225Ac-PSMA-617 Radioligand Posttherapy Imaging in Metastatic Castrate-Resistant Prostate Cancer Patient Using 3 Photopeaks

Clin Nucl Med. 2020 Jun;45(6):437-438. doi: 10.1097/RLU.0000000000003031.

Abstract

PSMA-based radioligand therapies have shown the beneficial effect in metastatic castrate-resistant prostate cancer (mCRPC) patients when they become refectory to the established treatments with associated potential toxicities and high mortality rate. Ac-PSMA therapy is known to be remarkably effective in substantially pretreated mCRPC patients. However, posttherapy imaging is usually not performed as alpha emitters are really difficult to image. We presents a patient of mCRPC treated with Ac-PSMA-617, and his posttherapy whole-body scans acquired by using 3 different photopeaks (78, 218, and 440 keV) fairly demonstrated the tracer's distribution and the efficacy of targeted alpha therapy.

Publication types

  • Case Reports

MeSH terms

  • Actinium / therapeutic use*
  • Alpha Particles / therapeutic use
  • Dipeptides / therapeutic use*
  • Heterocyclic Compounds, 1-Ring / therapeutic use*
  • Humans
  • Ligands
  • Male
  • Neoplasm Metastasis
  • Prostate-Specific Antigen
  • Prostatic Neoplasms, Castration-Resistant / diagnostic imaging*
  • Prostatic Neoplasms, Castration-Resistant / pathology
  • Prostatic Neoplasms, Castration-Resistant / radiotherapy*

Substances

  • Actinium-225
  • Dipeptides
  • Heterocyclic Compounds, 1-Ring
  • Ligands
  • PSMA-617
  • Prostate-Specific Antigen
  • Actinium