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Urología Colombiana

On-line version ISSN 2027-0119

Abstract

GALVIS, Juan C. et al. The role of PET-PSMA in guiding prostate cancer radiation therapy: experience in a salvage and curative setting. Urol. Colomb. [online]. 2023, vol.32, n.2, pp.36-44.  Epub Apr 25, 2024. ISSN 2027-0119.  https://doi.org/10.24875/ruc.23000005.

Introduction:

The role of positron emission tomography (PET) prostate-specific membrane antigen (PSMA) in guiding radiation therapy treatment plans remains to be defined.

Methods:

We conducted a retrospective observational study of patients with prostate cancer referred for radiotherapy. Our objective was to establish the role of PET-PSMA in decision-making and changes in the radiotherapy treatment plan.

Results:

In the entire cohort, 26.8% had lymph node involvement outside the conventional field. The PET results upstaged and changed radiotherapy treatment plans for 75% in primary radiotherapy and 50% in salvage radiation.

Conclusions:

PET-PSMA changes decision-making and treatment planning for radiotherapy, including treatment volumes not traditionally delimited in contour atlases.

Keywords : Radiation; Radionuclide imaging; Prostate cancer; Prostate-specific membrane antigen; Positron emission tomography/Computerized tomography.

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