2021
DOI: 10.3389/fonc.2021.683793
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The Evolving Role of 18F-FDG PET/CT in Diagnosis and Prognosis Prediction in Progressive Prostate Cancer

Abstract: Positron emission tomography/computed tomography (PET/CT) is widely used in prostate cancer to evaluate the localized tumor burden and detect symptomatic metastatic lesions early. 18F-FDG is the most used tracer for oncologic imaging, but it has limitations in detecting early-stage prostate cancer. 68Ga-PSMA is a new tracer that has high specificity and sensibility in detecting local and metastatic tumors. But with the progression of prostate cancer, the enhancement of glucose metabolism in progressive prostat… Show more

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Cited by 31 publications
(24 citation statements)
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References 76 publications
(158 reference statements)
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“…Various PET tracers are now available for the imaging of prostate cancer and neuroendocrine differentiation. A recent clinical case series demonstrated excellent detection rates for the metastases (95%), specifically the visceral and nodal metastases in NEPCs by using FDG-PET [ 51 , 52 ]. The positron-emitting somatostatin analogs, which bind to somatostatin receptors (SSRTs) with high affinity, 68 Ga-DOTATATE or 68 Ga DOTANOC are also suitable and found to be as highly accurate as the PET/CT radiotracers, for the display of somatostatin-expressing NETs [ 43 , 44 ].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Various PET tracers are now available for the imaging of prostate cancer and neuroendocrine differentiation. A recent clinical case series demonstrated excellent detection rates for the metastases (95%), specifically the visceral and nodal metastases in NEPCs by using FDG-PET [ 51 , 52 ]. The positron-emitting somatostatin analogs, which bind to somatostatin receptors (SSRTs) with high affinity, 68 Ga-DOTATATE or 68 Ga DOTANOC are also suitable and found to be as highly accurate as the PET/CT radiotracers, for the display of somatostatin-expressing NETs [ 43 , 44 ].…”
Section: Discussionmentioning
confidence: 99%
“…FDG PET findings can also serve as prognostic marker in cases of metastatic NEPC. When stratified by the median survival from NEPC diagnosis, patients who survived <2.2 versus ≥2.2 years, had more PET avid bone and soft tissue lesions and higher average SUVmax of bone and soft tissue lesions [ 51 , 52 ]. Some low-grade neuroendocrine tumors may not be intensely FDG-avid and rather may be more intensely avid on 68 Gallium DOTATATE PET, as shown with gastroenteropancreatic neuroendocrine neoplasms [ 53 ].…”
Section: Pathologic Classification and Genetic Alterationsmentioning
confidence: 99%
“…On the other hand, the evolution of non-invasive imaging methods has permitted the study of cancer metabolism (i.e., metabolomics studies) or structure. Firstly, we can cite fluorodeoxyglucose-positron emission tomography (FDG-PET) imaging which is used in routine to detect increased glucose uptake by advanced/aggressive tumors such as breast, colorectal, and thyroid cancer (DTC, MTC, and ATC) [ 144 , 145 , 146 ]. In addition to FDG, a wide range of radiolabeled carbohydrates, amino acids, and fatty acids detected by PET are studied to try and take advantage of the high metabolic rate of tumors, creating a bridge between cell biochemistry and in vivo diagnostics [ 147 , 148 ].…”
Section: Conceptual Diagnostic and Therapeutic Implications Of The Dynamic Heterogeneity Of Cancermentioning
confidence: 99%
“…18 Fluorinated 2-deoxy glucose ( 18 F-FDG) is one of the most extensively used PET tracers. The design of 18 F-FDG is for detecting the higher expression of glucose transporters in cancer cells [9]. The 2-deoxyglucose (2-DG) is excessively taken up by the tumor as upregulated glucose transporters are phosphorylated in the glycolysis pathway, while the normal tissue has an insignificant uptake of 2-DG.…”
Section: Introductionmentioning
confidence: 99%