PSMA PET/CT Versus mpMRI for the Detection of Clinically Significant Prostate Cancer: An Updated Overview

IF 4.6 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Seminars in nuclear medicine Pub Date : 2023-11-10 DOI:10.1053/j.semnuclmed.2023.10.002
Matteo Caracciolo , Angelo Castello , Egesta Lopci MD, PhD
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Abstract

In the last years, PSMA-PET imaging and multiparametric MRI (mpMRI) have improved the clinical management of prostate cancer (PCa) patients. Currently, mpMRI is recommended by the EAU (European Association of Urology) guidelines for the primary diagnosis of PCa, whereas PSMA-PET is reserved for disease staging, particularly in high risk localized or locally advanced disease, as well as for biochemical recurrence after surgery. Nevertheless, several studies have explored the added value of PSMA-PET in other clinical scenarios, including primary diagnosis and especially for the detection of clinically significant PCa (csPCa). In the present contribution, we will provide an overview and an update on the current literature on imaging detection of csPCa, with a particular focus on mpMRI, PSMA-PET and their comparison.

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PSMA PET/CT与mpMRI检测临床意义前列腺癌:最新综述。
在过去的几年里,PSMA-PET成像和多参数MRI (mpMRI)改善了前列腺癌(PCa)患者的临床管理。目前,mpMRI被EAU(欧洲泌尿外科协会)指南推荐用于原发性前列腺癌的诊断,而PSMA-PET用于疾病分期,特别是高风险的局部或局部晚期疾病,以及手术后的生化复发。然而,一些研究已经探索了PSMA-PET在其他临床情况下的附加价值,包括初级诊断,特别是临床显著性PCa (csPCa)的检测。在目前的贡献中,我们将提供关于csPCa成像检测的当前文献的概述和更新,特别关注mpMRI, PSMA-PET及其比较。
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来源期刊
Seminars in nuclear medicine
Seminars in nuclear medicine 医学-核医学
CiteScore
9.80
自引率
6.10%
发文量
86
审稿时长
14 days
期刊介绍: Seminars in Nuclear Medicine is the leading review journal in nuclear medicine. Each issue brings you expert reviews and commentary on a single topic as selected by the Editors. The journal contains extensive coverage of the field of nuclear medicine, including PET, SPECT, and other molecular imaging studies, and related imaging studies. Full-color illustrations are used throughout to highlight important findings. Seminars is included in PubMed/Medline, Thomson/ISI, and other major scientific indexes.
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