URO TODAY: Giving newly diagnosed prostate cancer patients a bone scan has dropped off dramatically since the advent of PSA tests, but new research suggests reading PSA levels and Gleason score can accurately predict when bone scans are needed. READ MORE>
The combination of Gleason score and PSA enhances predictability of bone scans in newly diagnosed prostate cancer patients.
The PSA threshold for ordering bone scans should be adjusted according to Gleason score. For patients with Gleason scores less than 7, we recommend a bone scan if the PSA is higher than 30 ng/ml.
However, for patients with a high Gleason score (8-10), we recommend a bone scan if the PSA is higher than 10 ng/ml.