Prostate-specific membrane antigen positron emission tomography/computed tomography as a potential tool to assess and guide salivary gland irradiation

M.H. Valstar, E.C. Owers, A. Al-Mamgani, L.E. Smeele, J.B. van de Kamer, J.J. Sonke, W.V. Vogel

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Abstract

Evaluation of salivary gland damage after head and neck radiotherapy (RT) is difficult with current tools, such as subjective patient-reported outcome measures. We demonstrate the use of prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA PET/CT) as an objective non-invasive tool to visualize damage to salivary glands resulting from RT. In three clinical cases, the PSMA-ligand distribution correlates to the RT dose distribution including intra-gland dose gradients and matches patient-reported toxicity, suggesting a dose-response relation. These findings support further exploration of PSMA PET/CT to guide and evaluate RT, with the ultimate aim to reduce salivary gland toxicity.
Original languageEnglish
Pages (from-to)65-68
JournalPhysics and Imaging in Radiation Oncology
Volume9
DOIs
Publication statusPublished - Jan 2019

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