12/7/2023 0 Comments Xofigo patient reviewsWe’re entering a new era with the advent of molecular imaging and PSMA PET scans have become more widely used. Many of the patients in the historical studies with radiotherapy or surgery might have had molecular imaging positive disease and we don’t know whether or not some of them could still be cured, particularly if they’re treated with systemic therapy. It’s important to accurately stage a case.ĪLUMKAL: If he had molecular imaging positive disease, particularly with 1 lesion in his right hip, it’s hard to know whether or not this would take him out of the potential of a therapy that could lead to local control and potentially longterm disease control given that he was to receive systemic therapy with ADT. If the goal is accurate staging, I think we should use all tools at our disposal for accurate staging. I think we’re biased against because we reach for it in every single malignancy. Conventional imaging in most of these cases is all you need.įRONTIERA: Did the patient get a course of radiation therapy that he wouldn’t have needed?ĪL-JANADI: Exactly. I don’t think it changes his management and long-term outlook majorly. I think that we’re reaching for the PET scan more often than we should. CHOWDHARY: If they had done a PET scan and picked up some of these lesions earlier, would it have changed the management or even changed his disease course? I really doubt it would. Unfortunately, he had metastatic disease another area.Ī. So, I can’t really fault them for pursuing this mode of imaging. But, for a symptomatic lesion, it’s very common to see findings on conventional imaging, whether it’s CT scan or bone scan. ĪLUMKAL: A CT scan was done which didn’t show any concerning lesions in the right pelvis.ĪL-JANADI: They should have probably done a sodium fluoride PET scan too.ĪLUMKAL: Certainly with molecular imaging one can find lesions that would not be apparent on conventional imaging. MIRMIRAN: I think his management has been appropriate.ĪL-JANADI: I don’t think it has been. ALUMKAL: Are there any concerns about the patient’s management so far?
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |