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Evaluating the biodistribution for 68GaGa-PSMA-11 and 18FF-PSMA-1007 PET/CT with an inter- and intrapatient based analysis
by
Zhang, Boya
, Sartoretti, Thomas
, Huellner, Martin W.
, Maurer, Alexander
, Skawran, Stephan
, Heimer, Jakob
, Sauter, Alexander
, Spielhofer, Noel
, Messerli, Michael
, Popescu, Cristina E.
, Burger, Irene A.
, Kaufmann, Philipp A.
in
Biodistribution
/ Blood
/ Cardiac Imaging
/ F18-PSMA-1007
/ Fluorine isotopes
/ Ga68-PSMA-11
/ Imaging
/ Liver
/ Liver uptake
/ Medicine
/ Medicine & Public Health
/ Nuclear Medicine
/ Oncology
/ Original Research
/ Orthopedics
/ PSMA-PET/CT
/ Radioligand therapy
/ Radiology
/ Salivary glands
/ Therapy selection
2024
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Evaluating the biodistribution for 68GaGa-PSMA-11 and 18FF-PSMA-1007 PET/CT with an inter- and intrapatient based analysis
by
Zhang, Boya
, Sartoretti, Thomas
, Huellner, Martin W.
, Maurer, Alexander
, Skawran, Stephan
, Heimer, Jakob
, Sauter, Alexander
, Spielhofer, Noel
, Messerli, Michael
, Popescu, Cristina E.
, Burger, Irene A.
, Kaufmann, Philipp A.
in
Biodistribution
/ Blood
/ Cardiac Imaging
/ F18-PSMA-1007
/ Fluorine isotopes
/ Ga68-PSMA-11
/ Imaging
/ Liver
/ Liver uptake
/ Medicine
/ Medicine & Public Health
/ Nuclear Medicine
/ Oncology
/ Original Research
/ Orthopedics
/ PSMA-PET/CT
/ Radioligand therapy
/ Radiology
/ Salivary glands
/ Therapy selection
2024
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Evaluating the biodistribution for 68GaGa-PSMA-11 and 18FF-PSMA-1007 PET/CT with an inter- and intrapatient based analysis
by
Zhang, Boya
, Sartoretti, Thomas
, Huellner, Martin W.
, Maurer, Alexander
, Skawran, Stephan
, Heimer, Jakob
, Sauter, Alexander
, Spielhofer, Noel
, Messerli, Michael
, Popescu, Cristina E.
, Burger, Irene A.
, Kaufmann, Philipp A.
in
Biodistribution
/ Blood
/ Cardiac Imaging
/ F18-PSMA-1007
/ Fluorine isotopes
/ Ga68-PSMA-11
/ Imaging
/ Liver
/ Liver uptake
/ Medicine
/ Medicine & Public Health
/ Nuclear Medicine
/ Oncology
/ Original Research
/ Orthopedics
/ PSMA-PET/CT
/ Radioligand therapy
/ Radiology
/ Salivary glands
/ Therapy selection
2024
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Evaluating the biodistribution for 68GaGa-PSMA-11 and 18FF-PSMA-1007 PET/CT with an inter- and intrapatient based analysis
Journal Article
Evaluating the biodistribution for 68GaGa-PSMA-11 and 18FF-PSMA-1007 PET/CT with an inter- and intrapatient based analysis
2024
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Overview
Background
Liver uptake in [
68
Ga]Ga-PSMA-11 PET is used as an internal reference in addition to clinical parameters to select patients for [
177
Lu]Lu-PSMA-617 radioligand therapy (RLT). Due to increased demand, [
68
Ga]Ga-PSMA-11 was replaced by [
18
F]F-PSMA-1007, a more lipophilic tracer with different biodistribution and splenic uptake was suggested as a new internal reference. We compared the intra-patient tracer distribution between [
68
Ga]Ga-PSMA-11 and [
18
F]F-PSMA-1007.
Methods
Fifty patients who underwent PET examinations in two centers with both [
18
F]F-PSMA-1007 and [
68
Ga]Ga-PSMA-11 within one year were included. Mean standardized uptake values (SUV
mean
) were obtained for liver, spleen, salivary glands, blood pool, and bone. Primary tumor, local recurrence, lymph node, bone or visceral metastasis were also assessed for intra- and inter-individual comparison.
Results
Liver SUV
mean
was significantly higher with [
18
F]F-PSMA-1007 (11.7 ± 3.9) compared to [
68
Ga]Ga-PSMA-11 (5.4 ± 1.7,
p
< .05) as well as splenic SUV
mean
(11.2 ± 3.5 vs.8.1 ± 3.5,
p
< .05). The blood pool was comparable between the two scans. Malignant lesions did not show higher SUV
mean
on [
18
F]F-PSMA-1007. Intra-individual comparison of liver uptake between the two scans showed a linear association for liver uptake with SUV
mean
[
68
Ga]Ga-PSMA-11 = 0.33 x SUV
mean
[
18
F]F-PSMA-1007 + 1.52 (
r
= .78,
p
< .001).
Conclusion
Comparing biodistribution of [
68
Ga]Ga and [
18
F]F tracers, liver uptake on [
68
Ga]Ga-PSMA-11 PET is the most robust internal reference value. Liver uptake of [
18
F]F-PSMA-1007 was significantly higher, but so was the splenic uptake. The strong intra-individual association of hepatic accumulation between the two scans may allow using of a conversion factor for [
18
F]F-PSMA-1007 as a basis for RLT selection.
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