E. David Crawford, MD, presented “Updates on the RADAR Series” during the 24th Future Directions in Urology Symposium in August 2024 in Colorado Springs, Colorado.
How to cite: Crawford, E. David “Updates on the RADAR Series.” August 2024. Accessed Nov 2024. https://grandroundsinurology.com/updates-on-the-radar-series/
Updates on the RADAR Series – Summary
E. David Crawford, MD, reviews the RADAR series and addresses concerns about excessive CT and bone scans for prostate cancer. He reflects on the progression of prostate cancer imaging practices, originating from discussions at meetings over the last 12 years. This led to the formation of the RADAR series, which categorizes diagnostic and monitoring strategies into stages: newly diagnosed disease, biochemical recurrence, and castrate-resistant cases.
In this 11-minute presentation, Dr. Crawford discusses RADAR 1 through 7. Each version builds on earlier guidelines and focuses on goals to enhance diagnosis and treatment. RADAR 1, one of the most widely cited guidelines in prostate cancer, established criteria to limit imaging based on factors like PSA levels and Gleason scores. RADAR 2 introduced “therapeutic layering,” recommending combination therapies for metastatic cases. RADAR 3 then integrated advanced PSMA imaging for cases where traditional scans yield ambiguous results. The most recent update, RADAR 8, discusses targeted focal therapy, advocating for accurate targeting to maximize treatment outcomes.
Throughout, the RADAR series has prioritized adaptive, patient-centered imaging and treatment strategies, backed by extensive collaboration within the medical community. This progression reflects the continual refinement of prostate cancer care, with imaging now positioned as a vital, evolving tool for improving patient management and reducing overtreatment.
The Future Directions in Urology Symposium (FDUS) is an annual urology think tank and non-CME educational summit that brings together industry figures and experts to discuss the current state of genitourinary care and define future directions in treatment. Dr. Dreicer delivered this educational activity during the 24th iteration of the meeting in August 2024 in Colorado Springs, Colorado.
ABOUT THE AUTHOR
Researcher-physician E. David Crawford, MD, Jack A. Vickers Director of Prostate Research and Professor of Urology at the University of California, San Diego, has devoted his career in medicine to educating the public about men's health issues and finding effective techniques and procedures to address prostate cancer, the most common malignancy affecting men in the United States.