The Evolving Role of PSMA PET in Prostate Cancer Imaging and Management
ByJason Efstathiou, MD, DPhil, FASTRO, FACRO,Brandon Mancini, MD, MBA, FACRO ,Comron Hassanzadeh, MD, MPH ,Bridget F. Koontz, MD, FASTRO Panelists discuss how prospective randomized data, notably from Hofman et al (Lancet, 2020), demonstrate that PSMA PET-CT exhibits superior diagnostic accuracy compared with conventional imaging in detecting pelvic nodal and distant metastases in patients with high-risk prostate cancer. Conventional imaging techniques, such as CT and bone scans, often have lower sensitivity and specificity, potentially missing smaller or early metastatic lesions. In contrast, PSMA PET-CT offers enhanced sensitivity and specificity, leading to more precise staging and management decisions.