A member asked:

What are the most advanced tests for diagnosis of metastasis of a primary prostate cancer?

6 doctors weighed in across 3 answers

Imaging and PSA: Most patients with metastatic prostate cancer have psa levels above 10 ng/ml. Depending on the location of the metastases, which are usually in the bone, bone scan can detect mets.

Answered 10/13/2012

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Many choices: A few options here. For bone involvement a na-f18 pet scan is the most sensitive along with MRI scans. Standard bone scan, imho, is outdated. Also, we find the measurement of ctc's (circulating tumor cells, very useful. Standard ct scan is good for lung and liver disease. Last, MRI with iron nanoparticles is great for lymph node + disease evaluation. Prostatscint is not so useful anymore.

Answered 12/17/2020

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Psa: Bone scan is best but very low chance if psa not above 20.

Answered 4/5/2019

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