68Ga-PSMA11 PET/CT for biochemically recurrent prostate cancer: Influence of dual-time and PMT- vs SiPM-based detectors

Objectives: 68Ga-PSMA11 PET/CT is excellent for evaluating biochemically recurrent prostate cancer (BCR PC). Here, we compared the positivity rates of dual-time point imaging using a PET/CT scanner (DMI) with silicon photomultiplier (SiPM) detectors and a PET/CT scanner (D690) with photomultiplier t...

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Autores principales: Heying Duan, Lucia Baratto, Negin Hatami, Tie Liang, Carina Mari Aparici, Guido Alejandro Davidzon, Andrei Iagaru
Formato: article
Lenguaje:EN
Publicado: Elsevier 2022
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Acceso en línea:https://doaj.org/article/b9955596df29423aa212ce7180182cb9
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spelling oai:doaj.org-article:b9955596df29423aa212ce7180182cb92021-11-24T04:27:47Z68Ga-PSMA11 PET/CT for biochemically recurrent prostate cancer: Influence of dual-time and PMT- vs SiPM-based detectors1936-523310.1016/j.tranon.2021.101293https://doaj.org/article/b9955596df29423aa212ce7180182cb92022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1936523321002849https://doaj.org/toc/1936-5233Objectives: 68Ga-PSMA11 PET/CT is excellent for evaluating biochemically recurrent prostate cancer (BCR PC). Here, we compared the positivity rates of dual-time point imaging using a PET/CT scanner (DMI) with silicon photomultiplier (SiPM) detectors and a PET/CT scanner (D690) with photomultiplier tubes (PMT), in patients with BCR PC. Methods: Fifty-eight patients were prospectively recruited and randomized to receive scans on DMI followed by D690 or vice-versa. Images from DMI were reconstructed using the block sequential regularized expectation maximization (BSREM) algorithm and images from D690 were reconstructed using ordered subset expectation maximization (OSEM), according to the vendor's recommendations. Two readers independently reviewed all images in randomized order, recorded the number and location of lesions, as well as standardized uptake value (SUV) measurements. Results: Twenty-eight patients (group A) had DMI as first scanner followed by D690, while 30 patients (group B) underwent scans in reversed order. Mean PSA was 30±112.9 (range 0.3–600.66) ng/mL for group A and 41.5 ± 213.2 (range 0.21–1170) ng/mL for group B (P = 0.796). The positivity rate in group A was 78.6% (22/28 patients) vs. 73.3% (22/30 patients) in group B. Although the performance of the two scanners was equivalent on a per-patient basis, DMI identified 5 additional sites of suspected recurrent disease when used as first scanner. The second scan time point did not reveal additional abnormal uptake. Conclusions: The delayed time point in 68Ga-PSMA11 PET/CT did not show a higher positivity rate. SiPM-based PET/CT identified additional lesions. Further studies with larger cohorts are needed to confirm these results.Heying DuanLucia BarattoNegin HatamiTie LiangCarina Mari ApariciGuido Alejandro DavidzonAndrei IagaruElsevierarticleProstate cancer68Ga-PSMA11PET/CTSiPMPMTNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENTranslational Oncology, Vol 15, Iss 1, Pp 101293- (2022)
institution DOAJ
collection DOAJ
language EN
topic Prostate cancer
68Ga-PSMA11
PET/CT
SiPM
PMT
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Prostate cancer
68Ga-PSMA11
PET/CT
SiPM
PMT
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Heying Duan
Lucia Baratto
Negin Hatami
Tie Liang
Carina Mari Aparici
Guido Alejandro Davidzon
Andrei Iagaru
68Ga-PSMA11 PET/CT for biochemically recurrent prostate cancer: Influence of dual-time and PMT- vs SiPM-based detectors
description Objectives: 68Ga-PSMA11 PET/CT is excellent for evaluating biochemically recurrent prostate cancer (BCR PC). Here, we compared the positivity rates of dual-time point imaging using a PET/CT scanner (DMI) with silicon photomultiplier (SiPM) detectors and a PET/CT scanner (D690) with photomultiplier tubes (PMT), in patients with BCR PC. Methods: Fifty-eight patients were prospectively recruited and randomized to receive scans on DMI followed by D690 or vice-versa. Images from DMI were reconstructed using the block sequential regularized expectation maximization (BSREM) algorithm and images from D690 were reconstructed using ordered subset expectation maximization (OSEM), according to the vendor's recommendations. Two readers independently reviewed all images in randomized order, recorded the number and location of lesions, as well as standardized uptake value (SUV) measurements. Results: Twenty-eight patients (group A) had DMI as first scanner followed by D690, while 30 patients (group B) underwent scans in reversed order. Mean PSA was 30±112.9 (range 0.3–600.66) ng/mL for group A and 41.5 ± 213.2 (range 0.21–1170) ng/mL for group B (P = 0.796). The positivity rate in group A was 78.6% (22/28 patients) vs. 73.3% (22/30 patients) in group B. Although the performance of the two scanners was equivalent on a per-patient basis, DMI identified 5 additional sites of suspected recurrent disease when used as first scanner. The second scan time point did not reveal additional abnormal uptake. Conclusions: The delayed time point in 68Ga-PSMA11 PET/CT did not show a higher positivity rate. SiPM-based PET/CT identified additional lesions. Further studies with larger cohorts are needed to confirm these results.
format article
author Heying Duan
Lucia Baratto
Negin Hatami
Tie Liang
Carina Mari Aparici
Guido Alejandro Davidzon
Andrei Iagaru
author_facet Heying Duan
Lucia Baratto
Negin Hatami
Tie Liang
Carina Mari Aparici
Guido Alejandro Davidzon
Andrei Iagaru
author_sort Heying Duan
title 68Ga-PSMA11 PET/CT for biochemically recurrent prostate cancer: Influence of dual-time and PMT- vs SiPM-based detectors
title_short 68Ga-PSMA11 PET/CT for biochemically recurrent prostate cancer: Influence of dual-time and PMT- vs SiPM-based detectors
title_full 68Ga-PSMA11 PET/CT for biochemically recurrent prostate cancer: Influence of dual-time and PMT- vs SiPM-based detectors
title_fullStr 68Ga-PSMA11 PET/CT for biochemically recurrent prostate cancer: Influence of dual-time and PMT- vs SiPM-based detectors
title_full_unstemmed 68Ga-PSMA11 PET/CT for biochemically recurrent prostate cancer: Influence of dual-time and PMT- vs SiPM-based detectors
title_sort 68ga-psma11 pet/ct for biochemically recurrent prostate cancer: influence of dual-time and pmt- vs sipm-based detectors
publisher Elsevier
publishDate 2022
url https://doaj.org/article/b9955596df29423aa212ce7180182cb9
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