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Journal of Nuclear Medicine· 2026Q1

Residual 177 Lu Activity Complicates Interpretation of Day 3 SPECT in OPTIMAL-PSMA

Yan Huang, Yang Liu

Short summary

Residual 177Lu activity from [177Lu]PSMA-597 treatment can interfere with Day 3 SPECT imaging, potentially complicating the interpretation of tumor response in the OPTIMAL-PSMA trial.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Residual 177Lu activity from [177Lu]PSMA-597 treatment can be present on Day 3 SPECT.
  • This residual activity can interfere with the interpretation of tumor uptake.
  • Accurate assessment of treatment response may be complicated by this imaging artifact.
  • The reliability of Day 3 SPECT as a secondary endpoint in the OPTIMAL-PSMA trial is questioned.

AI-generated from the title and abstract; the full text is not read.

Abstract

TO THE EDITOR: Khan et al. report on OPTIMAL-PSMA, a randomized phase 2 trial comparing an early-dose intensified [177Lu]PSMA-597 regimen with the standard 6 weekly administrations for metastatic castration-resistant prostate cancer ([1][1]). A mechanistic secondary endpoint of the trial is also

The authors' abstract, as published at the source. Journal of Nuclear Medicine, 2026 · DOI ↗

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Field: Radiology, Nuclear Medicine and Imaging

Radiology, Nuclear Medicine and ImagingMedicine