68-Ga前列腺特异性膜抗原正电子发射断层扫描-计算机断层扫描的标准化摄摄值及其与前列腺特异性抗原水平和Gleason评分的相关性

Haider Ali, Syed Rashid-Ul-Amin, Abdul Hai
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引用次数: 0

摘要

导读:正电子发射断层扫描(PET)和计算机断层扫描(CT)是肿瘤成像不可分割的一部分,而磁共振成像、CT或骨显像等其他方式在前列腺癌的分期方面有一定的局限性。结合组织特异性标志物如前列腺特异性膜抗原(PSMA),基于正电子发射器的功能成像结果得到改善。我们的研究旨在确定Ga-68-PSMA PET-CT扫描中局限于器官的前列腺腺癌的标准化摄取值(SUVmax)及其与前列腺特异性抗原(PSA)水平和Gleason评分(GS)的相关性。材料和方法:本横断面研究在卡拉奇Sindh泌尿外科和移植研究所(SIUT)进行,包括2017年9月至2022年1月期间进行Ga68-PSMA PET-CT扫描的受试者。组织病理学证实的伴有器官局限性疾病的前列腺腺癌患者和PSMA-PET-CT扫描前6周内获得的PSA水平被纳入研究。通过测量SUVmax对PET-CT图像进行半定量分析,并使用SPSS 22.0版统计软件对结果进行解释。结果:共分析了154例患者。患者平均年龄66.57±8.86岁。所有患者的GS值在6 ~ 10之间。PSA的平均值和中位数分别为32.33 ng/mL(范围:0.004-306.00)和14.20 ng/mL。所有前列腺病变的平均SUVmax为14.67±12.58,中位值为10.76。结论:器官局限性前列腺癌的SUVmax与PSA水平和GS有良好的相关性,SUVmax中值和PSA与GS有直接关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Standardised Uptake Value in Organ Confined Prostate Cancer in 68-Ga- Prostate-Specific Membrane Antigen Positron Emission Tomography-Computed Tomography Scan and its Correlation with Prostate Specific Antigen Level and Gleason Score.

Standardised Uptake Value in Organ Confined Prostate Cancer in 68-Ga- Prostate-Specific Membrane Antigen Positron Emission Tomography-Computed Tomography Scan and its Correlation with Prostate Specific Antigen Level and Gleason Score.

Standardised Uptake Value in Organ Confined Prostate Cancer in 68-Ga- Prostate-Specific Membrane Antigen Positron Emission Tomography-Computed Tomography Scan and its Correlation with Prostate Specific Antigen Level and Gleason Score.

Standardised Uptake Value in Organ Confined Prostate Cancer in 68-Ga- Prostate-Specific Membrane Antigen Positron Emission Tomography-Computed Tomography Scan and its Correlation with Prostate Specific Antigen Level and Gleason Score.

Introduction: A positron emission tomography (PET) scan and a computed tomography (CT) scan are an integral part of oncological imaging and other modalities such as magnetic resonance imaging, CT or bone scintigraphy have some limitations in staging the workup of prostate carcinoma. Combined with tissue-specific markers like prostate-specific membrane antigen (PSMA), positron emitter-based functional imaging results have improved. Our study aimed to determine the Standardised Uptake Value (SUVmax) in prostate adenocarcinoma that is confined to the organ in Ga-68-PSMA PET-CT scans and how it correlates with prostate-specific antigen (PSA) levels and Gleason score (GS).

Materials and methods: This cross-sectional study was conducted at Sindh Institute of Urology and Transplantation (SIUT), Karachi, and includes subjects referred for a Ga68-PSMA PET-CT scan from September 2017 to January 2022. Histopathologic-proven adenocarcinoma prostate patients with organ-confined disease and PSA levels obtained within 6 weeks before the PSMA-PET-CT scan were included in the study. PET-CT images were semi-quantitatively analysed by measuring SUVmax and the result was interpreted using statistical software SPSS version 22.0.

Results: A total of 154 patients were analysed. The mean age of patients was 66.57 ± 8.86 years. The GS of all patients ranges from 6 to 10. The mean and median PSA levels were 32.33 ng/mL (range: 0.004-306.00) and 14.20 ng/mL, respectively. The mean SUVmax of all prostatic lesions was 14.67 ± 12.58 and the median value was 10.76. SUVmax was higher in patients with a PSA level of more than ten than those with a <10. The correlation of SUVmax with PSA and GS showed a significant correlation.

Conclusion: The SUVmax of organ-confined prostate cancer correlates well with PSA level and GS Median SUVmax and PSA directly relate to GS.

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