Longitudinal prostate cancer cohort integrating multimodal clinical, imaging, laboratory, and pathology data across the disease continuum, with PSMA PET as a core element throughout staging, biochemical recurrence, oligometastatic evaluation, and Lu-177 radioligand therapy assessment.
PSMA PET/CT showing radiotracer uptake in prostate cancer. Imaging aligned to clinical scenario classification across the disease continuum. De-identified.




Structured EHR elements linked to imaging, laboratory, and pathology data, with temporal alignment to PSMA PET index events across the disease continuum.

Oncology
Prostate cancer · all stages · including castration-sensitive and castration-resistant disease
Surgery, radiotherapy, androgen deprivation therapy (ADT) · androgen receptor pathway inhibitors · chemotherapy · radioligand therapy (Pluvicto / Lu-177 vipivotide tetraxetan)
PSMA PET (⁶⁸Ga-PSMA-11, ¹⁸F-DCFPyL) · prostate MRI · conventional imaging
Demographics · diagnoses · procedures (CPT-coded) · medications · pharmacy dispensing · pathology (Gleason score) · labs (PSA, testosterone, hematologic and biochemical markers)
Oncology · urology · pharmacy dispensing · radiology (DICOM) · nuclear medicine (DICOM) · pathology · laboratory
Raw DICOMs and structured clinical data · HIPAA de-identified · Provenance documentation built into acquisition · Longitudinal timeline reconstruction with temporal alignment to PSMA PET index events
Each PSMA PET event is classified into a clinical scenario using rule-based algorithms incorporating temporal relationships, PSA dynamics, prior treatments, and castration status.

Initial diagnosis: PSMA PET for staging at first presentation, aligned to biopsy, Gleason score, and baseline PSA.
Post-definitive therapy: PSMA PET triggered by PSA rise following prior surgery or radiation, with linked treatment history and time-to-recurrence data.
Limited Metastatic Burden: PSMA PET for characterization of oligometastatic disease, with linked imaging and treatment decision data.
Advanced progression: PSMA PET in the context of CRPC, aligned to treatment sequences and PSA kinetics.
Theranostics: PSMA PET for therapy selection and monitoring related to Lu-177 vipivotide tetraxetan (Pluvicto), with linked dosimetry, response, and outcomes data.
From theranostics research to predictive modelling across the prostate cancer continuum.

Characterize patient selection, response, and outcomes for Lu-177 Pluvicto therapy using linked PSMA PET imaging, PSA dynamics, and treatment data across real-world populations.
Build and validate PSMA-derived imaging biomarkers, including SUV metrics, tumor volume, and lesion detection, using longitudinal imaging linked to clinical outcomes.
Model transitions across clinical scenarios (primary → recurrence → CRPC → RLT) using temporally aligned imaging, labs, and treatment sequences.
Model transitions across clinical scenarios (primary → recurrence → CRPC → RLT) using temporally aligned imaging, labs, and treatment sequences.
Model eligibility criteria, patient volumes, and endpoint distributions for prostate cancer trials using real-world data across 8,000+ patients with PSMA PET.
Compare outcomes across treatment sequences (ADT, AR inhibitors, chemotherapy, RLT) in the real-world population, supporting label expansion and post-marketing evidence generation.
Imaging, laboratory, and pathology biomarkers with longitudinal temporal alignment. Biomarker selection is tailored to your programme's endpoints and therapeutic objectives.

