PT - JOURNAL ARTICLE AU - Hannes Treiber AU - Alexander König AU - Albrecht Neesse AU - Annika Richter AU - Carsten Oliver Sahlmann AU - Arne Strauss TI - Liver Enzyme Elevation After <sup>177</sup>Lu-PSMA Radioligand Therapy for Metastasized Castration-Resistant Prostate Cancer AID - 10.2967/jnumed.120.258533 DP - 2021 Jul 01 TA - Journal of Nuclear Medicine PG - 1016--1019 VI - 62 IP - 7 4099 - http://jnm.snmjournals.org/content/62/7/1016.short 4100 - http://jnm.snmjournals.org/content/62/7/1016.full SO - J Nucl Med2021 Jul 01; 62 AB - 177Lu-PSMA radioligand therapy is a promising new option for patients with metastasized castration-resistant prostate cancer, and the spectrum of adverse events with this treatment has to be evaluated. Here, we describe the case of a patient with M1c disease (metastasis to the mediastinum, lungs, bones, and liver) who presented with elevated liver enzyme levels after receiving 177Lu-PSMA radioligand therapy for castration-resistant prostate cancer. Pretreatment 68Ga-PSMA PET/CT showed at least 4 liver lesions with low uptake. Overall, the liver uptake was inhomogeneous. Liver biopsy was performed subsequently.