TABLE 1

Profile of Men with Prostate Cancer Undergoing NaF PET by Indication

CharacteristicInitial staging (n = 1,024)Suspected FOM (n = 1,997)Suspected POM (n = 510)
Age (y)
 Median737576
 25%–75% quartile69–7870–8170–81
Symptoms, signs, or test results (%)
 None61.915.313.5
 Elevated or rising PSA only22.847.036.7
 Pain only6.117.023.5
 Evidence from other imaging5.06.15.5
 Multiple signs/abnormal imaging3.411.718.0
Specialty of requesting provider (%)
 Urologist61.738.216.9
 Radiation oncologist22.417.715.7
 Medical oncologist14.537.561.0
 Other1.46.66.4
Pre-PET summary stage (%)
 No evidence of disease or local only56.622.36.3
 Regional or nodal4.35.30.8
 Single metastasis3.811.113.7
 Multiple metastases4.222.967.1
 Unknown31.138.512.2
Conventional bone scan would be ordered if NaF PET were unavailable (%)91.987.087.3
Pre-PET plan (%)
 Imaging49.855.757.1
  Body CT24.022.220.6
  Body MR imaging9.016.016.9
  18F-FDG PET13.212.016.1
  Other imaging3.65.53.5
Treatment*40.725.929.2
  Radiotherapy34.113.98.4
  Hormonal therapy18.615.418.0
  Surgery11.81.90.2
  Chemotherapy4.98.516.1
  Radiopharmaceutical therapy0.30.91.4
  Immunotherapy1.65.04.1
  Bisphosphonates3.27.011.6
Biopsy1.93.32.5
Watch/no additional therapy7.615.111.2
  • * Treatment types are not mutually exclusive.

  • Suspected inappropriate therapies within this indication in hormone-naïve disease.

  • Immunotherapy should be limited to men with castrate-resistant disease.