RT Journal Article SR Electronic T1 Liver enzyme elevation after 177Lu-PSMA radioligand therapy for metastasized castration-resistant prostate cancer JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP jnumed.120.258533 DO 10.2967/jnumed.120.258533 A1 Hannes Treiber A1 Alexander Koenig A1 Albrecht Neesse A1 Annika Richter A1 Carsten Oliver Sahlmann A1 Arne Strauss YR 2021 UL http://jnm.snmjournals.org/content/early/2021/05/14/jnumed.120.258533.abstract AB 177Lu-PSMA radioligand therapy (177Lu-PSMA-RLT) is a promising new therapeutic option for patients with metastasized castration-resistant prostate cancer (mCRPC). The spectrum of adverse events with this treatment has to be evaluated. Here, we describe the case of a mCRPC patient with M1c disease (mediastinum, lungs, bones and liver) who presented with elevated liver enzyme levels after 177Lu-PSMA-RLT administration. Pre-treatment 68Ga-PSMA PET/CT showed at least 4 liver lesions with low uptake. Overall, the liver uptake was inhomogeneous. Liver biopsy was performed subsequently.