AI Article Synopsis

  • Prostate-specific antigen (PSA) levels are traditionally used to monitor prostate cancer (PCa) progression, but they may not always accurately indicate early relapse.
  • PET/CT imaging using prostate-specific membrane antigen (PSMA) ligands has demonstrated high effectiveness in identifying metastatic PCa lesions and evaluating treatment responses.
  • The study highlights the potential of PSMA PET/CT for early relapse detection in hormone-sensitive metastatic PCa treated with chemotherapy (docetaxel), suggesting it should complement PSA monitoring for better detection of low-volume disease.

Article Abstract

Prostate cancer (PCa) treatment monitoring usually relies on prostate-specific antigen to detect disease progression or relapse. PET/CT with prostate-specific membrane antigen (PSMA) ligands has shown high accuracy in detecting metastatic PCa lesions and could help assess response to therapy. We describe herein the early relapse detection of a hormone-sensitive metastatic upfront PCa treated with docetaxel on Ga-PSMA-11 PET/CT before biochemical progression. PSMA PET/CT should be considered to monitor PCa response to chemotherapy to detect early relapse, regardless of prostate-specific antigen levels, increasing the chances of finding low-volume oligoprogressive disease.

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Source
http://dx.doi.org/10.1097/RLU.0000000000002799DOI Listing

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