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Active Giant Cell Vasculitis Diagnosis with 68Ga PSMA PET/CT Imaging
Muhammet Sait Sağer1, Seçkin Bilgiç1, Lebriz Uslu1
1İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Nuclear Medicine, İstanbul, Turkey.
Insights
Giant cell arteritis (GCA), a form of vasculitis, can show uptake on Gallium-68 PSMA PET/CT scans. This finding is important as PSMA PET/CT is typically used for prostate cancer imaging.
Area of Science:
- Nuclear medicine
- Radiology
- Immunology
Background:
- Vasculitis involves blood vessel inflammation.
- Giant cell arteritis (GCA) commonly affects large arteries.
- 18F-FDG PET/CT is established for GCA diagnosis.
Purpose of the Study:
- To investigate PSMA uptake in GCA.
- To assess the utility of Gallium-68 PSMA PET/CT in GCA.
Main Methods:
- Utilized Gallium-68 PSMA PET/CT imaging.
- Analyzed PSMA uptake patterns in patients with GCA.
Main Results:
- Demonstrated increased PSMA uptake in GCA.
- Identified PSMA uptake as a potential finding in GCA, distinct from its typical use in prostate cancer.
Conclusions:
- PSMA PET/CT can reveal uptake in GCA.
- This finding broadens the understanding of PSMA PET/CT in non-prostate conditions.
Abstract:
Vasculitis is a multisystem disease characterized by inflammation with infiltration of leukocytes into the blood vessels. Giant cell arteritis (GCA) is the most common form of vasculitis that mostly affects medium- and large-sized arteries. 18Fluorine-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) is increasingly used to diagnose inflammation of large arteries in GCA. Galium-68 prostate-specific membrane antigen (PSMA) PET/CT has a vital role in the assessment of patients with prostate cancer for recurrence and metastasis of the disease. Various benign and non-prostate malignant conditions may give rise to increased PSMA uptake. Herein, we demonstrate that PSMA uptake can be seen in GCA.
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