首页> 美国卫生研究院文献>Asian Journal of Andrology >The emerging role of prostate-specific membrane antigen (PSMA) PET-CT in patients with high-risk prostate cancer: moving the bar in high-risk prostate cancer
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The emerging role of prostate-specific membrane antigen (PSMA) PET-CT in patients with high-risk prostate cancer: moving the bar in high-risk prostate cancer

机译:前列腺特异性膜抗原(PSMA)PET-CT在高风险前列腺癌患者中的新兴作用:在高风险前列腺癌中移动酒吧

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摘要

The proPSMA trial is a Phase III multicentric trial that examined the role of gallium-68-prostate-specific membrane antigen (PSMA)-positron emission tomography/computed tomography (PET/CT) scan versus conventional CT and bone scan to determine the presence of distant disease prior to curative-intent treatment with surgery or radiation for men with high-risk prostate cancer. The findings showed the superiority of PSMA PET/CT scan with 27% better accuracy and sensitivity at 92% versus conventional CT and bone scans, which yielded 65% (P < 0.0001). Further subgroup analyses showed that PSMA PET-CT was better in detecting pelvic nodal metastases at 91% versus 59% (32% absolute difference; 28%–35%), and in detecting distant metastases at 95% versus 74% (22% absolute difference; 18%–26%). In addition, the use of gallium-68-PET/CT scan also led to changes in the management of patients for curative intent surgery or radiation. In summary, the role of gallium-68-PET/CT scan has evolved and is very promising in the primary staging of high-risk prostate cancer.
机译:ProPsma试验是III期多中心试验,检查了镓-68-前列腺特异性膜抗原(PSMA)-Postron排放断层扫描/计算断层扫描(PET / CT)扫描与常规CT和骨扫描以确定存在的作用远处疾病在治疗意图治疗手术或辐射,用于高危前列腺癌的男性。结果表明,PSMA PET / CT扫描的优越性在92%与常规CT和骨扫描中具有27%的精度和敏感性,其产生65%(P <0.0001)。进一步的亚组分析表明,PSMA PET-CT在检测骨盆节点转移时较好地检测91%,而59%(32%绝对差; 28%-35%),并且在95%的远处转移与74%(22%绝对)差异; 18%-26%)。此外,使用镓-68-PET / CT扫描也导致了治疗意图手术或辐射患者管理的变化。总之,镓-68-PET / CT扫描的作用已经发展,并且在高风险前列腺癌的主要分期中非常有前景。

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