The value of anti-1-amino-3-18F-fluorocyclobutane-1-carboxylic acid PET/CT in the diagnosis of recurrent prostate carcinoma: a meta-analysis

Acta Radiol. 2016 Apr;57(4):487-93. doi: 10.1177/0284185115581541. Epub 2015 Apr 22.

Abstract

Background: Anti-1-amino-3-[18F]fluorocyclobutane-1-carboxylic acid (anti-3-18F-FACBC) positron emission tomography/computed tomography (PET/CT), 11 C-choline PET/CT, 111In-capromab pendetide, and T2-weighted magnetic resonance imaging (MRI) have been used for detecting prostate carcinoma relapse.

Purpose: To systematically review and perform a meta-analysis of published data regarding the performance of 18F-FACBC PET/CT in the diagnosis of recurrent prostate carcinoma.

Material and methods: A comprehensive review of the literature regarding the role of 18F-FACBC PET/CT in the diagnosis of recurrent prostate carcinoma was performed. Pooled sensitivity, specificity, and the area under the receiver-operating characteristic of 18F-FACBC PET/CT in the diagnosis of recurrent prostate carcinoma were calculated based on the included studies.

Results: Six studies comprising 251 patients, suspicious of prostate carcinoma recurrence, were included in this meta-analysis. 18F-FACBC PET/CT had an 87% pooled sensitivity, 66% pooled specificity, 0.93 the area under the receiver-operating characteristic curve on a per patient-based analysis in detecting prostate carcinoma recurrence.

Conclusion: 18F-FACBC PET/CT was a non-invasive, metabolic imaging technique in the diagnosis of prostate carcinoma relapse.

Keywords: PET/CT; Prostate carcinoma; anti-1-amino-3-[18F]fluorocyclobutane-1-carboxylic acid (anti-3-18F-FACBC); recurrence.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carboxylic Acids*
  • Cyclobutanes*
  • Humans
  • Male
  • Multimodal Imaging*
  • Neoplasm Recurrence, Local / diagnosis*
  • Positron-Emission Tomography*
  • Prostate / diagnostic imaging
  • Prostatic Neoplasms / diagnosis*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed

Substances

  • Carboxylic Acids
  • Cyclobutanes
  • fluciclovine F-18