Martinez Juana, Subramanian Kritika, Huicochea Castellanos Sandra, Thomas Charlene, Choudhury Arindam Roy, Muench Brett, Tagawa Scott T, Pillarsetty Naga Vara Kishore, Osborne Joseph R
Division of Molecular Imaging and Therapeutics, Department of Radiology, Weill Cornell Medicine, New York, NY.
Division of Molecular Imaging and Therapeutics, Department of Radiology, Weill Cornell Medicine, New York, NY.
Transl Oncol. 2023 Feb;28:101593. doi: 10.1016/j.tranon.2022.101593. Epub 2022 Dec 24.
The clinical utility of gallium 68 (Ga)-PSMA PET for the diagnosis and management of prostate cancer is driven in part by radioisotope availability and production costs. This study evaluates the equivalence between the two manufacturing processes for Ga-PSMA: Ga-PSMA-cyclotron (from a solid target) and Ga-PSMA-generator. A prospective, single-arm, single-institution non-randomized study was conducted where 16 patients with prostate adenocarcinoma underwent PET/CTs consecutively within 12 to 48 hours with each type of manufactured Ga-PSMA between December 2020 and June 2021. The intraclass correlation coefficients suggested acceptable reliability in all lesion parameters (ICC > 0.70). Bland-Altman analysis demonstrated acceptable bias levels for all lesion parameters. Thereby Ga-cyclotron (solid target) and Ga-generator production methods tagged to the same PSMA ligand resulted in scans which were deemed to be equivalent in detecting PSMA+ lesions in our study. As cyclotron-produced, solid- target Ga can be made in large (Ci) quantities, it is a promising tool for future application in Ga-PSMA PET scans with the potential to decrease radiotracer production costs and increase isotope availability.
镓68(Ga)-前列腺特异性膜抗原(PSMA)正电子发射断层扫描(PET)在前列腺癌诊断和管理中的临床应用部分受到放射性同位素可用性和生产成本的驱动。本研究评估了Ga-PSMA两种制造工艺之间的等效性:回旋加速器生产的Ga-PSMA(来自固体靶)和Ga-PSMA发生器。开展了一项前瞻性、单臂、单机构非随机研究,2020年12月至2021年6月期间,16例前列腺腺癌患者在12至48小时内先后接受了两种类型制造的Ga-PSMA的PET/CT检查。组内相关系数表明所有病变参数的可靠性均可接受(ICC>0.70)。布兰德-奥特曼分析显示所有病变参数的偏差水平均可接受。因此,在我们的研究中,标记有相同PSMA配体的回旋加速器(固体靶)生产的Ga和发生器生产方法所得到的扫描结果在检测PSMA阳性病变方面被认为是等效的。由于回旋加速器生产的固体靶Ga能够大量制备(居里),它是未来应用于Ga-PSMA PET扫描的一种有前景的工具,具有降低放射性示踪剂生产成本和提高同位素可用性的潜力。
2025-1
Eur J Nucl Med Mol Imaging. 2023-7