The purpose of this study is to evaluate the use of multiparametric dynamic whole-body \[68Ga\]Ga-PSMA PET/CT imaging in newly diagnosed HCC patients or in HCC patients with recent suspicion of refractory, residual, or recurrent disease.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
40
Dynamic whole-body \[68Ga\]Ga-PSMA acquisition to HCC patients
HU Paris Nord APHP
Clichy, France
NOT_YET_RECRUITINGCHU de Nantes
Nantes, France
RECRUITINGDiagnostic performance
Sensitivity of qualitative assessment of dynamic whole-body \[68Ga\]Ga- PSMA PET/CT using standard imaging methods, pathological data if available data or imaging follow-up of at least 6 months as gold standard in two populations of HCC patients: at the time of initial diagnosis or upon detection of suspected refractory, residual, or recurrent relapse.
Time frame: 6 months
Kinetic parameters
Patlak's parametric reconstruction, which estimates the 68 Gallium blood input function from the image, will be employed to extract the Ki absorption coefficient.
Time frame: Baseline
Diagnostic performance of multiparametric image evaluation approach at the lesion level
Sensitivity value of D-WB \[68Ga\]Ga-PSMA PET/CT and gold standard will be calculated and compared at the lesion level.
Time frame: 6 months
Diagnostic performance of multiparametric image evaluation approach at the patient level
Sensitivity value of static \[68Ga\]Ga-PSMA PET/CT and Choline-PET will be calculated and compared.
Time frame: 6 months
Diagnostic performance of multiparametric image evaluation approach at the patient level
Sensitivity value of dynamic \[68Ga\]Ga-PSMA PET/CT and Choline-PET will be calculated and compared.
Time frame: 6 months
Acceptability in terms of comfort
Acceptability will be measured by a comfort scale from 1 (very uncomfortable) to 5 (very comfortable).
Time frame: Baseline
Dynamic compared to static imaging
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Target-to-background ratios (TBR) values were compared with Tumor normalized uptake values (SUV images) to evaluate lesions detection.
Time frame: Baseline