Focus on Prostate Microultrasound: Fluciclovine and PSMA Gallium PET

Ryan S. Hsi, MD, reviews findings from abstracts presented at the American Urological Association’s 2019 Annual Meeting on the use of high-resolution microultrasound in detecting prostate cancer. The research suggests that 18F-fluciclovine PET is most useful in patients with high PSA and can potentially guide lymph node dissection during surgery, while PSMA gallium PET appears to have promise for a number of scenarios, including the initial staging for high-risk disease, the early detection of biochemical recurrence, and radio-guided surgery for salvage lymph node dissection.

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