Biochemical recurrent Prostate Cancer, post-radiotherapy, functional imaging. Biochemisch recidief prostaatkanker, na radiotherapie, functionele beeldvorming
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria In order to be eligible to participate in this study, a subject must meet all of the following criteria: - Histologically proven prostate cancer for which the subject has undergone radiotherapy with curative intent - Biochemical recurrence according to Phoenix criteria (PSA nadir +2 ng/mL) - PSA <10 ng/mL - Written informed consent - No androgen deprivation therapy in the past 12 months
Exclusion criteria
Exclusion criteria: - Active cancer besides prostate cancer - Suspected metastases - PSA > 10 ng/mL - Androgen deprivation therapy in the past 12 months - Any contra-indications for undergoing a MRI scan, i.e. metal-containing implants such as pacemaker, defibrillator or wires in the body and metal particles in the eye.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main study parameter/endpoints - Visual assessment of number of lesions en conclusion of re-staging (localized disease, systemic disease or a combination of the two) according to 68 Ga-PMSA PET/CT and 18 F-FDHT PET/CT on patient-by-patient basis. - Semi-quantitative lesion by lesion comparison of tracers by measuring and evaluating the maximum and mean standardized uptake value (SUVmax , SUVmean) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary study parameters/endpoints Lesion-based analysis by comparing the number of detected lesions in different sites of recurrence/metastases with PSMA PET/CT and also for FDHT PET/CT with lesions detected by mMRI and information from follow-up (PSA response to salvage therapy, confirmative biopsy or lymph node dissection and other imaging studies (X-ray, bone scans)). To assess the overall accuracy, sensitivity, specificity, PPV (positive predictive value) and NPV (negative predictive value) per imaging modality. | — |
Contacts
Hanzeplein 1 afdeling Urologie