SATURDAY, March 31 (HealthDay News) -- A noninvasive scan might
someday help doctors track the progress of prostate cancer and help
guide treatment, researchers report.
The imaging tool, known as a prostate cancer-specific
radiotracer, has so far only been tested successfully in mice. But
a team from Memorial Sloan-Kettering Cancer Center in New York City
said the technology could help identify cases where prostate cancer
has spread to the bone.
Radiotracers work by injecting a small amount of a compound
tagged with a radionuclide into patients. Using positron emission
tomography -- also known as a PET scan -- doctors are then able to
better visualize tumors and tumor spread.
In studies involving mice with prostate cancer, the researchers
had the radiotracer hone in on prostate-specific antigen (PSA), the
same prostate cancer marker used in the PSA test. They found that
the PSA gravitated to tissues containing prostate cancer that had
already grown resistant to standard hormone-based therapies.
The study also revealed the radiotracer could help identify
cases where prostate cancer had spread to the bone. The researchers
pointed out traditional bone scans are unable to differentiate
between malignant and nonmalignant lesions.
The findings were to be presented Saturday at the American
Association for Cancer Research annual meeting in Chicago, and are
also being published in
Cancer Discovery.
If used on people, the researchers claimed that the radiotracer
might someday help doctors "personalize" treatment strategies for
prostate cancer and better manage the disease.
"The ultimate goal is to be able to predict the response of patients to new and existing therapies at an early stage, thereby personalizing their treatment and improving outcomes," Michael J. Evans, research fellow in the Human Oncology and Pathogenesis Program at Memorial Sloan-Kettering Cancer Center, explained in meeting news release.
Encouraged by their findings, the study's authors said they hope
to begin a human trial next year.
Two prostate cancer experts said the tool, if borne out in
patients, could prove very useful.
Dr. Michael Schwartz is director of laparoscopy and minimally
invasive surgery at North Shore-LIJ Health System in Lake Success,
N.Y. He noted that, as of now, doctors typically rely on results of
the PSA blood test and/or standard diagnostic scans to help guide
treatment decisions.
Both methods have their limits and, "while this study is very
preliminary, if this radiotracer technology can prove to detect
very early recurrence or metastasis in human patients, it could
become extremely useful in either the pre- or post-treatment
setting in selecting a treatment algorithm," Schwartz said. "It
also may help reduce the need for biopsy of possible metastatic
lesions."
Dr. Erik Goluboff, an attending urologist at Beth Israel Medical
Center, New York City, agreed that, "this is an exciting study
using a novel radiotracer to detect PSA-expressing tissues
throughout the body."
He believes that the new tool's "greatest strength would be in
monitoring changes in PSA expression in tissues as a result of
various treatments. If a treatment showed a marked change, it could
continue to be used in that patient, hence "personalized" medicine.
If a specific change did not occur, that treatment could be
abandoned and another tried instead. Since these changes could not
be detected based on a PSA blood test alone, this new test would be
very helpful in determining early on which therapy to choose in a
given patient."
However, Goluboff also noted that research from animal-based
studies does not always pan out in humans and "further, larger
studies are of course required to confirm these findings."
More information
The U.S. National Cancer Institute provides more information on
prostate cancer.