Review Article

Prostate-Specific Membrane Antigen as Target for Neuroimaging of Central Nervous System Tumors

Table 4

Summary of PSMA-targeted imaging in prostate cancer brain metastases.

AuthorsYearPSMA tracerMain results

Chakraborty et al.2015168Ga-PSMA(i) Asymptomatic, avid 68Ga-PSMA uptake in 3 separate brain metastases, confirmed by MRI
Dureja et al.2017168Ga-PSMA(i) Asymptomatic, 68Ga-PSMA uptake in 4 brain metastases (SUVmax 4.0), confirmed by MRI
Langsteger et al.2017168Ga-PSMA(i) Asymptomatic, 68Ga-PSMA uptake in T4-T10 spinal cord metastases, confirmed by MRI
Chan et al.2017168Ga-PSMA(i) Symptomatic, 68Ga-PSMA uptake in single cerebellar metastasis (SUVmax 5.9), confirmed by pathology
Ross et al.2020168Ga-PSMA(i) Asymptomatic, single brain metastasis detected with 68Ga-PSMA but not with standard imaging, confirmed by pathology
Yin et al.2019168Ga-PSMA(i) Asymptomatic, 68Ga-PSMA uptake in multiple brain metastases (SUVmax 3-11) and not all detected on MRI, confirmed by pathology
Wei et al.2017268Ga-PSMA(i) Distinct 68Ga-PSMA uptake in cerebral metastases
(ii) Decreased uptake as lesion regressed posttherapy
Sathekge et al.2019168Ga-PSMA(i) Several cerebral metastases avidly showed 68Ga-PSMA uptake
(ii) Size and 68Ga-PSMA uptake decreased posttherapy
McBean et al.2021868Ga-PSMA(i) 3/8 presented with neurological symptoms
(ii) 4/8 had previously undergone 177Lu-PSMA therapy
(iii) PSMA avidity ranged from not avid to intense, and SUVmax ranged 2-21
Parihar et al.2021168Ga-PSMA(i) 68Ga-PSMA uptake in new brain metastases, after 177Lu-PSMA and 225Ac-PSMA therapy