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Nathan Goodyear

An Empirical Evaluation of Guidelines on Prostate-specific Antigen Velocity in Prostate... - 0 views

  • men with a high PSA velocity (rate of change of PSA level)—greater than 0.35 ng mL−1 y−1—should consider biopsy even if absolute level of PSA is very low.
  • like other authors, we found strong evidence for a univariate association between PSA velocity and positive biopsy
  • we also found that PSA velocity does not add important predictive value to PSA and other standard predictors; in other words, we did not find that the use of a PSA velocity criterion for biopsy would improve clinical decision making
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    This is the study that many have used to discredit psa velocity, but that is cherry picking the authors conclusions.  The authors did find an association with a positive psa velocity and + prostate biopsy.  Not useless, but useful in the right context.
Nathan Goodyear

What is the possible role of PSA doubling time (PSADT) and PSA velocity (PSAV) in the d... - 0 views

  • (11)C]choline PET/CT
  • PSA velocity (PSAV)
  • PSA doubling time (PSADT)
  • ...1 more annotation...
  • The most important premise stemming from this bibliographical review is that patients with short PSADT should constitute a group in which hormonal therapy should be considered, while patients with long PSADT should be destined for salvage RT
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    Review of PSA doubling time (PSADT) and PSA velocity in the aid in therapy of prostate cancer.
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