Identification of the Optimal Cut-Off Value of PSA for Assessing Severity of Disease in [68Ga]Ga-PSMA-11 PET/CT Study in Prostate Cancer Patients after Radical Prostatectomy.
Diagnostics (Basel)
; 12(2)2022 Jan 29.
Article
em En
| MEDLINE
| ID: mdl-35204440
ABSTRACT
OBJECTIVE:
The objective of this study was to identify the optimal cut-off value of prostate specific antigen (PSA) to assess the extent of the disease in [68Ga]Ga-PSMA-11 PET/CT study in patients after radical prostatectomy. MATERIALS ANDMETHODS:
Retrospective analysis was performed on a group of 215 patients who underwent a [68Ga]Ga-PSMA-11 PET/CT examination because of suspected recurrence after radical prostatectomy. Patients were divided into four groups 1, no active lesions suggesting recurrence (n = 92); 2, suspected isolated local recurrence (n = 19); 3, oligometastatic disease (n = 82); and 4, polymetastatic disease (n = 22).RESULTS:
In group 1, the mean PSA level was 0.962 ng/mL (median 0.376; min 0.004; max 25 ng/mL); in group 2, it was 4.970 ng/mL (median 1.320; min 0.003; max 40.350 ng/mL); in group 3, it was 2.802 ng/mL (median 1.270; min 0.020; max 59.670 ng/mL); and in group 4, it was 4.997 ng/mL (median 3.795; min 0.007; max 21.110 ng/mL). Statistically significant differences were shown in PSA levels when comparing groups 1 and 2 (p = 0.0025) and groups 3 and 4 (p = 0.0474). The PSA cut-off point for discriminating groups 1 and 2 was 0.831 (sensitivity 0.684; specificity 0.772; area under the curve (AUC) 0.775), and for groups 3 and 4, it was 2.51 (sensitivity 0.682; specificity 0.780; AUC 0.720).CONCLUSIONS:
Our preliminary data suggested that the PSA level has an essential influence on determining the extent of disease in a [68Ga]Ga-PSMA-11 PET/CT study in patients after radical prostatectomy. Identification of the optimal cut-off values for the oligo- and polymetastatic diseases might be helpful in stratifying these patients.
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MEDLINE
Tipo de estudo:
Diagnostic_studies
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Prognostic_studies
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En
Ano de publicação:
2022
Tipo de documento:
Article