Preoperative [68Ga]Ga-PSMA-11 PET/CT in patients with suspected brain tumors of glial origin – imply on diagnosis and early prognosis - a prospective clinical trial DOI Creative Commons
Kacper Pełka, Kacper Koczyk, Łukasz Koperski

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 8, 2024

Abstract PET/CT targeting prostate-specific membrane antigen (PSMA) is commonly used in patients with prostate cancer. PSMA has been found other solid tumours, including primary brain tumours. The aim of this study was to evaluate the usefulness [68Ga]Ga-PSMA-11 for preoperative diagnosis and 2-year prognosis. We prospectively screened suspected glioma tumour. qualitative quantitative results were compared histopathological examination. glioblastoma (GBM) diagnostic data or between high-grade (HGG) low-grade (LGG) gliomas. Overall (OS) progression free survival (PFS) analysed. Forty-four met inclusion criteria. Twenty them had positive twenty-four negative scans. sensitivity, specificity, predictive value, value HGG 71.4 (95% confidence interval – 51.3–86.8), 100.0 (79.4–100.0), (83.1–100.0), 66.7 (44.7–84.4), respectively. For differentiation GBM vs non-GBM best parameter tumor-to-background ratio, area under receiver operating characteristic curve 0.81 (0.66–0.96; 42.2) CI; cut-off). Patients scans similar PFS OS HGG. accumulation negatively affected diagnosed GBM. showed optimistic may be prognostic a factor. Registration at www.clinicaltrials.gov 09/06/2023 number NCT05896449

Language: Английский

Pre-operative differentiation of glioma grades using [99mTc]Tc-HYNIC-PSMA-11 SPECT/CT: a preliminary study DOI
Tahereh Ghaedian, Shahrokh F. Shariat,

Hamid Aghaei

et al.

Clinical and Translational Imaging, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 5, 2025

Language: Английский

Citations

1

Potential Role of PSMA-Targeted PET in Thyroid Malignant Disease: A Systematic Review DOI Creative Commons
Alessio Rizzo, Manuela Racca, Sara Dall’Armellina

et al.

Diagnostics, Journal Year: 2023, Volume and Issue: 13(3), P. 564 - 564

Published: Feb. 3, 2023

Background: Recently, several studies introduced the potential use of positron emission tomography/computed tomography (PET/CT) with prostate-specific membrane antigen (PSMA)-targeting radiopharmaceuticals in radioiodine-refractory thyroid cancer (TC). Methods: The authors accomplished a comprehensive literature search original articles concerning performance PSMA-targeted PET/CT TC patients. Original papers exploring this molecular imaging examination patients undergoing restaging their disease were included. Results: A total 6 documents diagnostic (49 patients) included systematic review. reported heterogeneous values detection rates TC, ranging from 25% to 100% and overall inferior [18F]-fluorodeoxyglucose when two examinations compared. Two administration [177Lu]PSMA-radioligands theragnostic purpose three Conclusions: available data setting are limited heterogeneous. employment PET PSMA-targeting did not affect patient management. Nevertheless, prospective multicentric needed properly assess its role

Language: Английский

Citations

23

Polyurethane Nanoparticles as Versatile Tools in Nanomedicine: A Review DOI
Sunjeet Saha, D.C. Trivedi, Aravind Kumar Rengan

et al.

ACS Applied Nano Materials, Journal Year: 2024, Volume and Issue: 7(6), P. 5729 - 5744

Published: March 4, 2024

The rapidly advancing field of nanomedicine has witnessed the emergence polyurethane nanoparticles (PUNPs) as exceptionally versatile tools with transformative potential. This comprehensive review dives into various roles that PUNPs play in realm nanomedicine, positioning them pivotal components therapeutic, diagnostic, and theranostic applications. With a focus on their unique characteristics, these offer platform for precision at nanoscale, critical attribute intricate landscape medical interventions. precisely navigates through biobased synthesis method recent applications (2019–2023) fields. Furthermore, it explores innovative approaches surface functionalization, elucidating how tailored modifications can optimize interaction biological entities. Beyond conventional realm, emerge carriers therapeutic cargo strategic players diagnostics theranostics, showcasing multifaceted utility. In conclusion, this beyond generalized statements, offering exploration specific attributes make indispensable frontiers nanomedicine. Through meticulous examination synthesis, applications, aims to contribute different understanding PUNPs' drug delivery systems, imaging, theranostics.

Language: Английский

Citations

4

PSMA PET/CT in Castration-Resistant Prostate Cancer: Myth or Reality? DOI Open Access
Luca Urso, Luca Filippi, Angelo Castello

et al.

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(22), P. 7130 - 7130

Published: Nov. 16, 2023

Background: prostate-specific membrane antigen (PSMA) ligand PET has been recently incorporated into international guidelines for several different indications in prostate cancer (PCa) patients. However, there are still some open questions regarding the role of PSMA castration-resistant (CRPC). The aim this work is to assess clinical value PET/CT patients with CRPC. Results: demonstrated higher detection rates comparison conventional imaging and allows a significant reduction number M0 CRPC its real impact on patients’ prognosis an question. Moreover, patients, presents sensitivity specificity limitations. Due heterogeneity, may present mosaic neoplastic clones, which could be PSMA−/FDG+, or vice versa. Likewise, unspecific bone uptake (UBU) second primary neoplasms (SNPs) overexpressing neoangiogenic vessels represent potential issues. Integrated multi-tracer (PSMA [18F]FDG PET) together multidisciplinary discussion allow reaching most accurate evaluation each patient from precision medicine point view.

Language: Английский

Citations

10

Imply on diagnosis and early prognosis of preoperative [68Ga]Ga-PSMA-11 PET/CT in patients with suspected brain tumours of glial origin DOI Creative Commons
Kacper Pełka, Kacper Koczyk, Łukasz Koperski

et al.

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: Jan. 2, 2025

PET/CT targeting prostate-specific membrane antigen (PSMA) is commonly used in patients with prostate cancer. PSMA has been found other solid tumours, including primary brain tumours. The aim of this study was to evaluate the usefulness [68Ga]Ga-PSMA-11 for preoperative diagnosis and 2-year prognosis. We prospectively screened suspected glioma tumour. qualitative quantitative results were compared histopathological examination. glioblastoma (GBM) diagnostic data or between high-grade (HGG) low-grade (LGG) gliomas. Overall (OS) progression free survival (PFS) analysed. Forty-four met inclusion criteria. Twenty them had positive twenty-four negative scans. sensitivity, specificity, predictive value, value HGG 71.4 (95% confidence interval – 51.3–86.8), 100.0 (79.4–100.0), (83.1–100.0), 66.7 (44.7–84.4), respectively. For differentiation GBM vs non-GBM best parameter tumour-to-background ratio, area under receiver operating characteristic curve 0.81 (0.66–0.96; 42.2) CI; cut-off). Patients scans similar PFS OS HGG. accumulation negatively affected diagnosed GBM. showed optimistic may be prognostic a factor. Registration at www.clinicaltrials.gov 09/06/2023 number NCT05896449.

Language: Английский

Citations

0

[18F]FDG PET-Based Radiomics and Machine Learning for the Assessment of Gliomas and Glioblastomas: A Systematic Review DOI Creative Commons
Francesco Dondi, Roberto Gatta, Maria Gazzilli

et al.

Information, Journal Year: 2025, Volume and Issue: 16(1), P. 58 - 58

Published: Jan. 16, 2025

Background: Some evidence of the value 18F-fluorodesoxyglucose ([18F]FDG) positron emission tomography (PET) imaging for assessment gliomas and glioblastomas (GBMs) is emerging. The aim this systematic review was to assess role [18F]FDG PET-based radiomics machine learning (ML) in evaluation these neoplasms. Methods: A wide literature search PubMed/MEDLINE, Scopus, Cochrane Library databases made find relevant published articles on ML GBMs. Results: Eight studies were included review. Signatures, including analysis ML, generally demonstrated a possible diagnostic different characteristics GBMs, such as methylation status O6-methylguanine-DNA methyltransferase (MGMT) promoter, isocitrate dehydrogenase (IDH) genotype, alpha thalassemia/mental retardation X-linked (ATRX) mutation status, proliferative activity, differential diagnosis with solitary brain metastases or primary central nervous system lymphoma, prognosis patients. Conclusion: Despite some intrinsic limitations affecting review, initial insights promising technologies GBMs are Validation preliminary findings multicentric needed translate approaches clinical setting.

Language: Английский

Citations

0

PET/CT in the Imaging of CNS Tumors DOI

Katarzyna Barańska,

Katarzyna Niemas,

Kacper Pełka

et al.

Seminars in Nuclear Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: May 1, 2025

Language: Английский

Citations

0

PCBP2 Reduced Oxidative Stress-Induced Apoptosis in Glioma through cGAS/STING Pathway by METTL3-Mediated m6A Modification DOI Creative Commons
Xiang Chen,

Mingchuan Yu,

Wei Xu

et al.

Oxidative Medicine and Cellular Longevity, Journal Year: 2022, Volume and Issue: 2022, P. 1 - 11

Published: Oct. 11, 2022

The most prevalent primary malignant tumor of CNS is glioma, which has a dismal prognosis. theory oxidative stress one the important theories in study its occurrence and development mechanism. In this study, impacts PCBP2 on glioma sufferers possible mechanisms were examined. Patients with obtained from May 2017 to July 2018. Quantitative PCR, microarray analysis, western blot immunofluorescence used experiment. mRNA expression level protein patients upregulated compared paracancerous tissue. OS DFS low higher than those high expression. promoted progression metastasis glioma. reduced stress-induced apoptosis suppressed cGAS/STING pathway interlinked cGAS was target for PCBP2. METTL3-mediated m6A modification increases stability. Along cGAS-STING signal pathway, decreased that caused, might be potential suppress

Language: Английский

Citations

14

Discriminating Inflammatory Radiation-Related Changes From Early Recurrence in Patients With Glioblastomas DOI
Aurélie Moreau,

Fouzi Khayi,

Aurélien Maureille

et al.

Clinical Nuclear Medicine, Journal Year: 2023, Volume and Issue: 48(8), P. 657 - 666

Published: June 3, 2023

Purpose of the Report Using morphological and functional imaging to discriminate recurrence from postradiation-related modifications in patients with glioblastomas remains challenging. This pilot study aimed assess feasibility using 68 Ga–prostate-specific membrane antigen (PSMA) 11 PET/CT compared 18 F-FDOPA detect early recurrence. Methods Nine followed up for who received MRI during 12 months follow-up were referred both Ga-PSMA-11 PET/CT. The SUV max , lesion-to-striatum ratio, lesion-to-normal parenchyma lesion-to-salivary gland ratio calculated. Results Good correlation between Ga-PSMA findings was seen 5 patients. In 4 patients, examinations consistent but better visualized PSMA Examinations fifth patient suggestive changes analyzed PET/CT, which displayed relatively low uptake DOPA Conversely, showed conflicting results: not detected on because previously introduced bevacizumab treatment; another patient, recurrence, there an mismatch at suspected lesion sites, 2 presented inconsistent findings. Conclusions Despite a few discrepancies, this highlights potential role discriminating postradiation inflammation has excellent lesion-to-background false-positive false-negative results could be minimized through implementing certain protocols before performing examination. More powerful prospective studies are required validate our results.

Language: Английский

Citations

7

Diagnostic Accuracy of PET with 18F-Fluciclovine ([18F]FACBC) in Detecting High-Grade Gliomas: A Systematic Review and Meta-Analysis DOI Creative Commons
Angelo Castello, Domenico Albano, Barbara Muoio

et al.

Diagnostics, Journal Year: 2023, Volume and Issue: 13(24), P. 3610 - 3610

Published: Dec. 6, 2023

Background: 18F-Fluciclovine ([18F]FACBC) has been recently proposed as a synthetic radiolabeled amino acid for positron emission tomography (PET) imaging in patients with brain neoplasms. Our aim is to evaluate the diagnostic performance of [18F]FACBC PET high-grade glioma (HGG) patients, taking into account literature data. Methods: A comprehensive search was performed. We included original articles evaluating detection HGG before therapy and suspicion tumor recurrence. Pooled sensitivity, specificity, positive negative likelihood ratios (LR+ LR−), odds (DOR), including 95% confidence intervals (95% CI), were measured. Statistical heterogeneity publication bias also assessed. Results: ten studies review eight meta-analysis (113 patients). Regarding identification HGG, sensitivity ranged between 85.7% 100%, pooled estimate 92.9% CI: 84.4–96.9%), while specificity from 50% 70.7% 47.5–86.5%). The LR+, LR−, DOR 2.5, 0.14, 37, respectively. No significant statistical or found. Conclusions: evidence-based data demonstrate good accuracy detection. Due still limited data, further are warranted confirm promising role this context.

Language: Английский

Citations

7