Cardio-oncology & otherCohort study

Longitudinal [ 18 F]FDG PET/MR Assessment of Arterial Inflammation in Patients With Prostate Cancer Undergoing Androgen Deprivation Therapy

Circ Cardiovasc ImagingPublished

  • longitudinal [ 1 8 F]fluorodeoxyglucose positron emission tomography/magnetic resonance examinations
  • paired tests
  • linear mixed-effects models

Authors' conclusion

In patients with prostate cancer, ADT is associated with consistent and progressive arterial inflammation, most prominently in carotid, iliac, and abdominal aortic regions. These findings support arterial inflammation as a potential imaging phenotype of ADT-associated cardiovascular risk.

Study context

Population
Men with prostate cancer undergoing androgen deprivation therapy (ADT)men with prostate cancer, 2 longitudinal examinations each
Participants
Forty-three men
Exposure
Intraindividual change in arterial TBR max across ADT exposure

Main finding

As reported in the abstract

TBR max, carotid arteries

Change across ADT exposure

1.54±0.32 to 1.75±0.31

Observational data: associations, not effects.

Further findings

TBR max, abdominal aorta

Change across ADT exposure
1.89±0.39 to 2.19±0.36
  • P <0.001

TBR max, common iliac arteries

Change across ADT exposure
1.88±0.45 to 2.24±0.54
  • P <0.001

TBR max, aortic arch

Significant increase
  • P =0.005

TBR max, ascending aorta

Significant increase
  • P =0.02

All-artery, aorta, and branch composite TBR max

Increased significantly
  • all P <0.001

Monthly increment in TBR max (linear mixed-effects models)

iliac arteries
0.0205/mo
carotid arteries
0.0123/mo
abdominal aorta
0.0098/mo
  • iliac P <0.001
  • carotid P <0.001
  • abdominal aorta P =0.038

Original publication

Longitudinal [ 18 F]FDG PET/MR Assessment of Arterial Inflammation in Patients With Prostate Cancer Undergoing Androgen Deprivation Therapy. Circ Cardiovasc Imaging. Published 28 July 2026. doi:10.1161/circimaging.126.019636

Summarised from the published abstract; every number is checked against it