Choosing Wisely:

Don’t obtain computed tomography scan of the pelvis for asymptomatic men with low-risk clinically localized prostate cancer.

Rationale and Comments: Computed tomography scan of the pelvis is very unlikely to provide actionable information in men with low-risk prostate cancer (one commonly accepted definition of low-risk prostate cancer is Gleason score less than 7, PSA less than 20.0 ng/mL, and tumor stage of T2 or less). Magnetic resonance imaging of the pelvis may be useful in some men considering active surveillance.
Sponsoring Organizations:
  • American Urological Association
  • Sources:
  • American Urological Association guidelines
  • Disciplines:
  • Oncologic
  • Urologic
  • References: American Urological Association Prostate-Specific Antigen best practice statement, 2013 Revision [Internet]. Linthicum (MD): American Urological Association; 2013 [cited 2014 Nov 4]. Available from:

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