Molecular Imaging and Therapeutics, Department of Radiology, University of North Carolina, Chapel Hill, North Carolina, USA.
Prostate. 2024 Dec;84(16):1419-1426. doi: 10.1002/pros.24780. Epub 2024 Sep 9.
The proliferation of US FDA-approved prostate-specific membrane antigen (PSMA)-targeted positron emission tomography (PET) imaging agents as a means to evaluate prostate cancer patients, and the expanding knowledge of interpretive pitfalls, has led to the generation of multiple online training modules geared toward the reading of each individual agent, each taking different approaches to criteria for interpretation, which may contribute to the variability of reporting in clinical practice.
The websites of the marketers of each FDA-approved agent [Ga-PSMA-11 (Illuccix; Telix Pharmaceuticals), Ga-PSMA-11 (Locametz; Novartis Pharmaceuticals), F-rh-PSMA-7.3 (Posluma; Blue Earth Diagnostics)], and the website of the Society of Nuclear Medicine and Molecular Imaging [F-DCFPyL (Pylarify)] were examined. All information pertaining to reader training, including videos, PDFs, and PowerPoint presentations, were reviewed.
Videos from each module covered interpretive approach and pitfalls and ranged in length from a total of 20 min up to 315 min. Each module provided a different approach to PSMA PET scan findings, and on a different number and breadth of interpretive tips and pitfalls (a total of approximately 12-30 in all).
Each of the four PSMA PET reader training modules covered important interpretive pitfalls. The lengths of the video portions of each module varied considerably, suggesting variable investments in time necessary to complete each module. The differences in the modules could contribute to inconsistency among readers depending on which module(s) they may have completed and which radiotracer(s) they are using.
随着美国食品和药物管理局 (FDA) 批准的用于评估前列腺癌患者的前列腺特异性膜抗原 (PSMA)-靶向正电子发射断层扫描 (PET) 成像剂的数量不断增加,以及对解读陷阱的认识不断扩大,已经产生了多个在线培训模块,旨在针对每种单独的成像剂进行阅读,每个模块都采用不同的解释标准方法,这可能导致临床实践中报告的变化。
检查了每个 FDA 批准的成像剂(Ga-PSMA-11(Illuccix;Telix Pharmaceuticals)、Ga-PSMA-11(Locametz;诺华制药)、F-rh-PSMA-7.3(Posluma;Blue Earth Diagnostics))的营销商网站,以及核医学和分子成像学会的网站 [F-DCFPyL(Pylarify)]。审查了所有与读者培训相关的信息,包括视频、PDF 和 PowerPoint 演示文稿。
每个模块的视频都涵盖了解释方法和陷阱,总时长从总共 20 分钟到 315 分钟不等。每个模块都提供了 PSMA PET 扫描结果的不同解释方法,以及不同数量和广度的解释提示和陷阱(总共约 12-30 个)。
四个 PSMA PET 读者培训模块都涵盖了重要的解释陷阱。每个模块视频部分的长度差异很大,表明完成每个模块所需的时间投资差异很大。模块之间的差异可能会导致读者之间的不一致,具体取决于他们可能完成了哪些模块以及他们正在使用哪些放射性示踪剂。