关键词: Guideline PET/CT PSMA Prostate cancer Report

来  源:   DOI:10.1007/s00259-024-06857-w

Abstract:
OBJECTIVE: Accurate diagnosis and staging of prostate cancer are crucial to improving patient care. Prostate-specific membrane antigen (PSMA)-targeted positron emission tomography with computed tomography (PET/CT) imaging has demonstrated superiority for initial staging and restaging in patients with prostate cancer. Referring physicians and PET/CT readers must agree on a consistent communication method and application of information derived from this imaging modality. While several guidelines have been published, a single PSMA PET/CT reporting template has yet to be widely adopted. Based on the consensus from community and academic physicians, we developed a standardized PSMA PET/CT reporting template for radiologists and nuclear medicine physicians to report and relay key imaging findings to referring physicians. The aim was to improve the quality, clarity, and utility of imaging results reporting to facilitate patient management decisions.
METHODS: Based on community and expert consensus, we developed a standardized PSMA PET/CT reporting template to deliver key imaging findings to referring clinicians.
RESULTS: Core category components proposed include a summary of any prior treatment history; presence, location, and degree of PSMA radiopharmaceutical uptake in primary and/or metastatic tumor(s), lesions with no uptake, and incidentally found lesions with positive uptake on PET/CT.
CONCLUSIONS: This article provides recommendations on best practices for standardized reporting of PSMA PET/CT imaging. The generated reporting template is a proposed supplement designed to educate and improve data communication between imaging experts and referring physicians.
摘要:
目的:前列腺癌的准确诊断和分期对改善患者护理至关重要。具有计算机断层扫描(PET/CT)成像的前列腺特异性膜抗原(PSMA)靶向正电子发射断层扫描在前列腺癌患者的初始分期和重新分期方面具有优势。转诊医师和PET/CT读者必须就一致的通信方法和从这种成像方式获得的信息的应用达成一致。虽然已经发布了一些指南,单一PSMAPET/CT报告模板尚未被广泛采用。基于社区和学术医生的共识,我们为放射科医师和核医学医师开发了标准化的PSMAPET/CT报告模板,以便向转诊医师报告和传递关键影像学发现.目的是提高质量,清晰度,和成像结果报告的实用性,以促进患者管理决策。
方法:基于社区和专家共识,我们开发了一种标准化的PSMAPET/CT报告模板,以向转诊的临床医生提供关键的影像学发现.
结果:建议的核心类别组件包括任何先前治疗历史的摘要;存在,location,原发性和/或转移性肿瘤中PSMA放射性药物摄取的程度,没有摄取的病变,偶然发现PET/CT摄取阳性的病灶。
结论:本文提供了PSMAPET/CT成像标准化报告的最佳实践建议。生成的报告模板是拟议的补充,旨在教育和改善成像专家与转诊医师之间的数据通信。
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