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Opinion|Videos|March 31, 2025

The Evolving Role of PSMA PET in Prostate Cancer Imaging and Management

Author(s)Jason Efstathiou, MD, DPhil, FASTRO, FACRO, Brandon Mancini, MD, MBA, FACRO , Comron Hassanzadeh, MD, MPH

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.

Episodes in this series

4 experts in this video

EP. 1 The Evolving Role of PSMA PET in Prostate Cancer Imaging and Management

4 experts in this video

EP. 2 PSMA PET Imaging Agents: Image Quality and Diagnostic Performance

4 experts in this video

EP. 3 Selecting the Optimal PSMA PET Imaging Agent: Clinical Considerations and Data-Driven Decisions

4 experts in this video

EP. 4 Imaging Quality in Prostate Cancer: Impact on Treatment Decision-Making

4 experts in this video

EP. 5 PSMA PET Imaging in Prostate Cancer Staging: Guiding Initial Diagnosis and Treatment Decisions

4 experts in this video

EP. 6 PSMA PET Imaging in Biochemical Recurrence: Clinical Approaches and Data-Driven Decisions

4 experts in this video

EP. 7 Role of PSMA PET Imaging in Guiding Surgical Treatment Decisions in Prostate Cancer

4 experts in this video

EP. 8 Leveraging PSMA PET Imaging in Posttreatment Response Assessment: Evolving Practices and Data Insights

4 experts in this video

EP. 9 Utilizing PSMA PET Imaging in Metastatic Prostate Cancer to Guide Treatment Strategies

4 experts in this video

EP. 10 Case Discussion: Integrating PSMA PET for Focal Boost Optimization

4 experts in this video

EP. 11 Evaluating the Role of Cu-PSMA PET Imaging in Prostate Cancer

4 experts in this video

EP. 12 Key Takeaways and Future Perspectives: PSMA PET Imaging in Prostate Cancer

Video content above is prompted by the following:

What have prospective randomized data shown when comparing conventional vs PSMA-PET imaging, and how have these data influenced the current landscape? (Hofman et al. Lancet. 2020)
- What are some of the key limitations of conventional imaging techniques, and what key advantages does PSMA PET provide over conventional imaging?
Briefly comment on the current NCCN guidelines regarding preferred imaging approaches in the diagnosis and management of prostate cancer. (NCCN Clinical Guidelines in Oncology. Prostate cancer, version 1.2025)

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