The Use of Nanoparticles to Guide the Surgical Treatment of Prostate Cancer

Who May Qualify: Primary RP + PLND - Age ≥18 years - Patients meeting one of the following criteria: - Tumor clinical stage T3a or higher - Gleason score 8-10, or - PSA level \> 20 ng/mL - Patients deemed fit for surgery on the basis of preoperative evaluation at the physician's discretion - Patient is scheduled for standard of care laparoscopic radical prostatectomy (with or without robotic assistance) Salvage PLND - Age ≥18 years - Patients with presence of suspicious lymph node on CT or MRI (of a pelvic node =\> 10mm in short axis or a node with abnormal morphology such as roundness irregularity or loss of fatty hilum, or PSMA-avid on PSMA PET imaging - Patients deemed fit for surgery on the basis of preoperative evaluation at the physician's discretion - Patient is scheduled for standard of care salvage pelvic lymph node dissection (with or without robotic assistance) Who Should NOT Join This Trial: - Contraindications to standard-of-care MR imaging (e.g., metal implants, claustrophobia) - Prior androgen-deprivation therapy for prostate cancer (N/A for Salvage PLND) - Prior pelvic radiotherapy (N/A for Salvage PLND ) - Medical illness unrelated to the tumor that, in the opinion of the attending physician and principal investigator, will preclude administration of the tracer °This includes patients with uncontrolled infection, chronic renal insufficiency (EGFR \< 60 mL/min/1.73m2), myocardial infarction within the past 6 months, unstable angina, cardiac arrhythmias other than chronic atrial fibrillation and chronic active or persistent hepatitis, or New York Heart Association Classification III or IV heart disease - Weight greater than the 400-lb weight limit of the PET scanner - Unmanageable claustrophobia - Inability to lie in the scanner for 30 min Always talk to your doctor about whether this trial is right for you.