Do you recommend MRI pelvis/prostate in a patient with biochemical recurrence after XRT and negative axumin PET scan?

This is a difficult question to answer as the context is very important. If this is a younger patient with fast doubling time that warrants aggressive treatment, the answer will be different than in an older patient with a slow doubling time. The patient's particulars (co-morbid conditions, prior tr...

If suitable for salvage local therapy and XRT was not delivered in the post-prostatectomy setting, then the answer is yes for the MRI. The intent of the MRI is to determine anatomically whether salvage local therapy can be reasonably delivered before obtaining biopsies.

There is a new published guide...

Yes, if one is considering salvage prostatectomy or brachytherapy.