@dribbles Yes, Choline C-11 was one of the 3 PET scans used prior to the use of PSMA. (The other 2 were the Axumin and the F18-FDG PET scans.)

No one makes the case that the Choline C-11 or the Axumin or F18-FDG PET scans are even on par with PSMA PET scans..,,,unless the prostate cancers are PSMA-negative (as you indicated), in which case they fall back to one of those 3 pre-PSMA PET scans; Mayo is the only one that uses Choline C-11.

Since your prostate cancer was PSMA avid, they would’ve assigned a SUVMax score to it (indicating its aggressiveness). What was the SUVMax score they assigned to it?

With a Gleason 8, hormone therapy is recommended in the NCCN guidelines. (See attached NCCN Guidelines for high-risk prostate cancer.). The hormone therapy will shrink the prostate.