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Where to get a PSMA PET Scan?

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User
Posted 03 Dec 2019 at 15:34
Where money and supply of the tracer are no problem, hospitals are abandoning Choline in favour of Gallium 68 and other different isotopes as they are more accurate.

A friend and other men here with raised PSA post-op have had G-68 PET-PSMA scans which have found nothing, even though cancer is still present.

If you find somewhere, don't expect the scan to be a panacea.

Best of luck.

Cheers, John.

User
Posted 03 Dec 2019 at 21:58
Be aware that you have to express sufficient PSMA for the scan to work, about 8% of men do not do so and indeed we have had at least one member on this forum for whom it did not do so. Also, be aware that the scan can only show tumours down to a certain size and not always then. There is a scan that has been shown to have shown more mets in a cohort of men tested with this scan and the 68 Gallium one but to the best of my knowledge the 18F DCFPyL PET/CT scan is not yet available in the UK. (Please state anybody if this has now changed).
Barry
User
Posted 03 Dec 2019 at 22:08
Worth thinking through what difference it would make to future decisions. If a different tracer showed no distant areas of concern, would he go ahead with RT? If yes, then he may as well have the choline scan as there is the same chance of microscopic cancer clusters not being picked up. His PSA is behaving quite typically for cancer cells left behind in the prostate bed / pelvic region which salvage RT is usually very good at picking up.
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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