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Research ArticleTheranostics

68Ga-PSMA PET/CT Combined with PET/Ultrasound-Guided Prostate Biopsy Can Diagnose Clinically Significant Prostate Cancer in Men with Previous Negative Biopsy Results

Chen Liu, Teli Liu, Zhongyi Zhang, Ning Zhang, Peng Du, Yong Yang, Yiqiang Liu, Wei Yu, Nan Li, Michael A. Gorin, Steven P. Rowe, Hua Zhu, Kun Yan and Zhi Yang
Journal of Nuclear Medicine September 2020, 61 (9) 1314-1319; DOI: https://doi.org/10.2967/jnumed.119.235333
Chen Liu
1Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing, China
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Teli Liu
1Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing, China
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Zhongyi Zhang
2Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Ultrasonography, Peking University Cancer Hospital & Institute, Beijing, China
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Ning Zhang
3Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Urology, Peking University Cancer Hospital & Institute, Beijing, China
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Peng Du
3Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Urology, Peking University Cancer Hospital & Institute, Beijing, China
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Yong Yang
3Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Urology, Peking University Cancer Hospital & Institute, Beijing, China
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Yiqiang Liu
4Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Pathology, Peking University Cancer Hospital & Institute, Beijing, China
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Wei Yu
5Department of Urology, Peking University First Hospital, Beijing, China; and
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Nan Li
1Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing, China
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Michael A. Gorin
6The James Buchanan Brady Urological Institute and Department of Urology, and The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Steven P. Rowe
6The James Buchanan Brady Urological Institute and Department of Urology, and The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
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Hua Zhu
1Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing, China
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Kun Yan
2Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Ultrasonography, Peking University Cancer Hospital & Institute, Beijing, China
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Zhi Yang
1Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing, China
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  • FIGURE 1.
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    FIGURE 1.

    Prostate biopsy algorithm for study subjects. DRE = digital rectal examination.

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    FIGURE 2.

    Receiver-operating-characteristic curve analysis of 68Ga-PSMA PET/CT semiquantitative analysis index for prediction of csPCa. SUVT/BGp = tumor–to–normal-prostate background SUVmax.

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    TABLE 1

    Patients’ Clinical Characteristics

    CharacteristicNon-csPCacsPCaP
    Patients (n)1912
    Age (y)63 (53–81)70.5 (57–81)0.152
    Prior biopsies (n)1 (1–3)1 (1–3)0.857
    Total PSA (ng/mL)10.63 (5.48–46.88)37.58 (8.96–49.77)0.002*
    Free/total PSA (ng/mL)0.15 (0.07–0.47)0.13 (0.02–0.74)0.562
    Prostate volume (cm3)56.22 (22.39–108.63)33.69 (7.79–74.36)0.023*
    PSA density (ng/mL/mL)0.16 (0.09–1.75)0.81 (0.29–2.31)<0.001*
    • ↵* Significant differences (P < 0.05).

    • csPCa has GS ≥ 7; non-csPCa has GS of 6 or is normal prostate or benign prostatic disease. Data are median followed by range in parentheses. P values are for Wilcoxon–Mann–Whitney U test.

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    TABLE 2

    Comparison of Semiquantitative Analysis Parameters of 68Ga-PSMA PET/CT Between csPCa and Non-csPCa

    ParameterNon-csPCacsPCaP
    SUVmax of prostate lesion4.63 (2.90–9.87)10.15 (5.45–30.95)<0.001*
    SUVmax for…
     Liver background5.47 (3.05–9.74)5.42 (4.62–8.60)0.484
     Prostate background3.3 (2.00–4.40)3.5 (2.70–4.20)0.130
     Prostate lesions vs. prostate background1.43 (1.12–4.94)3.36 (1.44–10.32)<0.001*
     Prostate lesions vs. liver background0.91 (0.64–2.12)1.48 (1.03–6.03)<0.001*
    • ↵* Significant differences (P < 0.05).

    • csPCa has GS ≥ 7; non-csPCa has GS of 6 or is normal prostate or benign prostatic disease. Data are median followed by range in parentheses. P values are for Wilcoxon–Mann–Whitney U test.

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Journal of Nuclear Medicine: 61 (9)
Journal of Nuclear Medicine
Vol. 61, Issue 9
September 1, 2020
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68Ga-PSMA PET/CT Combined with PET/Ultrasound-Guided Prostate Biopsy Can Diagnose Clinically Significant Prostate Cancer in Men with Previous Negative Biopsy Results
Chen Liu, Teli Liu, Zhongyi Zhang, Ning Zhang, Peng Du, Yong Yang, Yiqiang Liu, Wei Yu, Nan Li, Michael A. Gorin, Steven P. Rowe, Hua Zhu, Kun Yan, Zhi Yang
Journal of Nuclear Medicine Sep 2020, 61 (9) 1314-1319; DOI: 10.2967/jnumed.119.235333

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68Ga-PSMA PET/CT Combined with PET/Ultrasound-Guided Prostate Biopsy Can Diagnose Clinically Significant Prostate Cancer in Men with Previous Negative Biopsy Results
Chen Liu, Teli Liu, Zhongyi Zhang, Ning Zhang, Peng Du, Yong Yang, Yiqiang Liu, Wei Yu, Nan Li, Michael A. Gorin, Steven P. Rowe, Hua Zhu, Kun Yan, Zhi Yang
Journal of Nuclear Medicine Sep 2020, 61 (9) 1314-1319; DOI: 10.2967/jnumed.119.235333
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Keywords

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