6 doctors weighed in:
What are the most advanced tests for diagnosis of metastasis of a primary prostate cancer?
6 doctors weighed in

Dr. Steven Tucker
Internal Medicine
2 doctors agree
In brief: 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 Standard bone scan, imho, is outdated.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.

In brief: 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 Standard bone scan, imho, is outdated.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.
Dr. Steven Tucker
Dr. Steven Tucker
Thank
1 doctor agrees
In brief: Psa
Bone scan is best but very low chance if psa not above 20.

In brief: Psa
Bone scan is best but very low chance if psa not above 20.
Dr. Richard Sarle
Dr. Richard Sarle
Thank
Dr. Gurmukh Singh
Pathology
1 doctor agrees
In brief: 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.

In brief: 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.
Dr. Gurmukh Singh
Dr. Gurmukh Singh
Thank
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Dr. Arnon Rubin
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