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March 5, 2026Annals of Nuclear Medicine0 citationsOpen Access

Predictive value of the 68Ga-PSMA-11 PET/CT PRIMARY score for pathological upgrading in patients with ISUP Grade 1 prostate cancer and PSA < 20 ng/mL undergoing radical prostatectomy

EÇEsra ÇiftçiBABurak AkovaliHGHatice Sariyildiz Gumusgoz

Key Points

  • To assess the predictive value of the 68Ga-PSMA-11 PET/CT PRIMARY score for detecting pathological upgrading in patients with ISUP Grade 1 prostate cancer.
  • Analyzed biopsy-confirmed ISUP GG1 patients
  • Included those with PSA < 20 ng/mL
  • Used 68Ga-PSMA-11 PET/CT imaging to derive PRIMARY score
  • Evaluated surgical outcomes post radical prostatectomy
  • Found a strong association between PRIMARY score and pathological upgrading
  • Indicated potential for improved preoperative grading accuracy
  • Suggested a preference for surgical management over radiotherapy in certain cases

Abstract

"The 68Ga-PSMA-11 PET/CT PRIMARY score was strongly associated with pathological upgrading in this surgically treated cohort of biopsy-confirmed ISUP GG1 patients with PSA < 20 ng/mL undergoing radical prostatectomy. Incorporating PSMA-based intraprostatic pattern analysis could improve the accuracy of preoperative grading, potentially supporting consideration of surgical management rather than definitive radiotherapy when determining the optimal treatment strategy. Prospective multicenter validation is warranted before broader clinical implementation.

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Cite This Study

Çiftçi et al. (2026) studied this question.

synapsesocial.com/papers/69a91de0d6127c7a504c12dehttps://doi.org/10.1007/s12149-026-02179-z
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