← Return to PSE Test for Prostate Cancer Before an MRI and for Re-Occurrence

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@northoftheborder

Thanks -- that's helpful.

Did he say what the additional predictive value was over rising PSA alone after a radical prostatectomy or major radiation?

I can see the value of a testing refinement after highly-focussed treatment like proton therapy or a focal ablation, when enough of the prostate still functions that rising PSA could be harmless, but if they've completely removed the prostate or fried it thoroughly a high dose of photon-based EBRT, then I'd think any rising PSA is automatically cause for concern (since we know it's not coming from the prostate), and the main value of adding epigenetic testing would be to confirm that epigenetic testing works.

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Replies to "Thanks -- that's helpful. Did he say what the additional predictive value was over rising PSA..."

@northoftheborder "additional predictive value ": he did not discuss this.

In terms of when you take the test post treatment, I believe this test has not been out there long enough, at least in the US, to work out a monitoring plan that nccn or doctors in general are ready to put in place.