In-room imaging and MR planning

Innovative imaging techniques, e.g. in prostate cancer

Bone scan will detect M+ in patients with a high PSA level (> 10,0 µg/L). WB-MRI & choline/PSMA PET-CT can detect smaller lesions in asymtomatic patients with low, but rising, PSA (even < 2,0 µg/L).

PSMA-PET/CT

61-year old with rising PSA after RP for pT3aN0 PrCa, Gleason 10. Current PSA: 0,27 µg/L.

Bone scan negative, solitary lesion in D2 on whole- body MRI & PSMA-PET/CT.

Start hormonal and/or docetaxel treatment or “salvage” RT in effort to postpone systemic treatment?

Bonescan

WB-DWI (b1000)

Schiavina R. et al. Curr Radiopharm 2013.

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