Effective prostate cancer treatment relies on accurate disease detection and staging. For this reason, recent improvements in localized and whole-body imaging will transform management. The discussion regarding localized disease continues to focus on prostate MRI. For metastatic disease, there is a palpable excitement following the U.S. Food and Drug Administration (FDA) approval of PSMA PET diagnostic agents. These technologies are clearly disruptive. However, this disruption will lead to better informed treatment decisions and ultimately, better outcomes. This article provides an update on radiographic imaging for detecting and staging prostate cancer, evaluating treatment response, and as a prognostic and predictive biomarker.
“By academic freedom, I understand the right to search for truth and to publish and teach what one holds to be true.  This right implies also a duty: one must not conceal any part of what one has recognized to be true.  It is evident that any restriction on academic freedom acts in such a way as to hamper the dissemination of knowledge among the people and thereby impedes national judgment and action.” -Albert Einstein
The field of nuclear medicine has seen a resurgence in relevance especially in the area of prostate cancer imaging and therapy.  Dr. Evan Yu adeptly summarizes the promising potential of PSMA radioligand therapies in his October 2018 post in the Clinical Trials section of UroToday.  We look forward to seeing his future article regarding diagnostic trials evaluating various PSMA targeted agents.
Each year, over 54,000 people assemble in Chicago on the Sunday following Thanksgiving to attend the Radiological Society of North America Annual Meeting (RSNA), which is consistently one of the largest medical meetings in the world.  The 103rd Annual Meeting recently concluded and was a great chance to reflect on 2017, while taking a peek at 2018 and beyond.  The hot topic this year was artificial intelligence (AI) and machine learning.  Though the idea of AI instills fear in many, it is clear that opportunities abound. Beyond any concerns, we must remain focused on how we utilize these technologies to meaningfully improve the delivery of healthcare for an individual as well as a broader population.  
“We can’t believe it, he left us far too young,” explained family medicine physician Miranda Sawyer, scrolling through X-rays as “Jack would’ve wanted.”  She continued. “His bright and shining face always kept us smiling. I mean that metaphorically, of course.  It’s always dark in Radiology. You could never see him.” For reasons unclear, Jack Lambert stepped outside at approximately 2:19 PM when the glowing orb known as the sun was still present.
Welcome to the new Imaging Center of Excellence (Imaging CoE) on UroToday.com.  As a practicing radiologist and nuclear medicine physician, the content on this website has been extremely useful as a tool to learn about clinical urology and urologic oncology.  By gaining a deeper understanding of the daily challenges and advancements in the urologic sciences, I have been able to tailor my practice to better meet the needs of my urology and oncology colleagues.  With the creation of a new dedicated section on imaging and nuclear medicine therapies, we hope to expand the scope of this resource and build a multi-disciplinary, content driven destination for all topics related to GU radiology and nuclear medicine.