Peer-Reviewed Publication
Eur Urol Oncol2026October 15, 2026Journal Article

Machine Learning Models Combining [68Ga]Ga-PSMA-11 PET Radiomics and Clinical Features to Predict Overall Survival for Metastatic Castration-resistant Prostate Cancer Treated with [177Lu]Lu-PSMA Radioligand Therapy.

Lucas Edouard1, Léa Papillon2, Loïc Ferrer2, Yann Godbert3, Marie Meyer3, Vincent Prega-Renaud3, Céline Subreville4, Nadège Anizan5, Nicolas Benziane-Ouaritini6, Olivier Gallinato2, Mathilde Cabart6, Diego Teyssonneau6, Guilhem Roubaud6, Thierry Colin2, Paul Schwartz3
1Nuclear Medicine Department, Institut Bergonié, Bordeaux, France. Electronic address: lucas@edouard.eu.
2Sophia Genetics, Pessac, France.
3Nuclear Medicine Department, Institut Bergonié, Bordeaux, France.
4Department of Pharmacy, Institut Bergonié, Bordeaux, France.
5Department of Physics, Institut Bergonié, Bordeaux, France.
6Department of Medical Oncology, Institut Bergonié, Bordeaux, France.

Abstract

PURPOSE: Metastatic castration-resistant prostate cancer (mCRPC) remains incurable despite recent therapeutic advances. [177Lu]Lu-PSMA RLT (lutetium-177 labelled prostate-specific membrane antigen radioligand therapy) provides meaningful clinical benefit in selected patients. However, ∼30% of the patients do not respond to [177Lu]Lu-PSMA RLT. Although several baseline prognostic factors are well k…

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