An Example of Local Staging of the Prostate with 68Ga-PSMA-11 PET/MR Imaging (IMAGE)
Caption
68Ga-PSMA-11 PET/MRI of a 75-y-old patient with high-risk PC. Local sagittal reformatted T2w sequence (A), PET (B), and fused PET/MRI (C) show tumorous involvement of apical two thirds of prostate, with extension into seminal vesicles (arrows). Pelvic T2w turbo spin echo (D), PET (E), and fused PET/MRI (F) demonstrate intense PSMA ligand uptake in 6-mm lymph node adjacent to bladder. Postoperative histopathology resulted in pT3b N1 stage. Variables from biopsy, PSA-value, and digital rectal examination resulted in cT3-4N1 stage for the MSKCC nomogram and cT3N0 stage for Partin tables based on thresholds from ROC analysis.
Credit
Matthias Eiber, Andrei Gafita, Klinikum rechts der Isar, Munich, Germany.
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