{"id":2103,"date":"2024-12-25T20:59:35","date_gmt":"2024-12-25T20:59:35","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/?page_id=2103"},"modified":"2024-12-25T21:44:37","modified_gmt":"2024-12-25T21:44:37","slug":"pmsa-pet","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/pmsa-pet\/","title":{"rendered":"PMSA-PET for Metastatic Evaluation of Prostate Cancer"},"content":{"rendered":"

PMSA PET CT\/MRI – Increased Precision for Evaluation of Metastatic Spread of Prostate Cancer<\/strong> in New York City<\/strong><\/h1>\n

by Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n

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If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-646-663-5515<\/span><\/a><\/strong>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>.  Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n

We offer affordable appointment prices<\/a> with or without insurance.  <\/strong><\/span>Same-day virtual video appointments<\/strong> and in-person appointments<\/strong> are available.<\/span><\/p>\n

Dr. Shteynshlyuger MD <\/a><\/strong>is a board-certified urologist in NYC who specializes in treating men with elevated PSA, prostate cancer, sexual, testicular, hormonal, urinary, and sexual problems in men.   He has performed hundreds of penile and prostate surgeries, including penile implants, surgery for enlarged prostate, and many other procedures.  <\/strong><\/p>\n

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PMSA PET Scan: What You Need to Know<\/strong><\/h1>\n

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PMSA<\/strong> (Prostate membrane specific antigen) is a cell-wall component of prostate cells. It is present on the cell wall of prostate cancer cells. Specialized radio-tracers that can “find” and attach to PMSA on the surface of prostate cancer cells allow precise detection of prostate cancer metastasis earlier than other methods such as bone scan and MRI.  <\/p>\n

PMSA PET radiotracers are labeled with a very small level of radioactive isotopes that can be detected by PET detectors.  <\/p>\n

PMSA-PET\/CT or PET\/MRI has increased sensitivity<\/strong> in detecting micrometastatic disease.<\/p>\n

How is PMSA PET performed?<\/h2>\n

PMSA PET is performed in a radiology center specifically designed for performing PET scans.  The PMSA radiotracer is produced in special factories and typically shipped overnight or on short notice to the facility.  The radiotracer is injected into the patient through IV. After some period of waiting to allow the PMSA radiotracer to “find” and “attach” to prostate cancer cells, the patient is imaged in a PET detector that detects the location of the radiotracer.  <\/p>\n

The areas that have increased concentration and localization of radiotracer above the baseline level in the blood or the liver, for example, are considered to be “positive.” These areas are suspicious for metastatic spread if outside the prostate or correspond to the location of prostate cancer within the prostate.<\/p>\n

What are the differences between PMSA agents?<\/strong><\/h2>\n

There are a number of different PMSA radiotracers available.<\/p>\n

In the US, two radiotracers are FDA approved: Illuccix (68GA-PMSA-11), or Pylarify (F-18 piflufolastat PSMA or 18F-DCFPyL PET\/CT)<\/strong> are available options. PMSA-PET\/CT or PET\/MRI has increased sensitivity in detecting micrometastatic disease.<\/p>\n

PET scans<\/strong> using PMSA radiotracer are usually performed in combination with a CT or MRI t<\/strong>o allow precise correlation and localization of the increased PMSA activity to the underlying anatomy.  Depending on the imaging center, their equipment may be designed to work with MRI or CT. The PET images are then fused with CT or MRI images to localize the site of increased radiotracer activity which corresponds to prostate cancer.<\/p>\n

In general, the different radiotracers provide similar information.  There are some technical differences among different radiotracers, which include their half-life, stability, and excretion. <\/p>\n

Limitations of PMSA PET scan in Evaluation Patients with Prostate Cancer<\/h2>\n

Sometimes, a PMSA PET scan can “light” up areas of the bones that may not<\/strong> have metastatic disease.  in 3-5% of PMSA tests, a benign bone lesion might light up on PMSA scan. In other situations, areas may light up for unclear reasons.  This can occur fairly often in certain situations. An experienced urologist and radiologist would be aware of this possibility. In certain situations, additional tests may be ordered if there is a suspicion that the PMSA PET scan results are “false positive.”  A repeat test with an alternative PMSA agent may be ordered to confirm the finding.<\/p>\n

https:\/\/jnm.snmjournals.org\/content\/jnumed\/early\/2022\/12\/01\/jnumed.118.215434.full.pdf<\/p>\n

Dr. Alex Shteynshlyuger is a fellowship-trained urologic oncologist, a robotically-trained surgeon specializing in all aspects of care for early, advanced, and metastatic prostate cancer<\/b>. He is a member of the Society for Urologic Oncology and the American Society for Clinical Oncology.<\/p>\n

Dr. Alex Shteynshlyuger is a board-certified urologist who is experienced in treating men with abnormal PSA.  He has published articles in major urology journals<\/a> about PSA testing and screening.  He is available for consultations for men in NYC with abnormal or elevated PSA levels<\/strong>.  He also treats men with all stages of prostate cancer,<\/strong> including men with PSA recurrence after prostate cancer treatment<\/strong> (surgery, radiation, HIFU, cryotherapy, immunotherapy, chemotherapy, etc.).<\/p>\n

\"\"<\/a><\/p>\n

If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-646-663-5515<\/span><\/a><\/strong>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>.  Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n

We offer affordable appointment prices<\/a> with or without insurance.  <\/strong><\/span>Same-day virtual video appointments<\/strong> and in-person appointments<\/strong> are available.<\/span><\/p>\n

 <\/p>\n

Did you know?<\/strong><\/span> Dr. Shteynshlyuger<\/a> <\/strong>has performed over 1,000 prostate, penile, and bladder surgeries,<\/strong> including prostate biopsy, prostate removal, penile implants, Urolift, prostate enucleation, correction of Peyronie’s disease, and MRI fusion biopsy.<\/p>\n

Where to Get PMSA PET CT or PMSA PET MRI in NYC?<\/h2>\n

At New York Urology Specialists, we offer treatment for men with abnormal PSA and prostate cancer<\/strong>.  For patients who benefit from PMSA PET\/CT or PET\/MRI, we offer these studies to our patients. Same-day virtual video appointments<\/strong> and in-person<\/strong> appointments are available.<\/p>\n

Call\/text today: 1-646-663-5515<\/span><\/a> <\/span><\/strong>or <\/span>make an appointment<\/span><\/a> online.  <\/span><\/span><\/strong><\/p>\n

We perform a prostate biopsy<\/a>, transrectal prostate ultrasound, hydrogel insertion prior to radiation therapy (SpaceOAR<\/strong>), prostate surgery, prostate enucleation for enlarged prostate, and Urolift procedure<\/span>. We treat prostate cancer, urinary problems<\/a>,<\/strong> and erection problems<\/a><\/strong> and offer comprehensive STD testing<\/a><\/strong> for infections. We offer confidential<\/strong> appointments.<\/span><\/p>\n

Our appointment costs<\/a> are affordable with or without insurance<\/strong>.  We offer free insurance verification<\/strong>.<\/p>\n

Read Real Stories of Men who Underwent Treatment at New York Urology Specialists.<\/a><\/h2>\n

Read RealStories<\/strong>:  Enlarged prostate in a 43-year-old man.<\/p>\n

Read RealStories<\/strong>:  Elevated PSA in a 53-year-old man. <\/p>\n

Read RealStories<\/strong>:  Rising PSA after radiation therapy for prostate cancer in a 63-year-old man.<\/p>\n

Read RealStories<\/strong>:  Urinary incontinence and ED after radical prostatectomy in a 68-year-old man<\/p>\n

Cost of Prostate Cancer Treatment without Insurance<\/h2>\n

At New York Urology Specialists, we offer affordable treatment for men<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n

At New York Urology Specialists, we offer flat-fee, ‘all-costs-included’ procedures such as prostate biopsy, hydrogel SpaceOAR insertion, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more<\/strong>.  The procedures are performed in our office under local anesthesia or sedation. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles<\/strong>.<\/p>\n

Cost of Prostate Cancer Treatment and Insurances<\/h2>\n

\"InexpensiveAt New York Urology Specialists, we offer affordable treatment for men<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong><\/span> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n

We accept many health insurance plans.<\/strong>  We would be happy to verify your eligibility and benefits<\/strong> and provide you with detailed information on your health plan’s coverage.  Financing options<\/a> <\/strong>and credit options are available to help you pay for medical care.<\/p>\n

Why Choose New York Urology Specialists for Prostate Cancer Treatment?<\/h2>\n