Molecular Imaging in Primary Staging of Prostate Cancer Patients: Current Aspects and Future Trends

Accurate primary staging is the cornerstone in all malignancies. Different morphological imaging modalities are employed in the evaluation of prostate cancer (PCa). Regardless of all developments in imaging, invasive histopathologic evaluation is still the standard method for the detection and stagi...

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Autores principales: Reyhaneh Manafi-Farid, Shaghayegh Ranjbar, Zahra Jamshidi Araghi, Julia Pilz, Gregor Schweighofer-Zwink, Christian Pirich, Mohsen Beheshti
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:393dcb7411f740d384831462d8c503672021-11-11T15:29:00ZMolecular Imaging in Primary Staging of Prostate Cancer Patients: Current Aspects and Future Trends10.3390/cancers132153602072-6694https://doaj.org/article/393dcb7411f740d384831462d8c503672021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5360https://doaj.org/toc/2072-6694Accurate primary staging is the cornerstone in all malignancies. Different morphological imaging modalities are employed in the evaluation of prostate cancer (PCa). Regardless of all developments in imaging, invasive histopathologic evaluation is still the standard method for the detection and staging of the primary PCa. Magnetic resonance imaging (MRI) and computed tomography (CT) play crucial roles; however, functional imaging provides additional valuable information, and it is gaining ever-growing acceptance in the management of PCa. Targeted imaging with different radiotracers has remarkably evolved in the past two decades. [<sup>111</sup>In]In-capromab pendetide scintigraphy was a new approach in the management of PCa. Afterwards, positron emission tomography (PET) tracers such as [<sup>11</sup>C/<sup>18</sup>F]choline and [<sup>11</sup>C]acetate were developed. Nevertheless, none found a role in the primary staging. By introduction of the highly sensitive small molecule prostate-specific membrane antigen (PSMA) PET/CT, as well as recent developments in MRI and hybrid PET/MRI systems, non-invasive staging of PCa is being contemplated. Several studies investigated the role of these sophisticated modalities in the primary staging of PCa, showing promising results. Here, we recapitulate the role of targeted functional imaging. We briefly mention the most popular radiotracers, their diagnostic accuracy in the primary staging of PCa, and impact on patient management.Reyhaneh Manafi-FaridShaghayegh RanjbarZahra Jamshidi AraghiJulia PilzGregor Schweighofer-ZwinkChristian PirichMohsen BeheshtiMDPI AGarticleprostate cancerprimary stagingPET/CT[<sup>11</sup>C]choline[<sup>18</sup>F]choline[<sup>11</sup>C]acetateNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5360, p 5360 (2021)
institution DOAJ
collection DOAJ
language EN
topic prostate cancer
primary staging
PET/CT
[<sup>11</sup>C]choline
[<sup>18</sup>F]choline
[<sup>11</sup>C]acetate
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle prostate cancer
primary staging
PET/CT
[<sup>11</sup>C]choline
[<sup>18</sup>F]choline
[<sup>11</sup>C]acetate
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Reyhaneh Manafi-Farid
Shaghayegh Ranjbar
Zahra Jamshidi Araghi
Julia Pilz
Gregor Schweighofer-Zwink
Christian Pirich
Mohsen Beheshti
Molecular Imaging in Primary Staging of Prostate Cancer Patients: Current Aspects and Future Trends
description Accurate primary staging is the cornerstone in all malignancies. Different morphological imaging modalities are employed in the evaluation of prostate cancer (PCa). Regardless of all developments in imaging, invasive histopathologic evaluation is still the standard method for the detection and staging of the primary PCa. Magnetic resonance imaging (MRI) and computed tomography (CT) play crucial roles; however, functional imaging provides additional valuable information, and it is gaining ever-growing acceptance in the management of PCa. Targeted imaging with different radiotracers has remarkably evolved in the past two decades. [<sup>111</sup>In]In-capromab pendetide scintigraphy was a new approach in the management of PCa. Afterwards, positron emission tomography (PET) tracers such as [<sup>11</sup>C/<sup>18</sup>F]choline and [<sup>11</sup>C]acetate were developed. Nevertheless, none found a role in the primary staging. By introduction of the highly sensitive small molecule prostate-specific membrane antigen (PSMA) PET/CT, as well as recent developments in MRI and hybrid PET/MRI systems, non-invasive staging of PCa is being contemplated. Several studies investigated the role of these sophisticated modalities in the primary staging of PCa, showing promising results. Here, we recapitulate the role of targeted functional imaging. We briefly mention the most popular radiotracers, their diagnostic accuracy in the primary staging of PCa, and impact on patient management.
format article
author Reyhaneh Manafi-Farid
Shaghayegh Ranjbar
Zahra Jamshidi Araghi
Julia Pilz
Gregor Schweighofer-Zwink
Christian Pirich
Mohsen Beheshti
author_facet Reyhaneh Manafi-Farid
Shaghayegh Ranjbar
Zahra Jamshidi Araghi
Julia Pilz
Gregor Schweighofer-Zwink
Christian Pirich
Mohsen Beheshti
author_sort Reyhaneh Manafi-Farid
title Molecular Imaging in Primary Staging of Prostate Cancer Patients: Current Aspects and Future Trends
title_short Molecular Imaging in Primary Staging of Prostate Cancer Patients: Current Aspects and Future Trends
title_full Molecular Imaging in Primary Staging of Prostate Cancer Patients: Current Aspects and Future Trends
title_fullStr Molecular Imaging in Primary Staging of Prostate Cancer Patients: Current Aspects and Future Trends
title_full_unstemmed Molecular Imaging in Primary Staging of Prostate Cancer Patients: Current Aspects and Future Trends
title_sort molecular imaging in primary staging of prostate cancer patients: current aspects and future trends
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/393dcb7411f740d384831462d8c50367
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