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Title:
Nonprostatic diseases on PSMA PET imaging: a spectrum of benign and malignant findings | Cancer Imaging
Description:
PSMA PET imaging was originally used to assess biochemical recurrence of prostate cancer (PCa), but its clinical use was promptly extended to detection, staging and therapy response assessment. The expanding use of PSMA PET worldwide has also revealed PSMA ligand uptake in diverse nonprostatic diseases, which raised questions about the specificity of this imaging modality. Although not very common initially, a growing number of pathologies presenting PSMA uptake on PET have been reported in the last few years, and a proper interpretation of PSMA PET imaging findings suddenly became challenging and, to some extent, confusing. Compared to cytoplasmic PSMA expression in nonprostatic cells, the molecular features of apical PSMA expression in PCa cells can help to distinguish these various conditions. Correlations of imaging findings to patient history, to the expected pattern of disease spread and mainly to computed tomography (CT) and/or magnetic resonance imaging (MRI) characteristics will reinforce the distinction of lesions that are more likely related to PCa from those that could lead to an incorrect diagnosis. The overall benefits of endothelial PSMA expression, which is associated with the neovasculature of malignant neoplasms, will be highlighted, stating the potential use of PSMA ligand uptake as a theranostic tool. This review aims to cover the collection of nonprostatic diseases, including benign and malignant tumors, in a didactic approach according to disease etiology, with discussion of bone-related conditions and inflammatory and infectious processes.
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Keywords {🔍}
psma, uptake, imaging, article, google, scholar, pubmed, lesions, petct, pet, axial, pca, expression, fig, cancer, med, prostate, nucl, membrane, bone, nonprostatic, patients, arrows, show, cas, patient, images, size, clin, findings, full, image, antigen, lesion, benign, prostatespecific, mip, cells, tumors, arrow, diseases, gapsma, metastatic, dashed, disease, mild, malignant, clinical, tumor, morphological,
Topics {✒️}
anti-prostate-specific membrane antigen 68ga-psma-hbed-cc pet/ct 68ga psma-hbed-cc pet/ct 68ga-psma-hbed-cc pet imaging psma-targeted 18f-dcfpyl pet/ct 68ga-psma-hbed-cc pet 68ga-thp-psma 18f-dcfpyl prostate-specific membrane antigen 68 ga-psma-hbed-cc uptake [68ga] psma-hbed-cc uptake 68ga-psma-ligand pet/ct uptake hybrid 68ga-psma-pet/ct [68ga] psma-hbed-cc 68ga-psma-hbed-cc 68ga-psma-pet/ct mip 18f-fdg-pet/ct mip positron emission tomography underwent 68ga-psma pet/ct 68ga—psma ligand pet/ct 68ga-psma-pet mip images ga-psma search search 68ga-psma-11 pet/ct imaging 68ga-labeled psma uptake sagittal 68ga-psma-pet/ct axial 68ga-psma-pet/ct prostate-specific antigen 68ga-dotatate pet mip 68ga-psma-pet mip 68ga-psma pet mip 68ga-dotatate pet/ct false-positive results due article download pdf 99mtc-dpd-spect/ct psma-rads-3d designation ga-68-psma-pet/ct full size image 68ga-psma pet/ct 68ga-psma-pet/ct 18f-fdg-pet/ct triphasic contrast-enhanced ct high 18f-fdg uptake psma-ligand pet imaging including 18fdg-pet/ct fused pet/ct images false-positive tracer uptake psma pet/ct imaging specific enzymatic domains molecular pet/ct imaging intense 68ga-psma uptake prostate disease-current status
Questions {❓}
- , are the CT/MRI findings typical of a specific neoplasm or of a PCa lesion?
- , are the intensity, extension, and semiquantitative patterns different from those of other lesions or from those expected to occur in PCa?
- , does this lesion reasonably fit with known PCa staging, predicted spread, and/or PSA values?
- , is there some underlying condition/comorbidity that can be linked to this lesion?
- 68Ga-labeled PSMA uptake in nonprostatic malignancies: has the time come to remove “PS” from PSMA?
- Does CT of Thymic epithelial tumors enable us to differentiate histologic subtypes and predict prognosis?
- Prostate-specific membrane antigen PET/CT: false-positive results due to sarcoidosis?
- Strong PSMA Radioligand uptake by rectal carcinoma: who put the “S” in PSMA?
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headline:Nonprostatic diseases on PSMA PET imaging: a spectrum of benign and malignant findings
description:PSMA PET imaging was originally used to assess biochemical recurrence of prostate cancer (PCa), but its clinical use was promptly extended to detection, staging and therapy response assessment. The expanding use of PSMA PET worldwide has also revealed PSMA ligand uptake in diverse nonprostatic diseases, which raised questions about the specificity of this imaging modality. Although not very common initially, a growing number of pathologies presenting PSMA uptake on PET have been reported in the last few years, and a proper interpretation of PSMA PET imaging findings suddenly became challenging and, to some extent, confusing. Compared to cytoplasmic PSMA expression in nonprostatic cells, the molecular features of apical PSMA expression in PCa cells can help to distinguish these various conditions. Correlations of imaging findings to patient history, to the expected pattern of disease spread and mainly to computed tomography (CT) and/or magnetic resonance imaging (MRI) characteristics will reinforce the distinction of lesions that are more likely related to PCa from those that could lead to an incorrect diagnosis. The overall benefits of endothelial PSMA expression, which is associated with the neovasculature of malignant neoplasms, will be highlighted, stating the potential use of PSMA ligand uptake as a theranostic tool. This review aims to cover the collection of nonprostatic diseases, including benign and malignant tumors, in a didactic approach according to disease etiology, with discussion of bone-related conditions and inflammatory and infectious processes.
datePublished:2020-03-14T00:00:00Z
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Positron emission tomography
(68)Ga-PSMA
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Cancer Research
Imaging / Radiology
Nuclear Medicine
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headline:Nonprostatic diseases on PSMA PET imaging: a spectrum of benign and malignant findings
description:PSMA PET imaging was originally used to assess biochemical recurrence of prostate cancer (PCa), but its clinical use was promptly extended to detection, staging and therapy response assessment. The expanding use of PSMA PET worldwide has also revealed PSMA ligand uptake in diverse nonprostatic diseases, which raised questions about the specificity of this imaging modality. Although not very common initially, a growing number of pathologies presenting PSMA uptake on PET have been reported in the last few years, and a proper interpretation of PSMA PET imaging findings suddenly became challenging and, to some extent, confusing. Compared to cytoplasmic PSMA expression in nonprostatic cells, the molecular features of apical PSMA expression in PCa cells can help to distinguish these various conditions. Correlations of imaging findings to patient history, to the expected pattern of disease spread and mainly to computed tomography (CT) and/or magnetic resonance imaging (MRI) characteristics will reinforce the distinction of lesions that are more likely related to PCa from those that could lead to an incorrect diagnosis. The overall benefits of endothelial PSMA expression, which is associated with the neovasculature of malignant neoplasms, will be highlighted, stating the potential use of PSMA ligand uptake as a theranostic tool. This review aims to cover the collection of nonprostatic diseases, including benign and malignant tumors, in a didactic approach according to disease etiology, with discussion of bone-related conditions and inflammatory and infectious processes.
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Positron emission tomography
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Cancer Research
Imaging / Radiology
Nuclear Medicine
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