Body Scans for Prostate Cancer | Prostate Cancer Staging Guide

Mark Scholz, MD discusses new PET scan technology and compares it with older but more common full-body scanning techniques.
To learn more about prostate cancer visit www.pcri.org
To download the free Staging Guide visit www.pcri.org/prostate-cancer-s...
Dr. Scholz discusses the use of PET Technetium-99 bone scans, CT scans, and full body MRI scans in newly diagnosed patients and patients with advanced disease. Bone scans are useful for prostate cancer management since it is the primary place that prostate cancer will spread. CT and MRI are more suited for detecting metastatic prostate cancer in soft tissues such as the lymph nodes. However, these scans are not very sensitive and function best when the PSA is already high.
Existing body scans have limitations in terms of their sensitivity, a new FDA approved PET scan called Axumin (fluciclovine f-18) is available for prostate cancer patients. This scan provides useful information about the nature and extent of the disease with better resolution. This creates a new disease space known as oligometastatic disease, where the patient doesn't yet have widespread disease and still has a chance for cure. Additionally, other highly sensitive PET scan technology which although not yet FDA approved is readily available off-label and through clinical trials. These scans can detect early metastatic cancer, and quick intervention can lead to a cure.
To learn more visit www.pcri.org and download PCRI's staging guide.
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The information on the Prostate Cancer Research Institute's KZbin channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
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[@richardackerman838]

Thank you so much for this video. I had a bone scan today. I had Brachy therapy in 2018 and my PSA went down to .59. And has gradually increased to 1.9. This video ties it all together so I understand what is going on much better. THANKQ

[@pacmac7346]

This video was made 4 years ago before CMS(medicare) gave PSMA an approval number or code for those with prostate cancer. Seniors should know this. I think that the good doctor mentioned here that it may not be covered. This is a great and caring doctor and he provides such important info for those with prostate trouble cancer or fast rising psa. Thank you Dr. Scholz.

[@stanleyanokwuru4325]

A very useful video. It is very helpful

[@georgerios7491]

Thanks 🙏 so much for the info please take care ❤️👌

[@thogevoll]

A couple of years has elapsed are any of these new scan technologies available yet?

[@gustavmonger]

Excellent information.

[@hardchines]

Thank you

[@brucebocian2006]

Excellent piece, I had my prostatectomy in 2014my psa has been negligible, recently it went to .2 then .18 then .24. My Doc suggested an Auximin scan. However my support group leader says it to low to get good results and suggested a PSMA, but it would still need to come up before good results, what is your opinion?

[@ronaldmorris5201]

Very helpful

[@chloe7seven22]

what if the PSA is only 5 and yet the prostate is rock hard and has metastasised? (ON PET SCAN) - how did that happen? With a gleason of 8

[@24hourgmtchannel64]

So with someone with a PSA under 6.0 and a Gleason 6, other than Multi Parametric MRI, are any other scans necessary? Of course anyone one on Active Surveillance that gets back of hip pain is going to expect the worst.

[@dwt51]

Excellent video, which filled in a couple more pieces of the puzzle. One question: Dr. Scholz talks about the Axumin F-18 test then later mentions F-18 bone scans. Is this the same test or two different ones? Thank you.

[@ThePCRI]

No, it is just a coincidence that they have the same letter and number. The NaF18 bone scan uses Sodium Flouride and the FACBC (Axumin) scan uses Fluciclovine. We will be updating this video soon since the Ga68 PSMA PET scan was recently FDA approved and outperforms all of those scans in both bones and soft tissues. Feel free to call or email us if you would like more information: pcri.org/helpline