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1000 Titel
  • Early molecular imaging response assessment based on determination of total viable tumor burden in [68Ga]Ga-PSMA-11 PET/CT independently predicts overall survival in [177Lu]Lu-PSMA-617 radioligand therapy
1000 Autor/in
  1. Rosar, Florian |
  2. Wenner, Felix |
  3. Khreish, Fadi |
  4. Dewes, Sebastian |
  5. Wagenpfeil, Gudrun |
  6. Hoffmann, Manuela A. |
  7. Schreckenberger, Mathias |
  8. Bartholomä, Mark |
  9. Ezziddin, Samer |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-11-02
1000 Erschienen in
1000 Quellenangabe
  • 49(5):1584-1594
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00259-021-05594-8 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8940840/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose!#!In patients with metastatic castration-resistant prostate cancer (mCRPC) treated with prostate-specific membrane antigen-targeted radioligand therapy (PSMA-RLT), the predictive value of PSMA PET/CT-derived response is still under investigation. Early molecular imaging response based on total viable tumor burden and its association with overall survival (OS) was explored in this study.!##!Methods!#!Sixty-six mCRPC patients who received [!##!Results!#!By molecular imaging, 40/66 (60.6%) patients showed partial remission (PR), 19/66 (28.7%) stable disease (SD), and 7/66 (10.6%) progressive disease (PD). Biochemical response assessment revealed PR in 34/66 (51.5%) patients, SD in 20/66 (30.3%), and PD in 12/66 (18.2%). Response assessments were concordant in 49/66 (74.3%) cases. On univariate analysis, both molecular and biochemical response (p = 0.001 and 0.008, respectively) as well as two baseline characteristics (ALP and ECOG) were each significantly associated with OS. The median OS of patients showing molecular PR was 24.6 versus 10.7 months in the remaining patients (with SD or PD). On multivariable analysis molecular imaging response remained an independent predictor of OS (p = 0.002), eliminating biochemical response as insignificant (p = 0.515).!##!Conclusion!#!The new whole-body molecular imaging-derived biomarker, early change of total lesion PSMA (TLP), independently predicts overall survival in [
1000 Sacherschließung
lokal Lutetium [MeSH]
lokal Molecular Imaging [MeSH]
lokal Heterocyclic Compounds, 1-Ring/therapeutic use [MeSH]
lokal Prostatic Neoplasms, Castration-Resistant/pathology [MeSH]
lokal Humans [MeSH]
lokal Prospective Studies [MeSH]
lokal Theragnostic
lokal Prostate-Specific Antigen [MeSH]
lokal Radioligand therapy
lokal Treatment Outcome [MeSH]
lokal Response assessment
lokal Retrospective Studies [MeSH]
lokal Molecular imaging
lokal Original Article
lokal Gallium Radioisotopes [MeSH]
lokal Male [MeSH]
lokal Prostatic Neoplasms, Castration-Resistant/diagnostic imaging [MeSH]
lokal Metastatic castration-resistant prostate cancer
lokal PSMA PET/CT
lokal Dipeptides/therapeutic use [MeSH]
lokal Positron Emission Tomography Computed Tomography/methods [MeSH]
lokal Tumor Burden [MeSH]
lokal Prostatic Neoplasms, Castration-Resistant/radiotherapy [MeSH]
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/Um9zYXIsIEZsb3JpYW4=|https://frl.publisso.de/adhoc/uri/V2VubmVyLCBGZWxpeA==|https://frl.publisso.de/adhoc/uri/S2hyZWlzaCwgRmFkaQ==|https://frl.publisso.de/adhoc/uri/RGV3ZXMsIFNlYmFzdGlhbg==|https://frl.publisso.de/adhoc/uri/V2FnZW5wZmVpbCwgR3VkcnVu|https://frl.publisso.de/adhoc/uri/SG9mZm1hbm4sIE1hbnVlbGEgQS4=|https://frl.publisso.de/adhoc/uri/U2NocmVja2VuYmVyZ2VyLCBNYXRoaWFz|https://frl.publisso.de/adhoc/uri/QmFydGhvbG9tw6QsIE1hcms=|https://orcid.org/0000-0003-4110-3375
1000 Hinweis
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1000 Erstellt am 2023-05-11T13:37:09.242+0200
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1000 Zuletzt bearbeitet 2023-10-24T07:17:22.525+0200
1000 Objekt bearb. Tue Oct 24 07:17:22 CEST 2023
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