Key Patient Characteristics and Imaging Features
Characteristic | Patient 1 | Patient 2 | Patient 3 |
Histopathology | Poorly differentiated adenocarcinoma | Conventional adenocarcinoma | Conventional adenocarcinoma |
Gleason score | 4 + 4 | 4 + 3 | 4 + 5 |
National Comprehensive Cancer Network prognostic category | High risk | Intermediate risk | High risk |
PSA (ng/mL) | |||
Baseline | 65.128 | 751 | 228.03 |
After 177Lu-PSMA | 33.062 | 1,761.25 | 44.54 |
68Ga-PSMA-11 uptake (SUVmax) | |||
Baseline | 64.73 | 27.04 | 116.84 |
After 177Lu-PSMA | 28.02 | 36.65 | 83.6 |
18F-FDG uptake (SUVmax) | |||
Baseline | 8.38 | 22.88 | 8.4 |
After 177Lu-PSMA | 4.41 | 9.63 | 4.5 |
Metastatic pattern of urinary bladder | Direct extension from prostate | Direct extension from prostate | Multifocal metastatic lesions involving bladder wall, hematogenous |
HU of prostate | |||
Baseline | 100 | 125 | 93 |
After 177Lu-PSMA | 70 | 108 | 67 |
HU of urinary bladder metastases | |||
Baseline | 96 | 116 | 70 |
After 177Lu-PSMA | 67 | 83 | 41 |
Outcome | Partial response | Progression and death | Partial response |