Dual-time-point 64 Cu-PSMA-617-PET/CT in patients suffering from prostate cancer

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

Abstract

Regardless of its high positron energy, 68 Ga-labeled PSMA ligands have become standard of care in metabolic prostate cancer imaging. 64 Cu, a radionuclide with a much longer half-life (12.7 h), is available for PSMA labeling allowing imaging much later than 68 Ga. In this study, the diagnostic performance of 64 Cu-labeled PSMA was compared between early and late scans. Sixteen men (median age: 70 y) with prostate cancer in different stages underwent 64 Cu-PSMA-617-PET/CT 2 and 22 hours post tracer injection. Pathologic and physiologic uptakes were analyzed for both points of time. Pathologic tracer accumulations occurred in 12 patients. Five patients presented with pathologic uptake in 17 different lymph nodes, two patients showed pathologic bone uptake in nine lesions, and seven patients had pathologic PSMA uptake in eight prostatic lesions. Physiologic uptake of the renal parenchyma, urine bladder, and salivary glands decreased over time, while the physiologic uptake of liver and bowel increased. In the present study, 64 Cu-PSMA-617-PET demonstrated to be feasible for imaging prostate cancer for both the primary tumor site and metastases. Later imaging showed no additional, clinically relevant benefit compared with the early scans. At least the investigated time points we chose did not vindicate the additional expenditure.

Details

Original languageEnglish
Pages (from-to)523-532
Number of pages10
JournalJournal of labelled compounds & radiopharmaceuticals
Volume62
Issue number8
Publication statusPublished - 30 Jun 2019
Peer-reviewedYes

External IDs

Scopus 85067702422

Keywords

Sustainable Development Goals

Keywords

  • Biological Transport, Copper Radioisotopes, Dipeptides/metabolism, Heterocyclic Compounds, 1-Ring/metabolism, Humans, Male, Positron Emission Tomography Computed Tomography/methods, Prostate-Specific Antigen, Prostatic Neoplasms/diagnostic imaging, Radioactive Tracers, Time Factors

Library keywords