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Initial evaluation of <scp>PET</scp> / <scp>CT</scp> with <sup>18</sup> F‐ <scp>FSU</scp> ‐880 targeting prostate‐specific membrane antigen in prostate cancer patients

DOI:10.1111/cas.13911 期刊:Cancer Science 出版年份:2018 更新时间:2025-09-23 15:23:52
摘要: This first-in-man study was carried out to evaluate the safety, whole-body distribution, dose estimation, and lesion accumulation of 18F-FSU-880, a newly developed probe targeting prostate-specific membrane antigen. Six prostate cancer patients with known metastatic lesions underwent serial whole-body PET/computed tomography (CT) with 18F-FSU-880. Blood and urine were analyzed before and after PET/CT. Accumulation of 18F-FSU-880 in organs and metastatic lesions in serial PET images were evaluated by measuring the standardized uptake values. From the biodistribution data, the organ doses and whole-body effective dose were calculated using OLINDA/EXM software. 18F-FSU-880 PET/CT could be carried out without significant adverse effects. High physiological uptake was observed in the salivary/lachrymal glands and kidneys. The effective dose was calculated to be 0.921 × 10?2 mSv/MBq. Known metastatic lesions were clearly visualized with high image contrast that increased with time, except in 1 patient, whose bone metastases were well-controlled and inactive. The PET/CT with 18F-FSU-880 could be carried out safely and could clearly visualize active metastatic lesions. The present results warrant further clinical studies with a larger number of cases to verify the clinical utility of 18F-FSU-880 PET/CT in the management of prostate cancer patients.
作者: Tsuneo Saga,Yuji Nakamoto,Takayoshi Ishimori,Takahiro Inoue,Yoichi Shimizu,Hiroyuki Kimura,Shusuke Akamatsu,Takayuki Goto,Hiroyuki Watanabe,Kosuke Kitaguchi,Masao Watanabe,Masahiro Ono,Hideo Saji,Osamu Ogawa,Kaori Togashi
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To evaluate the safety, whole-body distribution, dose estimation, and lesion accumulation of 18F-FSU-880, a newly developed probe targeting prostate-specific membrane antigen in prostate cancer patients.

PET/CT with 18F-FSU-880 was safely conducted and effectively visualized active metastatic lesions with high image contrast. The effective dose was acceptable. The results support further clinical studies with larger cohorts to confirm utility in prostate cancer management.

The study had a small sample size of only six patients, which limits the generalizability of the findings. Not all suspected lesions were confirmed due to the primary focus on safety evaluation. The effect of treatments on probe uptake could not be fully elucidated. Potential for physiological fluctuations in blood/urine data may affect interpretation.

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