ABSTRACT Introduction: Prostate cancer (PC) is the second most commonly diagnosed cancer in males. 68Ga-PSMA PET/CT, a non-invasive diagnostic tool to evaluate PC with prostate-specific membrane antigen (PSMA) expression, has emerged as a more accurate alternative to assess disease staging. We aimed to identify predictors of positive 68Ga-PSMA PET and the accuracy of this technique. Materials and methods: Diagnostic accuracy cross-sectional study with prospective and retrospective approaches. We performed a comprehensive literature search on PubMed, Cochrane Library, and Embase database in search of studies including PC patients submitted to radical prostatectomy or radiotherapy with curative intent and presented biochemical recurrence following ASTRO 1996 criteria. A total of 35 studies involving 3910 patients submitted to 68-Ga-PSMA PET were included and independently assessed by two authors: 8 studies on diagnosis, four on staging, and 23 studies on restaging purposes. The significance level was α=0.05. Results: pooled sensitivity and specificity were 0.90 (0.86-0.93) and 0.90 (0.82-0.96), respectively, for diagnostic purposes; as for staging, pooled sensitivity and specificity were 0.93 (0.86-0.98) and 0.96 (0.92-0.99), respectively. In the restaging scenario, pooled sensitivity and specificity were 0.76 (0.74-0.78) and 0.45 (0.27-0.58), respectively, considering the identification of prostate cancer in each described situation. We also obtained specificity and sensitivity results for PSA subdivisions. Conclusion: 68Ga-PSMA PET provides higher sensitivity and specificity than traditional imaging for prostate cancer.

Animals on pasture generally show higher feed efficiency as a result of the use of antibiotics. This study evaluated the effect of the antimicrobials salinomycin and/or virginiamycin on production and the ruminal parameters of supplemented dairy cows grazing on Panicum maximum cv. Tanzania. Twelve Holstein/Zebu multiparous cows were used, distributed in three Latin squares, one for the evaluation of ruminal parameters, and the others for production parameters. Cows on pasture were fed 50 % of their estimated intake with corn silage and concentrate supplements containing salinomycin, virginiamycin or a combination of additives, in doses of 120 and 150 mg kg−1, respectively. There were no differences in milk production and composition, energy and nitrogen balance, dry matter digestibility and feeding behavior. However, salinomycin and virginiamycin each reduced pasture and total dry matter intake by about 14 % and 10 %, with a consequent improvement in feed efficiency.