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piflufolastat F 18 + gadolinium is a diagnostic drug combination used in positron emission tomography (PET) and magnetic resonance imaging (MRI) for the evaluation of prostate cancer. Piflufolastat F 18 (also known as 18F-DCFPyL or Pylarify) is a second-generation, small-molecule radiopharmaceutical that targets the prostate-specific membrane antigen (PSMA), a protein highly expressed on the surface of prostate cancer cells. Gadolinium is a paramagnetic contrast agent used to enhance the structural detail of MRI scans. In clinical research conducted at Stanford University, this combination is utilized in PET/MRI protocols to improve the detection and localization of regional nodal and distant metastases in patients with intermediate to high-risk prostate cancer, offering integrated functional and anatomical imaging that may surpass the sensitivity of standard-of-care CT or MRI alone.
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