Fig. 2
Example of a patient (PSA 13, Gleason score 9, T2b) with no bone metastases according to BS (shown in anterior projection) (a) but with two suspicious lesions in the seventh right rib and the eighth left rib according to the 68Ga-PSMA-11 PET/CT. Except for the 68Ga-PSMA-11 uptake in the ribs and the prostate, no other suspicious lesions were observed. The 68Ga-PSMA-11 PET MIP showed two rib lesions (b); the full arrow indicates a bone lesion in the seventh rib on the right side with corresponding axial 68Ga-PSMA-11 PET (c), 68Ga-PSMA-11 PET/CT fusion (d) and CT (e). The hatched arrow indicates a bone lesion in the left eighth rib with corresponding axial PSMA PET and corresponding axial 68Ga-PSMA-11 PET (f), 68Ga-PSMA-11 PET/CT fusion (g), and CT (h). The patient had no bone metastases according to the BVC: the patient had a radical prostatectomy without any systemic treatment, and the post-prostatectomy PSA level was < 0.1 ng/mL and remained so until this study was published