11C-Acetate PET/CT and gallium 68 (68Ga)–RM2 (bombesin analog) PET/CT of a 64-year-old man with newly diagnosed prostate cancer found at biopsy (Gleason score, 4 + 4 = 8; PSA level, 30 ng/mL), who was referred for cancer staging. (a, b)
11C-Acetate PET/CT image (a) and 68Ga-RM2 (bombesin analog) PET/CT image (b) show a suspicious lesion (arrow in a, b) in the right prostatic peripheral zone. Note the physiologic uptake of 11C-acetate in the skeletal muscle on a. (c) Photograph of a macrosection obtained at robotic prostatectomy helps verify the presence of prostate cancer with invasion of the prostatic capsule (arrow). (Images courtesy of Heikki Minn, MD, Turku PET Centre, Turku, Finland.)