"two separate tracers are still inferior to a bisPSMA scan - and this is even though the bisPSMA only targets the PSMA protein"
Quite incredible actually.
IF the 'dual targeting' does pick up and becomes common practice, doctors could start with 64Cu-Sar-bisPSMA PET/CT, and if the patient tests negative, they could order a 64Cu-Sar-BOMBESIN PET/CT. This will push the already high sensitivity into previously unheard of territories - much closer to 100%! At those levels, this would drastically reduce the need for biopsy.
Also worth remembering is that the imaging at Clarity is the gateway to the PERFECT PAIRING for true precision guided treatment!
# A positive 64Cu-Sar-bisPSMA PET/CT result directs the patient to 67Cu-Sar-bisPSMA for treatment!
# A positive 64Cu-Sar-BOMBESIN PET/CT result directs the patient to 67Cu-Sar-BOMBESIN for treatment!
# A positive 64Cu-SarTATE PET/CT result directs the patient to 67Cu-SarTATE for treatment!
# A positive 64Cu-Sar[XYZ] result directs the patient to 67Cu-Sar[XYZ] for treatment!
Contrast that with the situation that this paper described: The patients with a False negative 68Ga-PSMA PET scan, automatically became ineligible for Pluvicto (a PSMA targeting Lutecium treatment). They then got the next test to improves the pick up rate, yet a positive result would have then then led them towards less precise treatment, again. Ok, it would have saved them from an unnecessary prostatectomy, so thats a plus!
Its a "He should have gone to Specsavers moment"! Should have chosen Clarity!
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