A Scan That Makes Cancer Glow May Spare Half of Men a Biopsy
Effect of [68Ga]Ga-PSMA-11 PET-CT in the diagnosis of prostate cancer in men with equivocal or clinically high-risk non-suspicious findings on multiparametric MRI (PRIMARY2): a multicentre, non-inferiority, phase 3, randomised controlled trial - The Lancet Oncology Informed Prostate Cancer Support Group · Research Brief PRIMARY2, the first randomized trial of PSMA PET before biopsy, reshapes the workup for men with a worrisome PSA but a reassuring MRI. for the IPCSG Newsletter Filed July 2026 Reading time ~11 min BLUF — Bottom Line Up Front For biopsy-naïve men who have a high-risk PSA picture but a non-suspicious or borderline MRI , adding a gallium-68 PSMA PET-CT scan cut the number needing a prostate biopsy roughly in half — without missing meaningful cancers. In the phase 3 PRIMARY2 trial (660 men, seven Australian hospitals): 49% avoided biopsy entirely when the PSMA scan was clean, and stayed on PSA monit...