Emerging Role of PSMA Imaging; Grand ... - Active Surveillan...

Active Surveillance - Prostate Cancer

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Emerging Role of PSMA Imaging; Grand Rounds

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Background: I had a PSMA PET done Jan21 while on ADT with very low PSA. The question from my RO was whether it was worth the effort? This study says that there could be a benefit from being on ADT during a PSMA PET...there are other indications to the contrary, but I though this was important. My note;

ADT INCREASES THE SENSETIVITY of PSMA PET scans…

> HAS A ‘UPTAKE’ EFFECT ON RESULTS,

> ie, it makes the tumors STAND OUT!!!

> Study; men w NEGATIVE bone scans and then were imaged on PSMA PET, the majority had tumor growth found in 1) prostate bed, 2) lymph nodes…

> suggested in podcast; do not WAIT to get a scan with PSA > 0.5 ng/dl…

> a PSA at 0.2 will provide less than 50% sensitivity (finding tumors)

> a PSA at 0.5 or above; you are north of 50% sensitivity...

- Emerging Role of PSMA Imaging; Grand Rounds

youtu.be/uKvizpoiMlU

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