Utility of <sup>18</sup>F-Fluciclovine PET/CT for Detecting Prostate Cancer Recurrence in Patients With Low (< 1 ng/mL) or Very Low (< 0.3 ng/mL) Prostate-Specific Antigen Levels.

Wang, Yingbing; Chow, David Z; Ebert, Emily; Tajmir, Shahein; Scott, James A; Palmer, Edwin L · AJR Am J Roentgenol · 2020

retrospective_cohort · Level III

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Abstract

<b>OBJECTIVE.</b> We reviewed a retrospective series of 126 <sup>18</sup>F-fluciclovine PET/CT studies of patients with biochemically recurrent prostate cancer at low (< 1 ng/mL) and very low (< 0.3 ng/mL) prostate-specific antigen (PSA) levels. <b>CONCLUSION.</b> The rate of PET/CT positivity was 33% (15/46) in patients with low PSA levels and 0% (0/17) in patients with very low PSA levels. Our results suggest that <sup>18</sup>F-fluciclovine PET/CT can be helpful for localizing recurrence in patients with PSA levels between 0.3 and 1 ng/mL and that <sup>18</sup>F-fluciclovine PET/CT is not recommended in patients with PSA levels less than 0.3 ng/mL.

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