Initial evaluation of PET/CT with 18F-FSU-880 targeting prostate-specific membrane antigen in prostate cancer patients

This first-in-man study was carried out to evaluate the safety, whole-body distribution, dose estimation, and lesion accumulation of F-18-FSU-880, a newly developed probe targeting prostate-specific membrane antigen. Six prostate cancer patients with known metastatic lesions underwent serial whole-body PET/computed tomography (CT) with F-18-FSU-880. Blood and urine were analyzed before and after PET/CT. Accumulation of F-18-FSU-880 in organs and metastatic lesions in serial PET images were evaluated by measuring the standardized uptake values. From the biodistribution data, the organ doses and whole-body effective dose were calculated using OLINDA/EXM software was developed by Dr. Michael Stabin of Vanderbilt University, Nashville, Tennessee, USA. F-18-FSU-880 PET/CT could be carried out without significant adverse effects. High physiological uptake was observed in the salivary/lachrymal glands and kidneys. The effective dose was calculated to be 0.921 x 10(-2) mSv/MBq. Known metastatic lesions were clearly visualized with high image contrast that increased with time, except in 1 patient, whose bone metastases were well-controlled and inactive. The PET/CT with F-18-FSU-880 could be carried out safely and could clearly visualize active metastatic lesions. The present results warrant further clinical studies with a larger number of cases to verify the clinical utility of F-18-FSU-880 PET/CT in the management of prostate cancer patients.