68Ga-PSMA PET/CT Imaging in Multiple Myeloma
Arun Sasikumar1, Ajith Joy, M R A Pillai
1From the *Nuclear Medicine and PET/CT, †KIMS-DDNMRC, KIMS Cancer Center, and ‡Medical Oncology, KIMS-DDNMRC, KIMS Cancer Center, Trivandrum, Kerala, India.
Gallium-labeled prostate-specific membrane antigen (Ga-PSMA) PET/CT shows promise for imaging multiple myeloma, not just prostate cancer. This finding suggests potential theranostic applications using Lutetium-PSMA (Lu-PSMA) for this hematologic malignancy.
Area of Science:
- Nuclear Medicine
- Oncology
- Radiopharmaceuticals
Background:
- Gallium-labeled prostate-specific membrane antigen (Ga-PSMA) PET/CT is established for prostate cancer imaging.
- Emerging evidence suggests Ga-PSMA PET/CT utility in non-prostate malignancies, potentially linked to tumor neoangiogenesis.
Observation:
- This report details the successful application of Ga-PSMA PET/CT in visualizing multiple myeloma.
- Multiple myeloma lesions demonstrated intense Ga-PSMA avidity.
Findings:
- Ga-PSMA PET/CT effectively images multiple myeloma lesions.
- The observed high avidity indicates PSMA expression in multiple myeloma.
Implications:
- Ga-PSMA PET/CT expands its diagnostic role beyond prostate cancer to include hematologic malignancies like multiple myeloma.
- The intense PSMA avidity in multiple myeloma lesions opens avenues for targeted radionuclide therapy, specifically with Lutetium-PSMA (Lu-PSMA) theranostics.
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