Impact of 18F-fluciclovine PET/CT on salvage radiotherapy plans for men with recurrence of prostate cancer postradical prostatectomy
| Autor: | Payne, Heather, Bomanji, Jamshed, Bottomley, David, Scarsbrook, Andrew F., Teoh, Eugene J., Gleeson, Fergus V., Bradley, Kevin M., Andrade, Gerard, Camilieri, Philip, Hyde, Katherine, Macpherson, Ruth, Patel, Neel, Sabharwal, Ami, Subesinghe, Manil, Chau, Albert, Miller, Matthew P., Afaq, Asim, van As, Nicholas, Chua, Sue, Hoskin, Peter, Chambers, Anthony, Cook, Gary J., Warbey, Victoria S., Han, Sai, Leung, Hing Y. |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Biochemical recurrence
medicine.medical_specialty medicine.medical_treatment Subgroup analysis Prostate cancer symbols.namesake 18F-Fluciclovine Positron Emission Tomography Computed Tomography medicine biochemical recurrence Radiology Nuclear Medicine and imaging Radiation treatment planning Fisher's exact test PET-CT business.industry Prostatectomy General Medicine Original Articles salvage radiotherapy medicine.disease prostate cancer Radiation therapy Salvage radiotherapy PET F-Fluciclovine symbols Radiology business |
| Zdroj: | Payne, H, Bomanji, J, Bottomley, D, Scarsbrook, A F, Teoh, E J, Gleeson, F V, Bradley, K M, Andrade, G, Camilieri, P, Hyde, K, Macpherson, R, Patel, N, Sabharwal, A, Subesinghe, M, Chau, A, Miller, M P, Afaq, A, van As, N, Chua, S, Hoskin, P, Chambers, A, Cook, G J, Warbey, V S & Han, S & Leung, H Y 2022, ' Impact of 18 F-fluciclovine PET/CT on salvage radiotherapy plans for men with recurrence of prostate cancer postradical prostatectomy ', Nuclear Medicine Communications, vol. 43, no. 2, pp. 201-211 . https://doi.org/10.1097/MNM.0000000000001501 Nuclear Medicine Communications |
| DOI: | 10.1097/MNM.0000000000001501 |
| Popis: | Objectives Imaging options to localize biochemical recurrence (BCR) of prostate cancer after radical prostatectomy (RP) are limited, especially at low prostate-specific antigen (PSA) levels. The FALCON study evaluated the impact of 18F-fluciclovine PET/CT on management plans for patients with BCR. Here, we evaluate salvage radiotherapy decisions in patients post-RP. Methods We conducted a subgroup analysis of post-RP patients enrolled in FALCON who had a prescan plan for salvage radiotherapy (± androgen-deprivation therapy). Patients’ treatment plans post-18F-fluciclovine PET/CT were compared with their prescan plans. Fisher exact test was used to determine the impact of PSA and Gleason sum on positivity and anatomical patterns of uptake. Results Sixty-five (63%) FALCON patients had undergone RP. Of these, 62 (median PSA, 0.32 ng/mL) had a prescan plan for salvage radiotherapy. Twenty-one (34%) had 18F-fluciclovine-avid lesions. Disease was confined to the prostate bed in 11 patients (52%) and to the pelvis in a further 5 (24%), while 5 (24%) had extrapelvic findings. Trends towards more disseminated disease with increasing PSA or Gleason sum were observed but did not reach statistical significance. Postscan, 25 (40%) patients had a management change; 17 (68%) were changed to the treatment modality (8 to systemic therapy, 8 to active surveillance, 1 other) and 8 (32%) were radiotherapy field modifications. Conclusions Incorporating 18F-fluciclovine PET/CT into treatment planning may help identify patients suitable for salvage radiotherapy, help augment planned radiotherapy to better target lesions and support the clinician to optimise patient management. |
| Databáze: | OpenAIRE |
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