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Staging workup- Imaging of Localized Prostate Cancer
- mpMRI: Consider if low risk → establish not missing higher-risk dz & candidacy for surveillance. mpMRI to evaluate extracapsular extension (ECE) can inform decision making for nerve-sparing RP (J Urol 2014:192:82)
- Bone scan: T2 + PSA >10; high risk; very high risk
- Pelvic CT: Intermediate risk + predicted LN involvement >10%; high risk; very high risk
- If above are equivocal, consider C-11 choline PET, or PSMA-PET, if available