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Bone is the most common site of metastases in men with prostate cancer. The objective of this study was to explore potential racial differences in the distribution of tumor metastases in the axial and appendicular skeleton.

We conducted a retrospective review of patients with metastatic prostate cancer to the bone as detected by ¹⁸F‐sodium fluoride positron emission tomography/computed tomography (¹⁸F‐NaF PET/CT) scans. In addition to describing patients' demographics and clinical characteristics, the metastatic bone lesions, and healthy bone regions were detected and quantified volumetrically using a quantitative imaging platform (TRAQinform IQ, AIQ Solutions).

Forty men met the inclusion criteria with 17 (42%) identifying as African Americans and 23 (58%) identifying as non‐African Americans. Most of the patients had axial (skull, ribcage, and spine) disease. The location …