Had my first PSMA scan the beginning of February at Mayo. The good news is I don’t need pluvicto yet. Did see 2 small possible spots but no treatment needed. Not bad for some one who started out with Gleason 8 and a 93 PSA score. Over 3 years of different treatments. Thanks Mayo. Keep up the good work. 😁
I will have my first treatment 1/12/23 Of pluvicto infusion and pretty exited about it but my PSA now is rising and at this point is 12.5 from 11 what do you feel after your treatment?
Excellent presentation. Brought it down the level of the average person with a college level understanding. Sounds like technology is improving rapidly. I was diagnosed with PCa 9 yrs ago. Progression was slow for 9 yrs. Then PSA suddenly went to 39. CT/MRI/PSMA showed no METs. Was treated with IMRT at Stanford U. Will have 3 month PSA test this week. Hope for results to show declining PSA. But, it's good to know there are other treatments in the pipeline, in case PCa rebounds.
Fantastic presentation; Fantastic progress in the detection and treatment of prostate cancer. I was diagnosed in 2007 and the medical science - thank god - has improved substantially. Thank you all!
@@pratibhasingh1123 At present, my PSA & Testosterone are beginning to climb slowly after nearly two years of being off hormone blockade. The blockade had been successful is burying my PSA below detection for many years but my MedOnc & I agree that it’s not IF but WHEN my body will develop a resistance. With the advent of the PSMA scanning technique we’re hopeful to locate the location(s) of my cancer in order to hit it with a membrane targeted chemotherapy. I’ve had this scan earlier without any detection. We’re waiting for a larger expression of PSA to reattempt.
Excellent presentation, best on the topic. A PSMA PET scan from UCSF shows I am the poster-child candidate for Pluvicto, so we'll see. As for all of us, it's about living long enough to take advantage of the next new therapy - this talk maps that future out very well.
Wouldn’t it be better to go ahead and get a PSMA PET/CT scan if you have an elevated PSA and positive DRE, rather than getting the traditional biopsy first? Given the risks involved with the biopsy and the accuracy of the PMSA PET scan, it seems it would be advisable to just get the PMSA PET scan to get a more accurate decision whether you have prostate cancer?
that makes sense, if they can see cancer cell on MRI or PSMA PET SCAN, go ahead and sap it with protons , that takes care of that bad boy , no side effects and you can start your life again🤣
@@utot0210 I recently had an elevated PSA, positive DRE (for nodules), and doctor wanted to do a traditional biopsy. I insisted on getting the 3T MRI over his objections. The 3T MRI came back negative for cancer, much to the doctor’s surprise. I was spared the risks and after effects of the biopsy. He did share with me that there is a more advance urine test they can do where they massage the prostate digitally, then you collect the first couple tablespoons of urine. The urine sample is then tested for the presence of cancer cells. You have to be an advocate for your own health and do your research.
PET scans are very expensive so insurance requires biopsies first, then CAT scans, then MRI scans, then finally PET scans. MRI is the most cost effective.
The Quadra is a great piece of gear and to my knowledge the Long Bore isn't commercially available yet (2024) to the smaller guys. The UI 550/780 is a great piece of gear and I can't wait to try the Trinion. Love seeing 1.5mil kcps as well as 1 minute beds/ fast flow speeds. Has turned a 25-40 min scan into a 4 to 10 min scan. Let's make a binder for salivary glands that clogs those folds only. Cmon, smart folks. Get on that. (Think lugols for thyroid).
I’m headed to Mayo for my first psma scan after more than 3 years of treatments mostly at Mayo. Now that I qualify for the scan the quicker they find the stuff the longer I can keep going. Thanks for explaining all this.
I was diagnosed in 2022 and my doc is already thinking of switching me to Pluvicto. I am honestly terrified, now knowing that after a few months cancer will come back with Pluvicto.
Dr. Johnson - My husband has had a Prostate cancer recurrence 17 years after treatment with proton radiation. He had a PSMA PET scan in March 2024 that showed uptake in the prostate and 6th lateral rib. We are not sure that the radiologist interpreted the results properly. Can I have the slides sent to you?
What is the cpt code for a PSMA pet scan? I want to verify acceptance by my insurance. And find skilled treatment centers. Thank you. PSA 25, MRI Pirad= 5
Informative and eye opening presentation. As one who is going to receive a PSMA scan for prostate cancer, I love the explanations......thank you so much.
Luke, the wait is tough. I have mine on the 21st and meet with the radiologist on the 24th. I live in Boise, Idaho and just 6 months ago I would have had to fly to San Francisco for the PET scan, but now they have one here. I'm hoping the cancer is limited to the prostate and not anywhere else in my body....probably you too. Fingers crossed. Maybe we could stay in touch...All the best to you on your scan....I'll be thinking of you.
@@jimjohngirard Yes, I will be thinking of you. Lets stay in touch. What is your PSA score btw? Mine it 10.85. I have a metal hip which messed up my MRI results
Luke, my pathology report came back like this.... Gleason 3+4=7, Group 2, PSA 3.31, small tumor only in right apex. Low risk intermediate. My MRI found a PIRADs 4 lesion, "Clinically Significant Disease Likely", yet when the biopsy was complete, the PIRADS 4 lesion was benign tissue, but the systematic needle biopsy found a small tumor in the right apex. The MRI missed the cancer all together. Urologist says not life threatening and wouldn't do surgery....so I'm waiting on the PET scan results to then meet with the radiologist to determine the proper course of action. Let's stay in touch....and keep each other positive....all the best....Jim G.
I had a small suspicious patch seen on an MpMRI in Transition zone of the prostate. The PSMA PET scan report shows "patchy PSMA expression" in Transition Zone and nothing elsewhere. I have confirmed bacterial prostatitis as per the Semen culture report (done multiple times). What does this suggest? Does the patchy PSMA expression indicate cancer or is it only bacterial prostatitis? If it is cancer, does patchy expression of PSMA mean only a benign or slow growing cancer ?
The saddest thing I learned today was that cancer cames back in 40 percent of the people treated with radiation or prostate removal...can anyone cheer me up with better news?
Interesting talk. I'm wondering if there are any non-radioactive molecules that would bind to psma and could be used to transport powerful nonradioactive chemotherapies directly to cancer cells and kill them.
Personalized medicine through whole genome analysis may identify specific points in the genesis or progression of cancer that might be targeted. Research has offered clues as to tumors ability to progress to the castrate resistant phase. Unfortunately in the age of private equity funded medicine we are being forced to accept one size fits all medicine. It is my hope that comprehensive genomic analysis and artificial intelligence will enable patients to receive the most effective choice for them.
Any chance the PSMA PET CT Scan can determine if Prostate Cancer cells have left the prostrate and moved to nearby tissue? As in local v regional Prostate cancer staging. A KEY issue in initial staging. And a KEY determiner of curative treatment modalities. Of course there are other applications for the PSMA PET CT Scan (including recurrence and distant spread and radiotherapies).
Can anyone answer this........if PSMA-PET scan is so accurate, is there any need for an old style biopsy first? I have the money to pay for it so no problem for me with an insurer.
Radical prostractomy done on 28.10.2017. Now PSA increases gradually from 0.002 to 0.5 now. PSMA pet scan done on 01.10.2022. No symptoms of cancer. Why PSA increases.
Did they check to see if cancer is in the blood..if it's not on organs. Also there is a small percentage of men that psma pet scans don't work on..not being negative sir just precautions
As a Gleason 4+3 holder whose disease metatastized 4 years after prostatectomy, I am looking for a way to reduce ADT time to 3 months during radiotherapy and the new PSMA Pet scan seems right on target. This new scan allows for a more wait and see approach.
When first told I had prostate cancer I was told to get my afairs in order. Told it was alreadyvin many lymph nodes and tumorvon lower spine. Gave me hormone shots that first day. WhyvI let them was crazy! Told it might extend my life but byva day or what? Now just changing me into a woman!!!! Larger breast, small testicles and penis. Terriblecsweats that last for hours and live with a towel on my chest and wraped on my head as I have never been socked so much. Impossible to function day to day Cancer doctor does not even set up appointments or follow cancer with scans. Am I just to die? Palliative nurse at least helps with pain meds. Visiting home nurse justcsay tobgobon hospice. What a non careing desease to have. Turn 76 on Nov 22, 2023. And live alone with no family.
Had my first PSMA scan the beginning of February at Mayo. The good news is I don’t need pluvicto yet. Did see 2 small possible spots but no treatment needed. Not bad for some one who started out with Gleason 8 and a 93 PSA score. Over 3 years of different treatments. Thanks Mayo. Keep up the good work. 😁
Utterly fascinating! The advances in this field give all of us cancer patients hope.
Explaining complex things in a simple manner is an art. You have mastered it Dr . Johnson!
What a great talk! Thank you for standing with patients suffering from prostate cancer!
Great presentation. I’m waiting for my radiation results after my PSMA PET SCANS. I had 5 high dose treatments and I supposed to wait 8!weeks.
Thanks. In two days I get my third Pluvicto infusion. It is working according to PSA and the way I feel, and lymph Mets diminishing in my neck
I will have my first treatment 1/12/23 Of pluvicto infusion and pretty exited about it but my PSA now is rising and at this point is 12.5 from 11 what do you feel after your treatment?
Mine not working after three infusions
Excellent presentation. Brought it down the level of the average person with a college level understanding. Sounds like technology is improving rapidly. I was diagnosed with PCa 9 yrs ago. Progression was slow for 9 yrs. Then PSA suddenly went to 39. CT/MRI/PSMA showed no METs. Was treated with IMRT at Stanford U. Will have 3 month PSA test this week. Hope for results to show declining PSA. But, it's good to know there are other treatments in the pipeline, in case PCa rebounds.
Brian -How are you doing now? Hope well. Got a PSA of 10 and seeing a urologist today.
Fantastic presentation; Fantastic progress in the detection and treatment of prostate cancer. I was diagnosed in 2007 and the medical science - thank god - has improved substantially. Thank you all!
What is the response now sir about your prostate cancer
@@pratibhasingh1123 At present, my PSA & Testosterone are beginning to climb slowly after nearly two years of being off hormone blockade. The blockade had been successful is burying my PSA below detection for many years but my MedOnc & I agree that it’s not IF but WHEN my body will develop a resistance. With the advent of the PSMA scanning technique we’re hopeful to locate the location(s) of my cancer in order to hit it with a membrane targeted chemotherapy. I’ve had this scan earlier without any detection. We’re waiting for a larger expression of PSA to reattempt.
Good lord. Such smart people. Amazing stuff.
Excellent presentation, best on the topic. A PSMA PET scan from UCSF shows I am the poster-child candidate for Pluvicto, so we'll see. As for all of us, it's about living long enough to take advantage of the next new therapy - this talk maps that future out very well.
Did you get dosed with lu177?
PSA of 308 prior to Pluvicto series in late 2023. PSA today: 0.06
Geoffrey your a genius. You would be my choice in a doctor
Wouldn’t it be better to go ahead and get a PSMA PET/CT scan if you have an elevated PSA and positive DRE, rather than getting the traditional biopsy first? Given the risks involved with the biopsy and the accuracy of the PMSA PET scan, it seems it would be advisable to just get the PMSA PET scan to get a more accurate decision whether you have prostate cancer?
that makes sense, if they can see cancer cell on MRI or PSMA PET SCAN, go ahead and sap it with protons , that takes care of that bad boy , no side effects and you can start your life again🤣
@@utot0210 I recently had an elevated PSA, positive DRE (for nodules), and doctor wanted to do a traditional biopsy. I insisted on getting the 3T MRI over his objections. The 3T MRI came back negative for cancer, much to the doctor’s surprise. I was spared the risks and after effects of the biopsy. He did share with me that there is a more advance urine test they can do where they massage the prostate digitally, then you collect the first couple tablespoons of urine. The urine sample is then tested for the presence of cancer cells. You have to be an advocate for your own health and do your research.
I suspect that it does make sense, but you'd find the insurers wouldn't pay for it and the scanning bill would be a huge cash expense.
As ADT may increase the expression of PSMA, might ADT serve as a sensitizer to Lu177 perhaps over non-prostate source of PSMA.
PET scans are very expensive so insurance requires biopsies first, then CAT scans, then MRI scans, then finally PET scans. MRI is the most cost effective.
tks for the great talk Doc you are very very generous with your knowledge
The Quadra is a great piece of gear and to my knowledge the Long Bore isn't commercially available yet (2024) to the smaller guys. The UI 550/780 is a great piece of gear and I can't wait to try the Trinion. Love seeing 1.5mil kcps as well as 1 minute beds/ fast flow speeds. Has turned a 25-40 min scan into a 4 to 10 min scan.
Let's make a binder for salivary glands that clogs those folds only. Cmon, smart folks. Get on that. (Think lugols for thyroid).
I’m headed to Mayo for my first psma scan after more than 3 years of treatments mostly at Mayo. Now that I qualify for the scan the quicker they find the stuff the longer I can keep going. Thanks for explaining all this.
Thanks for helping us. I have PC, your information will help guide me.
I was diagnosed in 2022 and my doc is already thinking of switching me to Pluvicto. I am honestly terrified, now knowing that after a few months cancer will come back with Pluvicto.
Dr. Johnson - My husband has had a Prostate cancer recurrence 17 years after treatment with proton radiation. He had a PSMA PET scan in March 2024 that showed uptake in the prostate and 6th lateral rib. We are not sure that the radiologist interpreted the results properly. Can I have the slides sent to you?
Thank you! Very good presentation.
Thank you, outstanding presentation
Wonderful info! Alpha treatment seems promising. Any update on that?
An excellent presentation, thank you!
What is the cpt code for a PSMA pet scan? I want to verify acceptance by my insurance. And find skilled treatment centers. Thank you. PSA 25, MRI Pirad= 5
Informative and eye opening presentation. As one who is going to receive a PSMA scan for prostate cancer, I love the explanations......thank you so much.
When are you getting your PSMA scan? I have mine this Wednesday in Long Island NY What about you?
Luke, the wait is tough. I have mine on the 21st and meet with the radiologist on the 24th. I live in Boise, Idaho and just 6 months ago I would have had to fly to San Francisco for the PET scan, but now they have one here. I'm hoping the cancer is limited to the prostate and not anywhere else in my body....probably you too. Fingers crossed. Maybe we could stay in touch...All the best to you on your scan....I'll be thinking of you.
@@jimjohngirard Yes, I will be thinking of you. Lets stay in touch. What is your PSA score btw? Mine it 10.85. I have a metal hip which messed up my MRI results
@@jimjohngirard I live in NYC btw
Luke, my pathology report came back like this.... Gleason 3+4=7, Group 2, PSA 3.31, small tumor only in right apex. Low risk intermediate. My MRI found a PIRADs 4 lesion, "Clinically Significant Disease Likely", yet when the biopsy was complete, the PIRADS 4 lesion was benign tissue, but the systematic needle biopsy found a small tumor in the right apex. The MRI missed the cancer all together. Urologist says not life threatening and wouldn't do surgery....so I'm waiting on the PET scan results to then meet with the radiologist to determine the proper course of action. Let's stay in touch....and keep each other positive....all the best....Jim G.
Has actinium (225Ac-PSMA-617) been FDA approved like Pluvicto (lutetium-177) as therapy for metastatic prostate cancer?
Not as yet
Excellent. Thankyou
I had a small suspicious patch seen on an MpMRI in Transition zone of the prostate. The PSMA PET scan report shows "patchy PSMA expression" in Transition Zone and nothing elsewhere. I have confirmed bacterial prostatitis as per the Semen culture report (done multiple times). What does this suggest? Does the patchy PSMA expression indicate cancer or is it only bacterial prostatitis? If it is cancer, does patchy expression of PSMA mean only a benign or slow growing cancer ?
Thank you for your work & the update.
The saddest thing I learned today was that cancer cames back in 40 percent of the people treated with radiation or prostate removal...can anyone cheer me up with better news?
Interesting talk. I'm wondering if there are any non-radioactive molecules that would bind to psma and could be used to transport powerful nonradioactive chemotherapies directly to cancer cells and kill them.
Personalized medicine through whole genome analysis may identify specific points in the genesis or progression of cancer that might be targeted. Research has offered clues as to tumors ability to progress to the castrate resistant phase. Unfortunately in the age of private equity funded medicine we are being forced to accept one size fits all medicine. It is my hope that comprehensive genomic analysis and artificial intelligence will enable patients to receive the most effective choice for them.
Any chance the PSMA PET CT Scan can determine if Prostate Cancer cells have left the prostrate and moved to nearby tissue? As in local v regional Prostate cancer staging. A KEY issue in initial staging. And a KEY determiner of curative treatment modalities.
Of course there are other applications for the PSMA PET CT Scan (including recurrence and distant spread and radiotherapies).
At 42:50 with a great response, which sounds great, why do most have cancer come back?
Can anyone answer this........if PSMA-PET scan is so accurate, is there any need for an old style biopsy first? I have the money to pay for it so no problem for me with an insurer.
They can’t grade the cancer with the pmsa is the problem
Great informative Video! Did anyone provide contact or an email to reach Dr. Johnson?
Radical prostractomy done on 28.10.2017. Now PSA increases gradually from 0.002 to 0.5 now. PSMA pet scan done on 01.10.2022. No symptoms of cancer. Why PSA increases.
Did they check to see if cancer is in the blood..if it's not on organs. Also there is a small percentage of men that psma pet scans don't work on..not being negative sir just precautions
As a Gleason 4+3 holder whose disease metatastized 4 years after prostatectomy, I am looking for a way to reduce ADT time to 3 months during radiotherapy and the new PSMA Pet scan seems right on target. This new scan allows for a more wait and see approach.
this is cool
How can i reach you?
🙏💪👌
Gosh !
When first told I had prostate cancer I was told to get my afairs in order. Told it was alreadyvin many lymph nodes and tumorvon lower spine. Gave me hormone shots that first day. WhyvI let them was crazy! Told it might extend my life but byva day or what? Now just changing me into a woman!!!! Larger breast, small testicles and penis. Terriblecsweats that last for hours and live with a towel on my chest and wraped on my head as I have never been socked so much. Impossible to function day to day
Cancer doctor does not even set up appointments or follow cancer with scans. Am I just to die? Palliative nurse at least helps with pain meds. Visiting home nurse justcsay tobgobon hospice. What a non careing desease to have. Turn 76 on Nov 22, 2023. And live alone with no family.