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IS IT POSSIBLE TO SOLVE THIS ISSUE?

Castellucci et al, Eur J Nucl Med Mol Imaging, 2011

Giovacchini et al, J Urol, 2013

Castellucci and Picchio, Eur J Nucl Med Mol Imaging, 2013

Evangelista L. Clin Nuc Med., 2013

The best predictors of positive imaging at low PSA level

(<1/1.5 ng/ml) are PSA kinetics (PSA doubling time)

Imaging approach

Patient

population

Detection rates

Castellucci

et al

11C-choline

PET/CT

PSA<1.5 ng/ml

Overall: 28%

PSA DT <7 months: 58%

Giovacchini

et al

11C-choline

PET/CT

PSA<1.5 ng/ml

(n=75)

Overall 21%

PSADT<6 months: 50%

Choline PET – PSA Dependency