How PSMA Revolutionizes Staging for #prostatecancer | #markscholzmd | #PCRI

The sensitivity and specificity of the PSMA PET scan makes it one of the most important developments in the history of prostate cancer management. However, its use in the United States is still not universal for men diagnosed with prostate cancer. Moreover, since the scan has just now become widely available, it could be many years before studies are completed that will determine how, exactly, physicians should interpret and act on the new information it has made available. For example, can a newly diagnosed man with Gleason 8 prostate cancer reduce the duration of hormone therapy if he has a negative PSMA PET scan, or is the negative scan a false sense of security? Here, Dr. Scholz--a medical oncologist specializing in the treatment of prostate cancer--explains how we can think about this information in an era before we have an authoritative, thorough, and scientific understanding of the information and all its implications. 0:07 What are PSMA PET scans and why are they important? 1:23 What is the difference between "PET-CT" and "PSMA PET scan?" 3:38 After treatment, what is the lowest PSA at which the PSMA PET scan would be able to detect the location of the recurrence? 4:17 Other than cost, is there any reason why a person would not have a PSMA PET scan after a prostate cancer diagnosis? 5:05 Does PSMA detect all forms of prostate cancer or does it miss some cancers? 5:58 What is the protocol for avoiding the possibility of having a type of prostate cancer if it does not show up on PSMA PET? 6:28 If cancer shows up on a PSMA PET inside the prostate, what is the negative predictive value of there truly being no metastases? 7:18 Does extracapsular extension mean "locally advanced" prostate cancer? 8:45 Can a PSMA scan be done once hormone therapy has been initiated? 10:15 Can the information from PSMA PET scan help determine the optimal amount of time a patient should spend on hormone therapy? Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org To learn more about prostate cancer visit http://www.pcri.org Sign up for our newsletter here to receive the latest updates on prostate cancer and the PCRI: https://pcri.org/join Who we are: The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website at pcri.org or contact our free helpline with any questions that you have at pcri.org/helpline. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors. The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs. #ProstateCancer #MarkScholzMD #PCRI