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Introduction to PSMA

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In this video, we are going

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to discuss a different tracer called PSMA.

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That stands for prostate specific Membrane Antigen,

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and we're gonna cover some basics of this.

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Agent. PSMA is

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a type two transmembrane glycoprotein that is

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over expressed by up to a thousand fold

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in prostate cancer epithelial cells.

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This is the basic, uh, reason why we are

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using this tracer for prostate cancer patients.

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This glycoprotein can be labeled both to

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F 18 and gallium 68,

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and both agents will give us, uh, good clinical

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and diagnostic information.

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There is limited data

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and direct comparison of these CI tracers.

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So the use

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of one versus the other would be mostly

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depending upon the, uh, availability of the agent

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and the clinical preference.

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PMA has demonstrated superior accuracy over conventional

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imaging for staging high-risk patients.

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Currently, conventional imaging includes CT or MRI

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and bone scans.

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It is also very sensitive in detecting disease in patients

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with biochemical recurrence, even at low PSA levels.

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So the clinical

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scenarios in which this tracer has been FDA approved are the

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following primary staging or high risk prostate cancer.

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Those are patients with a Gleason score higher than seven

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or a high PSA level, as well as patients

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with biochemical recurrence in patients

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with castration-resistant prostate cancer.

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These agent is also used for

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determining eligibility for lutetium PSMA,

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which is a radioligand therapy.

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And, uh, there is, uh, literature regarding the use

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of this tracer to localize prosthetic disease,

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to guide biopsy, although this is not the common indication

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that you will see probably in practice.

Report

Faculty

Elisa Franquet Elia, MD

Assistant Professor of Radiology

UMass Chan Medical School

Tags

Prostate/seminal vesicles

PET/CT PSMA

PET

Oncologic Imaging

Nuclear Medicine

Neoplastic

Genitourinary (GU)