How PSMA Revolutionizes Staging for #prostatecancer | #markscholzmd | #PCRI

Comments · 105

• BG

  @bglrj · 3 years ago (edited)

  It is a sad fact that an informed prostate cancer patient sometimes knows more about his disease and treatment possibilities than does his urologist.

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• PW

  @pwaveqrs1 · 3 years ago

  Thank you for being here. It’s because of this channel that I fought to have a PSMA Pet scan when my Dr had no idea what it was. He has been replaced. Because of the plandemic I was told to stop getting my quarterly PSA tests post surgery, it had fallen from 10.6 to 0 after DaVinci. 8 months later PSA was 0.6. My Dr. said wait 3 months and take it again. 1.4 He didn’t know what “doubling time” meant. His office insisted that my PSA had to be over 3 for insurance to approve a Pet scan. At 1.4, we found two common iliac lymph nodes lighting up. Just a few centimeters. Incorporated them into the salvage radiation plan. Started Lupron right after radiation. PSA went to 0. Has been for 3 quarters. With no educated council to rely on I put myself on a 18 month plan. Two shots to go. Would love to stop. Haven’t had a nights sleep in a year. I would have been lost without this channel.

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• VA

  @valenpa01 · 3 years ago

  My urologist performed a random needle biopsy without even an MRI. Pathology was Gleason 7. I went to radiation oncologist and pressed for a PSMA PET. He said he’d ask but insurance wouldn’t pay for it. WRONG! After approving the scan, got a PSMA PET using Pylarify. It was so accurate, identified the exact location of the cancer. I’ve spent hours a day educating myself and am shocked at how behind most specialists are with current technology. I can’t overstate the need to educate yourself once you are told your PSA is high and you MAY have cancer before moving on with treatment. Many doctors stick to their old ways because they KNOW what pays. I’m now moving forward with Cyberknife treatment and am confident with my choice. <br><br>Thank you PCRI for being a big part of jumpstarting my research!

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• NR

  @nrhgunner5 · 2 years ago

  58 year old with next to zero presenting symptoms. I had blood work work regularly for PSA and in a period of 2 years it increased from 1 to 3. The incumbent physician was content these readings were “in range” for my age. (He is correct)<br>Read about the great work and technology available at UTSW Dallas and requested my PMP make a referral. One MRI and biopsy later i’m about to embark on a journey i wouldn’t wish on anyone. I’m in good hands….. This channel has been very informative and I thank you.

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• AW

  @awakennow · 2 years ago

  I left a major Cancer Treatment Hospital because, after 4 years on 2 hormone meds for metastasized prostate cancer, I was delegated to a physician assistant (PA) who was basically punching a time clock (my constant low Test and PSA levels) and not addressing my concerns. I was told a PSMA scan could not be covered. // I went to a different cancer center Hospital and my out-of-pocket payments for Lupron were lower PLUS I have already had 2 PSMA at no cost.

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• MA

  @martinsmith439 · 3 years ago

  I love dr Shultz and I love his ties he should market them

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• ME

  @MegaSixpac · 1 year ago

  Thank you for your videos. Appreciated. I am in New Zealand so a long way away and just started my journey with Prostate cancer.

• 1D

  @1donjuego · 2 years ago

  This discussion should give greater credence to the scan rather than biopsy approach. There are top doctors in England that will not order biopsies because they get more, better, information from scans. Here, that approach is handled dismissively. It should have a more thorough and balanced discussion. American doctors seem addicted to biopsies and unwilling to acknowledge their risk and unreliability.

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• VA

  @valitsenimimerkki · 3 years ago

  Nice tie!

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• DA

  @dale1k878 · 3 years ago

  Glad I had a PSMA Pet scan pre-treatment which showed nothing outside of the prostate… Decipher test graded “high risk” so was worried about results… Will be choosing SBRT but rejecting any ADT as an initial treatment..

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• RO

  @roberthuff3122 · 1 year ago

  🎯 Key points for quick navigation:<br><br><a href="https://www.youtube.com/watch?v=CBILHS0FJfk&amp;t=7">00:07</a> 🧪<b> Introduction to PSMA Scans and Their Importance</b><br>- PSMA scans represent a significant advancement in prostate cancer detection.<br>- They can identify smaller cancer metastases compared to traditional imaging techniques.<br>- Understanding the difference between various types of PET scans is crucial for effective prostate cancer staging.<br><a href="https://www.youtube.com/watch?v=CBILHS0FJfk&amp;t=203">03:23</a> 📊<b> Comparison of PET Scans</b><br>- PSMA PET scans are the most sensitive among various PET scan technologies.<br>- Aksum PET scans serve as an alternative but are less effective with lower PSA levels.<br>- Insurance coverage for PSMA PET scans varies, impacting patient accessibility. <br><a href="https://www.youtube.com/watch?v=CBILHS0FJfk&amp;t=361">06:01</a> 🔍<b> Accuracy and Limitations of PSMA Scans</b><br>- PSMA scans are not foolproof; some prostate cancers do not produce the PSMA antigen.<br>- High PSAs or suspicious MRIs often lead to biopsies for confirmation.<br>- The negative predictive value of PSMA scans can vary based on cancer grading.<br><a href="https://www.youtube.com/watch?v=CBILHS0FJfk&amp;t=541">09:01</a> ⏰<b> Timing and Treatment Considerations</b><br>- The timing of PSMA scans in relation to hormone therapy can affect results.<br>- Initial exposure to hormone therapy may enhance PSMA visibility on cancer cells.<br>- Current protocols still emphasize the necessity of staging before treatment begins.<br><a href="https://www.youtube.com/watch?v=CBILHS0FJfk&amp;t=635">10:35</a> 🏥<b> Reevaluation of Hormone Therapy Duration</b><br>- Shortening the course of hormone therapy may be possible with insights from PSMA scans.<br>- Traditional treatment protocols have been based on outdated statistical models without current imaging technology.<br>- Individual treatment decisions should consider patient quality of life against slight potential improvements in cure rates. <br><a href="https://www.youtube.com/watch?v=CBILHS0FJfk&amp;t=804">13:24</a> 📣<b> Closing Thoughts and Call to Action</b><br>- Emphasizing the importance of discussing PSMA technology with healthcare providers.<br>- Encouraging patient engagement in their treatment journeys due to ongoing developments in prostate cancer management.<br>- Highlighting the nonprofit support for continued education and resources related to prostate cancer.<br><br>Made with HARPA AI

• RA

  @rancancookcanoy9768 · 3 years ago

  Great information. &nbsp;Thank you.