» Articles » PMID: 33604691

E-PSMA: the EANM Standardized Reporting Guidelines V1.0 for PSMA-PET

Abstract

Rationale: The development of consensus guidelines for interpretation of Prostate-Specific Membrane Antigen (PSMA)-Positron Emission Tomography (PET) is needed to provide more consistent reports in clinical practice. The standardization of PSMA-PET interpretation may also contribute to increasing the data reproducibility within clinical trials. Finally, guidelines in PSMA-PET interpretation are needed to communicate the exact location of findings to referring physicians, to support clinician therapeutic management decisions.

Methods: A panel of worldwide experts in PSMA-PET was established. Panelists were selected based on their expertise and publication record in the diagnosis or treatment of PCa, in their involvement in clinical guidelines and according to their expertise in the clinical application of radiolabeled PSMA inhibitors. Panelists were actively involved in all stages of a modified, nonanonymous, Delphi consensus process.

Results: According to the findings obtained by modified Delphi consensus process, panelist recommendations were implemented in a structured report for PSMA-PET.

Conclusions: The E-PSMA standardized reporting guidelines, a document supported by the European Association of Nuclear Medicine (EANM), provide consensus statements among a panel of experts in PSMA-PET imaging, to develop a structured report for PSMA-PET in prostate cancer and to harmonize diagnostic interpretation criteria.

Citing Articles

The prognostic role of staging [18F]PSMA-1007 PET/CT volumetric and dissemination features in prostate cancer.

Albano D, Temponi A, Bertagna F, Suardi N, Talin A, Bonu M Ann Nucl Med. 2025; .

PMID: 39961974 DOI: 10.1007/s12149-025-02026-7.


Association of [Ga]Ga-PSMA-11 PET/CT Metrics with PSA Persistence Following Radical Prostatectomy in Patients with Intermediate- and High-Risk Prostate Cancer.

Rosales J, Betech-Antar V, Minguez F, Guillen E, Prieto E, Quincoces G Diagnostics (Basel). 2025; 15(3).

PMID: 39941231 PMC: 11817176. DOI: 10.3390/diagnostics15030301.


Exploring the Correlation Between Multiparameters Detected in Primary Prostate Cancer using F‑18 PSMA‑1007 PET/MRI and their Potential for Predicting Metastasis.

Cheewadhanaraks S, Sereeborwornthanasak K, Siripongsatian D, Jantarato A, Promteangtrong C, Kunawudhi A Nucl Med Mol Imaging. 2025; 59(1):79-90.

PMID: 39881967 PMC: 11772630. DOI: 10.1007/s13139-024-00884-z.


[F]PSMA-1007 PET/CT-based radiomics may help enhance the interpretation of bone focal uptakes in hormone-sensitive prostate cancer patients.

Bauckneht M, Pasini G, Di Raimondo T, Russo G, Raffa S, Donegani M Eur J Nucl Med Mol Imaging. 2025; .

PMID: 39873702 DOI: 10.1007/s00259-025-07085-6.


Current insights on PSMA PET/CT in intermediate-risk prostate cancer: a literature review.

Guglielmo P, Buffi N, Porreca A, Setti L, Arico D, Muraglia L Ann Nucl Med. 2025; 39(3):247-254.

PMID: 39812950 DOI: 10.1007/s12149-025-02015-w.


References
1.
OKeefe D, Bacich D, Huang S, Heston W . A Perspective on the Evolving Story of PSMA Biology, PSMA-Based Imaging, and Endoradiotherapeutic Strategies. J Nucl Med. 2018; 59(7):1007-1013. PMC: 6910646. DOI: 10.2967/jnumed.117.203877. View

2.
Gordon I, Tretiakova M, Noffsinger A, Hart J, Reuter V, Al-Ahmadie H . Prostate-specific membrane antigen expression in regeneration and repair. Mod Pathol. 2008; 21(12):1421-7. DOI: 10.1038/modpathol.2008.143. View

3.
Kaittanis C, Andreou C, Hieronymus H, Mao N, Foss C, Eiber M . Prostate-specific membrane antigen cleavage of vitamin B9 stimulates oncogenic signaling through metabotropic glutamate receptors. J Exp Med. 2017; 215(1):159-175. PMC: 5748857. DOI: 10.1084/jem.20171052. View

4.
Aggarwal R, Wei X, Kim W, Small E, Ryan C, Carroll P . Heterogeneous Flare in Prostate-specific Membrane Antigen Positron Emission Tomography Tracer Uptake with Initiation of Androgen Pathway Blockade in Metastatic Prostate Cancer. Eur Urol Oncol. 2019; 1(1):78-82. DOI: 10.1016/j.euo.2018.03.010. View

5.
Emmett L, Yin C, Crumbaker M, Hruby G, Kneebone A, Epstein R . Rapid Modulation of PSMA Expression by Androgen Deprivation: Serial Ga-PSMA-11 PET in Men with Hormone-Sensitive and Castrate-Resistant Prostate Cancer Commencing Androgen Blockade. J Nucl Med. 2018; 60(7):950-954. DOI: 10.2967/jnumed.118.223099. View