Replies to @klein505 They can use bone scans, though they tend to be not real great at finding...

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Is hormone therapy necessary with radiation?

Prostate Cancer | Last Active: Jul 19 8:36pm | Replies (104)

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@jeffmarc

@klein505
They can use bone scans, though they tend to be not real great at finding cancer Compared to a PSMA PET scan. Of course that doesn’t help if you don’t produce PSMA.

Many doctors use repeated CT scans comparing one to the next to see if there’s any changes that look like they could be cancer. Because that kind of scan can be done every three months with insurance some doctors use it a lot. The MRI scan is a lot harder to justify, but if used the same way, it could be just as effective, Or maybe even more effective..

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Replies to "@klein505 They can use bone scans, though they tend to be not real great at finding..."

northoftheborder | @northoftheborder | Jun 8 3:19pm

@jeffmarc Since my PSA is fully suppressed (meaning nothing would likely show up on PSMA-PET), that's exactly what they use for my ongoing monitoring here in Ontario: bone scan + CT/contrast + MRI/contrast.

Any one of the three might not be as sensitive as PSMA-PET, but they work even when PSA is suppressed with hormone treatment, and they give 3 separate "votes". There's never been any issue justifying using all three to OHIP (as long as my oncologist says that they're medically necessary).

My next bone scan is on Monday.

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