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Updated: Feb 1, 2026

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A prospective study on dual time 18F-FDG-PET/CT in high-risk prostate cancer patients
Mike Allan Mortensen1,2, Mie Holm Vilstrup3, Mads Hvid Poulsen4,5
1Department of Urology, Odense University Hospital, Odense, Denmark. Mike.allan.mortensen@rsyd.dk.
Objective:
This proof of concept study investigated whether dual time point FDG-PET/CT with image acquisition after 1 and 3 h could be useful in preoperative staging of patients undergoing robot-assisted radical prostatectomy and extended pelvic lymph node dissection for high-risk prostate cancer.
Results:
Twenty patients with high-risk prostate cancer underwent dual time point FDG-PET/CT before undergoing surgery. Histologically confirmed lymph node metastases were found in 9/20 (45%). A median of 19 (range 10-41; n = 434) lymph nodes were removed per patient. Pelvic lymph nodes with detectable FDG uptake were seen in two patients only, but the FDG-avid lesion on PET did not correspond with pathological findings in either patient. We found a significant increase in maximal standardized uptake value of the prostate of around 30% between early and late imaging. We found no correlation between clinical findings after radical prostatectomy and PET measurements.
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