18F-FACBC trong Ung Thư Tuyến Tiền Liệt: Một Tổng Quan Có Hệ Thống và Phân Tích Tổng Hợp

Cancers - Tập 11 Số 9 - Trang 1348
Riccardo Laudicella1, Domenico Albano2, Pierpaolo Alongi3, Giovanni Argiroffi4, Matteo Bauckneht5, Sergio Baldari1, Francesco Bertagna2, Michele Boero6, Giuseppe De Vincentis7, Angelo Del Sole4, Giuseppe Rubini8, Lorenzo Fantechi9, Viviana Frantellizzi10, Gloria Ganduscio3, Priscilla Guglielmo6, Anna Nappi8, Laura Evangelista11, on the behalf of Young AIMN Working Group1
1Department of Biomedical and Dental Sciences and of Morpho-functional Imaging, Nuclear Medicine Unit, University of Messina, 98125 Messina, Italy
2Department of Nuclear Medicine, University of Brescia and Spedali Civili Brescia, 25123 Brescia, Italy
3Unit of Nuclear Medicine, Fondazione Istituto G.Giglio, 90015 Cefalù, Italy
4Department of Health Sciences, University of Milan, 20142 Milan, Italy
5Nuclear Medicine Unit, IRCCS Policlinico San Martino, 16132 Genoa, Italy
6Nuclear Medicine Unit, AO Brotzu, 09134 Cagliari, Italy
7Department of Radiological Sciences, Oncology and Anatomical Pathology, Sapienza University of Rome, 00161 Rome, Italy
8Nuclear Medicine Unit, Department of Interdisciplinary Medicine, University of Bari Aldo Moro, 70124 Bari, Italy
9Department of New Technologies and Translational Research in Medicine and Surgery, Nuclear Medicine Unit, University of Pisa, 56126 Pisa, Italy
10Department of Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy
11Nuclear Medicine Unit, Veneto Institute of Oncology IOV - IRCCS, 35128 Padua, Italy

Tóm tắt

Trans-1-amino-3-18F-fluorocyclobutanecarboxylic-acid (anti-[18F]-FACBC) đã được phê duyệt để phát hiện ung thư tuyến tiền liệt (PCa) ở những bệnh nhân có nồng độ kháng nguyên đặc hiệu cho tuyến tiền liệt tăng cao sau điều trị trước đó. Bài tổng quan và phân tích tổng hợp này nhằm điều tra hiệu suất chẩn đoán của chụp cắt lớp phát xạ positron/computed tomography (PET/CT) với 18F-FACBC trong việc phát hiện ung thư tuyến tiền liệt nguyên phát/tái phát. Một cuộc tìm kiếm tài liệu đã được thực hiện bao gồm nhiều cơ sở dữ liệu, sử dụng các từ khóa: “FACBC”/“fluciclovine” VÀ “ung thư tuyến tiền liệt”/“tuyến tiền liệt” VÀ “PET”/“Chụp Cắt Lớp Phát Xạ Positron”. Mười lăm và 9 nghiên cứu đã được đưa vào các tổng quan hệ thống và phân tích tổng hợp, tương ứng. Tại phân tích dựa trên bệnh nhân, độ nhạy và độ đặc hiệu tổng hợp của 18F-FACBC-PET/CT trong việc đánh giá ung thư tuyến tiền liệt lần lượt là 86,3% và 75,9%. Giá trị tỷ lệ chẩn đoán tổng hợp là 16,453, với độ không đồng nhất là 30%. Tại phân tích dựa trên vùng, độ nhạy tổng hợp của 18F-FACBC-PET/CT trong việc đánh giá bệnh nguyên phát/tái phát ở giường tuyến tiền liệt cao hơn ở các vùng ngoài tuyến tiền liệt (90,4% so với 76,5%, tương ứng); ngược lại, độ đặc hiệu tổng hợp cao hơn cho việc đánh giá vùng ngoài tuyến tiền liệt so với giường tuyến tiền liệt (89% so với 45%, tương ứng). 18F-FACBC-PET/CT có vẻ hứa hẹn trong ung thư tuyến tiền liệt tái phát, đặc biệt là trong việc đánh giá giường tuyến tiền liệt. Các nghiên cứu bổ sung để đánh giá tính hữu dụng của nó trong thực hành lâm sàng là cần thiết.

Từ khóa

#18F-FACBC; ung thư tuyến tiền liệt; chụp PET/CT; độ nhạy; độ đặc hiệu

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