Soft Tissue Response on 18F-Fluorocholine PET/CT in Metastatic Castrate-Resistant Prostate Cancer Treated With 223Ra-Dichloride

Autor: Kwee, Sandi A., Lim, John, Coel, Marc N.
Zdroj: Clinical Nuclear Medicine; November 2017, Vol. 42 Issue: 11 p868-871, 4p
Abstrakt: Two patients with castrate-resistant prostate cancer and symptomatic skeletal metastases underwent 18F-fluorocholine PET/CT prior to treatment with 223Ra-dichloride to reveal additional active lesions in the prostate gland and lymph nodes. Subsequent scans performed at the midpoint and end of 223Ra-dichloride therapy showed resolution of this soft tissue activity alongside declining bone lesion activity. Concomitant increases in plasma interleukin 6 were detected, suggesting that immune system activation may have mediated the soft tissue response. Abscopal effects usually encountered with external beam radiotherapy may also be occurring with 223Ra-dichloride therapy.
Databáze: Supplemental Index