TABLE 1

Goals of Imaging Modalities by Clinical State in Prostate Cancer

Clinical stateImaging objective
Initial prostate evaluation (no cancer diagnosis)Distinguish cancer from benign tissue
Clinically localized diseaseIdentify extent of both localized and metastatic disease
Prognosticate
Identify treatment effects
Rising PSA (castration-sensitive and -resistant)Identify extent of both localized and metastatic disease to guide therapy
Clinical metastases (castration-sensitive and -resistant)Determine extent of metastatic disease
Assess treatment response
Identify patients with a particular biologic profile
Prognosticate
Determine pharmacodynamics of targeted therapy