Lymph node imaging in initial staging of prostate cancer: An overview and update

Figure 4 Fluciclovine. Selected images from a (¹⁸F)fluciclovine-positron emission tomography/computed tomography study performed in a man who underwent prostatectomy for Gleason 8 prostate adenocarcinoma 11 years ago. He developed biochemical recurrence with a serum PSA of 0.8 ng/mL and a PSA doubling time of 14 mo at the time of the (¹⁸F)fluciclovine-PET/CT study. The anterior maximum intensity projection (MIP) image (A) and the axial PET (B), fusion (C), and CT (D) images near the level of the pelvic inlet demonstrate focal activity in a subcentimeter right common iliac lymph node. This appearance is highly suspicious for a lymph node metastasis. Images courtesy of Ephraim Parent MD, PhD, and David Schuster, MD, Emory University, Department of Radiology. PET/CT: Positron emission tomography/computed tomography.