"In the PSMA-PET group, PSMA-PET CT detected PC in 196/200 (98%) pts! 55% had local recurrence, 54% had pelvic nodes (N1), and 55% had any extrapelvic distant metastatic disease despite negative conventional imaging. Ultimately, 24% were diagnosed with local recurrence only, 29% with oligometastatic (1-3 lesions) and 46% with polymetastatic disease. "
urotoday.com/conference-hig...
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This is not at all surprising, but it may be a mistake to get a PSMA-based PET scan for men with nmCRPC because insurance may not want to cover Erleada once mets have been detected, and there is no known benefit for met-directed therapy.
" Patients with isolated, painful bone lesions may be treated with palliative external beam radiation. Additionally, oligometastatic disease may be treated to slow progression."
Risk vs rewards of allowing psa to rise high enough for a PSMA PET CT
Imaging sites that offer PSMA PET
MY PSA is 2.3 but both bone scan and CT scan show negative findings - doctor recommends i get a PSMA PET scan - thoughts?
High risk and ADT duration since PSMA 
High psa. Scheduled for psma pet ct. urologist
