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. 2024 Nov 8;6(1):tzae040. doi: 10.1093/bjro/tzae040

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© The Author(s) 2024. Published by Oxford University Press on behalf of the British Institute of Radiology.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

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Figure 6. — Example patient with “right-stage” shift with PSMA PET/CT staging. Seventy-seven-year-old patient, Gleason score 4 + 5 = 9 (ISUP grade group 5), presenting PSA 15 ng/mL, and T3b disease with equivocal left superior pubic ramus lesion on MRI (not shown in figure). (A and B) Baseline bone scintigraphy with SPECT/CT (not shown in figure) reported non-specific degenerative changes. (C-K) [⁶⁸Ga]Ga-PSMA-11 PET/CT performed 30 days from bone scintigraphy showed the primary tumour and multiple bone metastases in (C) left scapula, (D, E, G, H) thoraco-lumbar spine (F) ribs, (I-J) pelvic bones, (K) right femur. Abbreviations: ISUP = International Society of Urological Pathology; PSA = prostate-specific antigen; PSMA = prostate-specific membrane antigen; SPECT/CT = single-photon emission computed tomography/CT.