Comparison of 18F-DCFPyL and 68Ga-PSMA-11 for 177Lu-PSMA-617 therapy patient selection

被引:0
作者
Yadav, Surekha [1 ]
Kim, Sarasa T. [1 ]
Tuchayi, Abuzar Moradi [1 ]
Jiang, Fei [2 ]
Morley, Amanda [1 ]
Saelee, Rachelle [1 ]
Wang, Yingbing [1 ]
Juarez, Roxanna [1 ]
Lawnh-Heath, Courtney [1 ]
Koshkin, Vadim S. [3 ,4 ]
Hope, Thomas A. [1 ,4 ,5 ]
机构
[1] Univ Calif San Francisco, Dept Radiol & Biomed Imaging, San Francisco, CA 94115 USA
[2] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA USA
[3] Univ Calif San Francisco, Dept Med, Div Hematol Oncol, San Francisco, CA USA
[4] Univ Calif San Francisco, Helen Diller Family Comprehens Canc Ctr, San Francisco, CA 94115 USA
[5] San Francisco Vet Affairs VA Med Ctr, Dept Radiol, San Francisco, CA 94121 USA
来源
FRONTIERS IN ONCOLOGY | 2024年 / 14卷
关键词
Ga-68-PSMA PET/CT; F-18-DCFPyL-PET/CT; Lu-177-PSMA; radioligand therapy (RLT); mCRPC; patient screening; RESISTANT PROSTATE-CANCER; CLINICAL-TRIALS; OPEN-LABEL; RECOMMENDATIONS; MULTICENTER; OUTCOMES; DESIGN;
D O I
10.3389/fonc.2024.1382582
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: Ga-68-PSMA-11 is recommended for the selection of patients for treatment in the package insert for Lu-177-PSMA-617. We aimed to compare imaging properties and post-treatment outcomes from radioligand therapy (RLT) of patients selected with Ga-68-PSMA-11 and F-18-DCFPyL. Methods: We retrospectively evaluated 80 patients undergoing PSMA RLT, who had pretreatment imaging using either Ga-68-PSMA-11 or F-18-DCFPyL. For both groups, we compared the biodistribution and lesion uptake and the PSA response to treatment. Results: Both agents had comparable biodistribution. Patients initially imaged with F-18-DCFPyL had a higher PSA response (66% vs. 42%), and more patients had a PSA50 response (72% vs. 43%) compared to patients imaged with Ga-68-PSMA-11. Conclusion: F-18-DCFPyL and Ga-68-PSMA-11 had comparable biodistribution and lesion uptake. Patients imaged with F-18-DCFPyL demonstrated clinical benefit to PSMA RLT comparable to those imaged with Ga-68-PSMA-11, and either agent can be used for screening patients.
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页数:6
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