68Ga-PSMA-PET screening and transponder-guided salvage radiotherapy to the prostate bed alone for biochemical recurrence following prostatectomy: interim outcomes of a phase II trial - Summary - MDSpire

68Ga-PSMA-PET screening and transponder-guided salvage radiotherapy to the prostate bed alone for biochemical recurrence following prostatectomy: interim outcomes of a phase II trial

  • By

  • Patrick Bowden

  • Andrew W. See

  • Kevin So

  • Nathan Lawrentschuk

  • Daniel Moon

  • Declan G. Murphy

  • Ranjit Rao

  • Alan Crosthwaite

  • Dennis King

  • Hodo Haxhimolla

  • Jeremy Grummet

  • Paul Ruljancich

  • Dennis Gyomber

  • Adam Landau

  • Nicholas Campbell

  • Mark Frydenberg

  • Lloyd M. L. Smyth

  • Skye Nolan

  • Stella M. Gwini

  • Dean P. McKenzie

  • June 2, 2021

  • 0 min

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Objective:

To evaluate clinical outcomes over 10 years for patients receiving transponder-guided salvage radiotherapy (SRT) to the prostate bed alone, based on 68Ga-PSMA-PET results, starting from the time of treatment.

Key Findings:
  • 68Ga-PSMA-PET improved imaging accuracy and changed treatment strategy in up to two-thirds of patients, potentially leading to better outcomes.
  • Transponder-guided SRT aimed to minimize rectal toxicity and ensure accurate targeting of the prostate bed.
  • Interim results indicated promising rates of freedom from biochemical relapse.
Interpretation:

The use of 68Ga-PSMA-PET and transponder-guided SRT may enhance treatment outcomes for patients with biochemical recurrence post-prostatectomy, potentially reducing the risk of overtreatment.

Limitations:
  • Single-centre study may limit generalizability.
  • Interim results may not reflect long-term outcomes.
  • Lack of long-term follow-up data.
Conclusion:

Transponder-guided SRT based on 68Ga-PSMA-PET results shows potential for effective management of biochemical recurrence in prostate cancer, warranting further investigation to validate these findings in broader clinical practice.

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