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Updated: Jun 18, 2025

A Whole Body Dosimetry Protocol for Peptide-Receptor Radionuclide Therapy PRRT: 2D Planar Image and Hybrid 2D+3D SPECT/CT Image Methods
Published on: April 24, 2020
PSMA PET/CT quick procedure guide
J Muñoz-Iglesias1, A Rodríguez-Fernández2, P Paredes-Barranco3
1Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Vigo, Vigo, Spain.
Positron emission tomography/computed tomography (PET/CT) with Prostate-Specific Membrane Antigen (PSMA) radiopharmaceuticals is revolutionizing prostate cancer care. This guide offers clinical recommendations for appropriate PSMA PET/CT use in Spain, considering recent changes in availability and access.
Area of Science:
- Nuclear Medicine
- Oncology
- Radiopharmacology
Background:
- Prostate-Specific Membrane Antigen (PSMA) targeted PET/CT is transforming prostate cancer diagnostics and therapeutics.
- Recent shifts in radiopharmaceutical availability in Spain impact diagnostic procedures and protocols.
Purpose of the Study:
- To develop a clinical guide for the appropriate use of PSMA PET/CT in prostate cancer patients.
- To address frequent clinical scenarios and patient profiles benefiting from PSMA PET/CT.
Main Methods:
- Systematic review of robust evidence on PSMA PET/CT.
- Development of a clinical guide focusing on frequent use cases and patient profiles.
- Consideration of regulatory, cost, and production factors in Spain.
Main Results:
- Established methodology for optimized imaging with PSMA radiopharmaceuticals.
- Recommendations for structured and accurate reporting of metabolic findings with CT.
- Identification of key clinical situations where PSMA PET/CT is crucial.
Conclusions:
- PSMA PET/CT represents a significant advancement in prostate cancer management.
- Clinical guidelines are essential for optimizing the use of this technology amidst evolving access and regulations.
- Standardized reporting enhances the interpretation of PSMA PET/CT findings.
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