<=}2 ng/ml, and in 26 of 31 (83.9%) with a PSA >2 ng/ml. PET/CT was positive in 7 of 25 patients (84%) with PSAdt {<=}6 months, and in 12 of 24 patients (50%) with PSAdt >6 months, and was positive in 26 of 30 patients (86%) with a PSAve >2 ng/ml per year, and in 7 of 19 patients (36.8%) with PSAve {<=}2 ng/ml per year. PET alone was positive  More>>
Authors:
Schillaci, Orazio; [1]  IRCCS Neuromed, Department of Nuclear Medicine and Molecular Imaging, Pozzilli (Italy)]; Calabria, Ferdinando; [2]  Tavolozza, Mario; Caracciolo, Cristiana Ragano; Orlacchio, Antonio; Danieli, Roberta; Simonetti, Giovanni; [1]  Agro, Enrico Finazzi; Miano, Roberto [3] 
  1. University ''Tor Vergata'', Department of Biopathology and Diagnostic Imaging, Interventional, Rome (Italy)
  2. IRCCS Neuromed, Department of Nuclear Medicine and Molecular Imaging, Pozzilli (Italy)
  3. University Hospital ''Tor Vergata'', Department of Urology, Rome (Italy)
Publication Date:
Apr 15, 2012
Product Type:
Journal Article
Resource Relation:
Journal Name: European Journal of Nuclear Medicine and Molecular Imaging; Journal Volume: 39; Journal Issue: 4
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ANTIGENS; BIOLOGICAL MARKERS; CHOLINE; CLINICAL TRIALS; COMPUTERIZED TOMOGRAPHY; CONTRAST MEDIA; FLUORINE 18; INTRAVENOUS INJECTION; METASTASES; POSITRON COMPUTED TOMOGRAPHY; PROSTATE; RADIOPHARMACEUTICALS; RADIOTHERAPY; REGRESSION ANALYSIS; SENSITIVITY; SURGERY
OSTI ID:
21568770
Country of Origin:
Germany
Language:
English
Other Identifying Numbers:
Journal ID: ISSN 1619-7070; TRN: DE12F7601
Availability:
Available from: http://dx.doi.org/10.1007/s00259-011-2030-7
Submitting Site:
DEN
Size:
page(s) 589-596
Announcement Date:
Jul 16, 2012

Citation Formats

Schillaci, Orazio, IRCCS Neuromed, Department of Nuclear Medicine and Molecular Imaging, Pozzilli (Italy)], Calabria, Ferdinando, Tavolozza, Mario, Caracciolo, Cristiana Ragano, Orlacchio, Antonio, Danieli, Roberta, Simonetti, Giovanni, Agro, Enrico Finazzi, and Miano, Roberto. Influence of PSA, PSA velocity and PSA doubling time on contrast-enhanced {sup 18}F-choline PET/CT detection rate in patients with rising PSA after radical prostatectomy. Germany: N. p., 2012. Web. doi:10.1007/S00259-011-2030-7.
Schillaci, Orazio, IRCCS Neuromed, Department of Nuclear Medicine and Molecular Imaging, Pozzilli (Italy)], Calabria, Ferdinando, Tavolozza, Mario, Caracciolo, Cristiana Ragano, Orlacchio, Antonio, Danieli, Roberta, Simonetti, Giovanni, Agro, Enrico Finazzi, &amp; Miano, Roberto. Influence of PSA, PSA velocity and PSA doubling time on contrast-enhanced {sup 18}F-choline PET/CT detection rate in patients with rising PSA after radical prostatectomy. Germany. https://doi.org/10.1007/S00259-011-2030-7
Schillaci, Orazio, IRCCS Neuromed, Department of Nuclear Medicine and Molecular Imaging, Pozzilli (Italy)], Calabria, Ferdinando, Tavolozza, Mario, Caracciolo, Cristiana Ragano, Orlacchio, Antonio, Danieli, Roberta, Simonetti, Giovanni, Agro, Enrico Finazzi, and Miano, Roberto. 2012. "Influence of PSA, PSA velocity and PSA doubling time on contrast-enhanced {sup 18}F-choline PET/CT detection rate in patients with rising PSA after radical prostatectomy." Germany. https://doi.org/10.1007/S00259-011-2030-7.
@misc{etde_21568770,
title = {Influence of PSA, PSA velocity and PSA doubling time on contrast-enhanced {sup 18}F-choline PET/CT detection rate in patients with rising PSA after radical prostatectomy}
author = {Schillaci, Orazio, IRCCS Neuromed, Department of Nuclear Medicine and Molecular Imaging, Pozzilli (Italy)], Calabria, Ferdinando, Tavolozza, Mario, Caracciolo, Cristiana Ragano, Orlacchio, Antonio, Danieli, Roberta, Simonetti, Giovanni, Agro, Enrico Finazzi, and Miano, Roberto}
abstractNote = {To evaluate the accuracy of contrast-enhanced {sup 18}F-choline PET/CT in restaging patients with prostate cancer after radical prostatectomy in relation to PSA, PSA velocity (PSAve) and PSA doubling time (PSAdt). PET/CT was performed in 49 patients (age range 58-87 years) with rising PSA (mean 4.13 ng/ml) who were divided in four groups according to PSA level: {<=}1 ng/ml, 1 to {<=}2 ng/ml, 2 to {<=}4 ng/ml, and >4 ng/ml. PSAve and PSAdt were measured. PET and CT scans were interpreted separately and then together. PET/CT diagnosed relapse in 33 of the 49 patients (67%). The detection rates were 20%, 55%, 80% and 87% in the PSA groups {<=}1, 1 to {<=}2, 2 to {<=}4 and >4 ng/ml, respectively. PET/CT was positive in 7 of 18 patients (38.9%) with a PSA {<=}2 ng/ml, and in 26 of 31 (83.9%) with a PSA >2 ng/ml. PET/CT was positive in 7 of 25 patients (84%) with PSAdt {<=}6 months, and in 12 of 24 patients (50%) with PSAdt >6 months, and was positive in 26 of 30 patients (86%) with a PSAve >2 ng/ml per year, and in 7 of 19 patients (36.8%) with PSAve {<=}2 ng/ml per year. PET alone was positive in 31 of 49 patients (63.3%), and of these 31 patients, CT was negative in 14 but diagnosed bone lesions in 2 patients in whom PET alone was negative. CT with the administration of intravenous contrast medium did not provide any further information. Detection rate of {sup 18}F-choline imaging is closely related to PSA and PSA kinetics. In particular, {sup 18}F-choline PET/CT is recommended in patients with PSA >2 ng/ml, PSAdt {<=}6 months and PSAve >2 ng/ml per year. CT is useful for detecting bone metastases that are not {sup 18}F-choline-avid. The use of intravenous contrast agent seems unnecessary. (orig.)}
doi = {10.1007/S00259-011-2030-7}
journal = []
issue = {4}
volume = {39}
place = {Germany}
year = {2012}
month = {Apr}
}