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18F-fluciclovine-PET/CT imaging vs conventional imaging alone to guide postprostatectomy salvage radiotherapy for prostate cancer (EMPIRE-1): A single centre, open-label, phase 2/3 randomised controlled trial

The Lancet May 13, 2021

Jani AB, Schreibmann E, Goyal S, et al. - Researchers conducted a single-centre, open-label, phase 2/3 randomised controlled trial (EMPIRE-1) to assess the role of 18 F-fluciclovine-PET/CT in improving cancer control relative to conventional imaging (bone scan and either CT or MRI) alone for salvage postprostatectomy radiotherapy for prostate cancer. Participants were patients suffering from prostate cancer with identifiable PSA post-prostatectomy and negative conventional imaging (no extrapelvic or bone findings). These were randomized (1:1) to radiotherapy directed by conventional imaging alone or to conventional imaging plus 18 F-fluciclovine-PET/CT. Findings revealed that significantly improved survival free from biochemical recurrence or persistence was achieved by including 18 F-fluciclovine-PET into postprostatectomy radiotherapy decision making and planning.

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