TABLE 1

Key Patient Characteristics and Imaging Features

CharacteristicPatient 1Patient 2Patient 3
HistopathologyPoorly differentiated adenocarcinomaConventional adenocarcinomaConventional adenocarcinoma
Gleason score4 + 44 + 34 + 5
National Comprehensive Cancer Network prognostic categoryHigh riskIntermediate riskHigh risk
PSA (ng/mL)
 Baseline65.128751228.03
After 177Lu-PSMA33.0621,761.2544.54
68Ga-PSMA-11 uptake (SUVmax)
 Baseline64.7327.04116.84
After 177Lu-PSMA28.0236.6583.6
18F-FDG uptake (SUVmax)
 Baseline8.3822.888.4
After 177Lu-PSMA4.419.634.5
Metastatic pattern of urinary bladderDirect extension from prostateDirect extension from prostateMultifocal metastatic lesions involving bladder wall, hematogenous
HU of prostate
 Baseline10012593
After 177Lu-PSMA7010867
HU of urinary bladder metastases
 Baseline9611670
After 177Lu-PSMA678341
OutcomePartial responseProgression and deathPartial response