» Articles » PMID: 36287804

Prostate Cancer Biochemical Recurrence Resulted Negative on [Ga]Ga-PSMA-11 but Positive on [F]Fluoromethylcholine PET/CT

Overview
Journal Tomography
Publisher MDPI
Specialty Radiology
Date 2022 Oct 26
PMID 36287804
Authors
Affiliations
Soon will be listed here.
Abstract

For prostate cancer (PCa) biochemical recurrence (BCR), the primarily suggested imaging technique by the European Association of Urology (EAU) guidelines is prostate-specific membrane antigen (PSMA) positron emission tomography/computer tomography (PET/CT). Indeed, the increased detection rate of PSMA PET/CT for early BCR has led to a fast and wide acceptance of this novel technology. However, PCa is a very heterogeneous disease, not always easily assessable with the highly specific PSMA PET with around 10% of cases occuring without PSMA expression. In this paper, we present the case of a patient with PCa BCR that resulted negative on [Ga]Ga-PSMA-11 PET/CT, but positive on [F]Fluoromethylcholine (Choline) PET/CT.

Citing Articles

The role of PSMA-based radioligand therapy in hormone-sensitive prostate cancer.

Laudicella R, Bauckneht M, Burger I, Cacciola A, Fanti S, Farolfi A Eur J Nucl Med Mol Imaging. 2025; .

PMID: 39934300 DOI: 10.1007/s00259-025-07083-8.


mCRPC progression of disease after [Lu]Lu-PSMA-617 detected on [F]Choline: a case of PCa heterogeneity.

Laudicella R, Minutoli F, Russo S, Siracusa M, Bambaci M, Pagano B Urol Case Rep. 2024; 54:102750.

PMID: 38765461 PMC: 11101952. DOI: 10.1016/j.eucr.2024.102750.


Choline PET/CT in recurrent prostate cancer.

Detti B, Carnevale M, Lucidi S, Burchini L, Caini S, Orsatti C Front Oncol. 2023; 13:1079808.

PMID: 37025599 PMC: 10070677. DOI: 10.3389/fonc.2023.1079808.


Histology and PSMA Expression on Immunohistochemistry in High-Risk Prostate Cancer Patients: Comparison with Ga-PSMA PET/CT Features in Primary Staging.

Vetrone L, Mei R, Bianchi L, Giunchi F, Farolfi A, Castellucci P Cancers (Basel). 2023; 15(6).

PMID: 36980602 PMC: 10046634. DOI: 10.3390/cancers15061716.


Preliminary Findings of the Role of FAPi in Prostate Cancer Theranostics.

Laudicella R, Spataro A, Croce L, Giacoppo G, Romano D, Davi V Diagnostics (Basel). 2023; 13(6).

PMID: 36980482 PMC: 10047910. DOI: 10.3390/diagnostics13061175.

References
1.
Yadav S, Stockert J, Hackert V, Yadav K, Tewari A . Intratumor heterogeneity in prostate cancer. Urol Oncol. 2018; 36(8):349-360. DOI: 10.1016/j.urolonc.2018.05.008. View

2.
Morigi J, Stricker P, van Leeuwen P, Tang R, Ho B, Nguyen Q . Prospective Comparison of 18F-Fluoromethylcholine Versus 68Ga-PSMA PET/CT in Prostate Cancer Patients Who Have Rising PSA After Curative Treatment and Are Being Considered for Targeted Therapy. J Nucl Med. 2015; 56(8):1185-90. DOI: 10.2967/jnumed.115.160382. View

3.
Alberts I, Sachpekidis C, Fech V, Rominger A, Afshar-Oromieh A . PSMA-negative prostate cancer and the continued value of choline-PET/CT. Nuklearmedizin. 2019; 59(1):33-34. DOI: 10.1055/a-1044-1855. View

4.
Barbaud M, Frindel M, Ferrer L, Le Thiec M, Rusu D, Rauscher A . 68Ga-PSMA-11 PET-CT study in prostate cancer patients with biochemical recurrence and non-contributive 18F-Choline PET-CT: Impact on therapeutic decision-making and biomarker changes. Prostate. 2018; 79(5):454-461. DOI: 10.1002/pros.23751. View

5.
Kesch C, Yirga L, Dendl K, Handke A, Darr C, Krafft U . High fibroblast-activation-protein expression in castration-resistant prostate cancer supports the use of FAPI-molecular theranostics. Eur J Nucl Med Mol Imaging. 2021; 49(1):385-389. PMC: 8712308. DOI: 10.1007/s00259-021-05423-y. View