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Review ArticleContinuing Education

177Lu-PSMA Radioligand Therapy for Prostate Cancer

Wolfgang P. Fendler, Kambiz Rahbar, Ken Herrmann, Clemens Kratochwil and Matthias Eiber
Journal of Nuclear Medicine August 2017, 58 (8) 1196-1200; DOI: https://doi.org/10.2967/jnumed.117.191023
Wolfgang P. Fendler
1Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
2Department of Nuclear Medicine, Ludwig Maximilians University of Munich, Munich, Germany
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Kambiz Rahbar
3Department of Nuclear Medicine, University Hospital Muenster, Muenster, Germany
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Ken Herrmann
1Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
4Department of Nuclear Medicine, Medical Faculty, University Hospital Essen, Essen, Germany
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Clemens Kratochwil
5Department of Nuclear Medicine, University of Heidelberg, Heidelberg, Germany; and
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Matthias Eiber
1Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
6Department of Nuclear Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany
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    FIGURE 1.

    Anterior planar scintigrams of 2 patients 18 h after intravenous application of 6.0 GBq of 177Lu-PSMA-617 (A) and 24 h after intravenous application of 7.4 GBq of 177Lu-PSMA I&T (B). Both patients had minimal residual disease after prior RLT, not visible on scintigraphy.

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    FIGURE 2.

    Proposed protocol for repeated 177Lu-PSMA RLT. RLT is performed by repeated application of 177Lu-PSMA at 8-wk intervals, with follow-up assessment at 4-wk intervals. PSMA-directed PET/CT is performed at baseline and after 2 cycles of therapy. (Adapted with permission of (33).)

  • FIGURE 3.
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    FIGURE 3.

    68Ga-PSMA-11 PET/CT at baseline and after 2 cycles of 177Lu-PSMA-617 in 78-y-old patient with mCRPC. Whole-body 68Ga-PSMA-11 PET maximum-intensity projections (A and B) and axial PET/CT scans (C and D) of thorax are shown at baseline (A and C) and after therapy (B and D). 68Ga-PSMA-11 PET demonstrates considerable reduction of PSMA-expressing metastases in lymph nodes and bone after 2 cycles, each with 6.0 GBq of 177Lu-PSMA-617. Serum PSA level decreased from 11.5 to 1.2 ng/mL.

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Journal of Nuclear Medicine: 58 (8)
Journal of Nuclear Medicine
Vol. 58, Issue 8
August 1, 2017
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177Lu-PSMA Radioligand Therapy for Prostate Cancer
Wolfgang P. Fendler, Kambiz Rahbar, Ken Herrmann, Clemens Kratochwil, Matthias Eiber
Journal of Nuclear Medicine Aug 2017, 58 (8) 1196-1200; DOI: 10.2967/jnumed.117.191023

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177Lu-PSMA Radioligand Therapy for Prostate Cancer
Wolfgang P. Fendler, Kambiz Rahbar, Ken Herrmann, Clemens Kratochwil, Matthias Eiber
Journal of Nuclear Medicine Aug 2017, 58 (8) 1196-1200; DOI: 10.2967/jnumed.117.191023
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  • Article
    • Abstract
    • TARGET
    • LIGANDS
    • INDICATION
    • RLT PROTOCOL
    • 177LU-PSMA APPLICATION
    • CONCOMITANT THERAPY
    • SAFETY
    • EFFICACY
    • FOLLOW-UP
    • FUTURE PERSPECTIVE
    • SUMMARY
    • Footnotes
    • REFERENCES
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Cited By...

  • SPECT/CT in Early Response Assessment of Patients with Metastatic Castration-Resistant Prostate Cancer Receiving 177Lu-PSMA-617
  • Tumor Control Probability and Small-Scale Monte Carlo Dosimetry: Effects of Heterogenous Intratumoral Activity Distribution in Radiopharmaceutical Therapy
  • [177Lu]Lu-PSMA-617 Therapy in a Patient with Chronic Kidney Disease
  • The Impact of Peptide Amount on Tumor Uptake to Assess PSMA Receptor Saturation on 68Ga-PSMA-11 PET/CT in Patients with Primary Prostate Cancer
  • Radionuclide Therapies: An Overview of Applications
  • Molecular Imaging of Prostate Cancer Targeting CD46 Using ImmunoPET
  • Investigating PSMA-Targeted Radioligand Therapy Efficacy as a Function of Cellular PSMA Levels and Intratumoral PSMA Heterogeneity
  • JHU-2545 Selectively Shields Salivary Glands and Kidneys during PSMA-Targeted Radiotherapy
  • Multimodality Imaging of Prostate Cancer
  • Effect of External Cooling on 177Lu-PSMA Uptake by the Parotid Glands
  • EBONI: A Tool for Automated Quantification of Bone Metastasis Load in PSMA PET/CT
  • A Perspective on the Evolving Story of PSMA Biology, PSMA-Based Imaging, and Endoradiotherapeutic Strategies
  • The Utility of PET/CT in the Planning of External Radiation Therapy for Prostate Cancer
  • More {alpha} Than {beta} for Prostate Cancer?
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More in this TOC Section

  • Treatment Response Evaluation in Prostate Cancer Using PSMA PET/CT
  • Approaches to Imaging Immune Activation Using PET
  • Large Language Models and Large Multimodal Models in Medical Imaging: A Primer for Physicians
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Keywords

  • Genitourinary
  • radionuclide therapy
  • Education
  • lutetium
  • PSMA
  • therapy
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