M1 prostate / denial of treatment by Evicore

So, the Evicore guidelines say ... You can treat per STAMPEDE in these scenarios - meets low volume criteria BUT not by the standards of the study (i.e. they used bone scan which vastly under shows disease). In my case, the bone scan study showed limited disease. For whatever reason, a PSMA-PET was also ordered. Since that showed more disease than bone scan, this was considered high volume. - must be castration naive. If they got a smidgen of ADT, they are not eligible for treatment -... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums