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How do you incorporate NaF bone scan in the initial workup of prostate cancer?

Our urologists routinely get these scans prior to definitive therapy and at times in the postprostatectomy setting. The high sensitivity makes for some challenging decisions about who should receive local therapy.
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Radiation Oncology · Virginia Commonwealth University Medical Center
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At this point, I think the field is still learning how to make use of these tests and trying to determine which patients are the best candidates. We clearly need better imaging to detect early metastatic disease and lymph node involvement, as these findings would change how we would approach the pat...

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Radiation Oncology · Varian Medical Systems/Allegheny health network
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I have been using NAF scan in patients who clinically are at high risk and bone scan suggest equivocal oligometastaes before ruling out local treatment. In my limited experience, it has helped, as a significant number of times the findings of bone metastases is confirmed on these scans and we avoid ...

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Radiation Oncology · Saint John Macomb-Oakland Hospital
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I don't see any role for NaF PET/CT for localized prostate cancer.

We have occasionally used this for post-op patients with non-zero PSA, or those with biochemical recurrence or other strong suspicion for metastatic disease, however results are difficult to interpret because it is so very sensitive...

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