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Accuracy for mpMR was 52.94% and 70.79% for readers M1 and M2, respectively. Overall, fluciclovine PET had higher sensitivity and specificity compared to mpMR (Figure 1b). Inter-reader agreement for fluciclovine PET was 91.6% in the prostate and 87.5% for extraprostatic disease detection. For mpMRI, inter-reader agreement was 37.5% and 75% respectively for prostate and extraprostatic disease detection. CONCLUSIONS: Although fluciclovine PET-CT had higher sensitivity in the prostate, MRI had higher specificity for disease detection. However for extraprostatic disease, fluciclovine had higher sensitivity and specificity. Inter-reader agreement was better with fluciclovine PET-CT compared with mpMR.

MP18-09 INFLUENCE OF GA-PSMA PET/CT ON CLINICAL DECISION MAKING IN THE TREATMENT OF PATIENTS WITH PROSTATE CANCER.