@josephtj I have said before that my PCa history is a series of statistical outliers, and this is true with my PSMA PET scan the past June. After ten years of undetectable PSA (< 0.1) following a RARP in 2015, my PSA rose to 0.11. A DRE also discovered a small (1 cm diameter) nodule in my prostate bed. On the PET scan, the nodule lit up with a SUVmax 0f 13.4, despite my low PSA. Long story short, I am currently undergoing salvage IMRT. My guess is that if a DRE had not detected the nodule, a PET scan would not have been ordered, or insurance might not have authorized such an order based on the 0.5 PSA that seems to be the generally accepted threshold for detection. Saved by the old fashioned finger probe!