Introduction to Prostate MRI and PI-RADS: Approach and Principles

[@navigatingradiology]

Our MRI Prostate case-based course at navigatingradiology.com includes 25 prostate MR cases (full DICOMs) to practice with, and includes walkthroughs of imaging findings and key teaching points!

[@waqaardiwan9197]

i dont know if you fully understand what you are contributing to our field... but you are doing unbelievably great work and i hope you continue to produce these videos. you are the sal khan of radiology! clear, concise, thorough, digestible.

[@rsak91068]

Thank you for a very specific and comprehensive narrative. Helps us interpret our MRI results and conclusions. Thank you so much for helping us understand.

[@navigatingradiology]

Protocol 5:42 Anatomy 9:51 Benign Findings 18:56 PI-RADS 23:24 Approach 36:04 Cases 40:46

[@janetw9430]

Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3. 9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion is noted. PSA is 4.86.

[@coldmagnet]

You are doing saintly work! Think of all the lives you are impacting by training the next generation of radiology professionals!

[@christopherdesimone206]

Highly in agreement with you.

[@EnterprisePortals]

I love Sanjay, you taught me what 100 radiologists could not even spell. Thank you

[@jatinderkumar5864]

Thanks a lot. I wish we had similar exhaustive lectures on other topics as well. It's a gem !

[@savored]

As an r2 radiology resident, this is quite amazing! great great work! saving me on body mri rotation rn

[@tessavanginkel6359]

THE tutorial on prostate MRI that i have been wanting for years! Thank you so much!

[@epitomeofsuave]

Excellent video communicated all important parts extremely well. With cases at the end to enhance learning.

[@cherukuri20]

This is a very elegantly done and useful video.

[@real.knowledge]

Exceptionally nice presentation. Being Urologist, I am really benefited from your session. May Allah bless you.

[@nwmw1988]

Superb lecture, Prostate reporting cannot be made clear than this, Thank you very much for the superb lecture...l!

[@douglaswatt1582]

Super helpful for those of us coming from another clinical field. Lucid and comprehensive

[@fuatdede4500]

It was really understandable even for non-radiologist physicians, thank you very much. What do you think about PSMA PET / MR? I think it will be useful to look at the PI-RADS approach from a different perspective. As is known, it is possible to specifically visualize primary tumors with Gleason score of 7 and higher with PSMA PET. Have you had experience? As far as I know there is no video on this subject yet. If you have the opportunity to prepare, it will be very enjoyable to watch this title on your youtube channel. Best wishes.

[@HuskyRadiologist]

great introduction to the multiparametric prostate MR.. many thanks!!!!

[@kevinericsantos4689]

Excellent lecture! Will recommend this video to my colleagues!

[@eddiegardner8232]

Thank you so much. Now I understand what I am seeing on my own MRI images and can see how the pathologist categorized my prostate lesion. Now if I can figure out what is the “small inguinal hernia” he mentioned as an aside, I will understand everything he said. Your video is the absolute best source I have found for understanding a prostate MRI and the reality of what it implies. Next stop: a focal fusion biopsy to get a Gleason number for it, and then treatment.

[@navigatingradiology]

Best of luck - hoping for the best for you

[@mtsai78]

Would be very interested in your biopsy/treatment outcome. Thanks

[@eddiegardner8232]

1.6 cm Gleason 4+5 apical left-side anterior transition zone lesion. Elected for robotic prostatectomy; was completed on October 5, 2021, including ePLND on left side and standard PLND on right side (benign). Negative margins, bilateral nerve sparing, bladder neck sparing. Unfortunately a single 3mm lymph node with 1mm of cancer was found on ePLND side. Currently PSA

[@mtsai78]

@@eddiegardner8232 Thanks for sharing. Wish you best luck Feb. 16.

[@andydoc4522]

BEST VIDEO ON PROSTATE MRI

[@Idahomie]

thx for your time and effort in this excellent presentation.

[@rp6403]

At what level does base and mid gland differentiates

[@InfinityFishing]

Thank you for this tutorial , being completely honest yours' one of the best radiology channels out there and you have very good teaching skills. a bit late discovery for me but i start watching all of your videos, most i dont need but it is always better to go over even basic elements

[@invisible5566]

Great video that helped me understand many aspects of prostate MRI, please keep posting 🤝🙏

[@drabhib]

Thanks!

[@apoptosis9966]

Very clear and detailed explanation. Thank You!

[@MarcinKosowski-m4j]

Very nice. Are you sure that mesorectal nodes are still regional?

[@dr.anjuverma4215]

Love your videos... Doing great work... Please keep it up 👍

[@scoot77777]

Very informative! Thank you 🙏😊

[@352marshall]

Spot-on review! Subscribed! Cheers to Navigating Radiology team

[@unimahesasari4088]

What do people who have stage 4 prostate cancer experience, and what type of treatment do they undergo? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio

[@xray3044]

謝謝！

[@leekenjuy]

Hooray, a new tutorial!

[@tikaantikasagita5009]

Does drinking a lot of water provide for good prostate health? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio

[@janetw9430]

Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3. 9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion is noted. PSA is 4.86.

[@venkadaba5359]

Excellent presentation! Very clear.

[@dennismyl6686]

Is this a 3.0t or 1.5T? If I were to choose, would the results of a 1.5T be sufficient for a urologist to diagnose my problem of hematospermia?

[@ashrafeissa5766]

Thank you too much I want to ask we can do pelvic mri for prostate without endorectal coil by 1.5 tesla

[@rishavprasad8314]

You are a GEM sir!!!

[@madhuguptan3209]

Excellent lecture Sir!

[@thusharaweerakoon3451]

Very impressive clarification...thanks sir......pls mention parameters of axial T2 sequence.

[@altafhossainriad4751]

Why T2 is the primary sequence for TG lesion and DWI for PZ lesion?

[@MR..181]

Do surgeon refferals pay?

[@aleshakhawar2821]

Best vedio . Kindly make more vedios like this.

[@navigatingradiology]

@@aleshakhawar2821 check out our case-based prostate MR course on our website!

[@BannedG]

So how do you divide the base, mid gland and Apex?

[@ukdhillon]

Amazing review!

[@vinasaripaheri7691]

How similar are the mechanisms behind histopathological upgrading and biochemical recurrence in prostate cancer? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio

[@jimjohngirard]

MRI failed me. Had a 3T MRI that identified a PIRADS4 lesion, "Clinically significant disease likely". Then, had a MRI / TRUS fusion biopsy. 3 targeted on identified PIRADS4 lesion and 12 cores taken in systematic sampling. The PIRADS lesion was benign prostate tissue, but, the systematic 12 core biopsy found Gleason 3+4=7, intermediate Pca in the right APEX...MRI missed it altogether. So, it is not infallible. A good tool. Had PSMA ga68 CT/PET Scan showing no metastasis outside the gland. I'm not on the 3rd of 28 IMRT radiation treatments for a curative outcome.

[@jon1rene]

So it sounds like MRI did not fail you!

[@pointnorth2456]

Is the MRI a good instrument to study the prostate for cancer or any other illnesses. One doctor said is not accurate.....he said ultrasound is better. My urologist requested an MRI in Toronto

[@arshiahmed5414]

Excellent lecture.

[@nohaal-shehri4758]

So what is the mean reason to use dynamic study instead of push only of contrast

[@sadiaimam2195]

Thank u sir for your very nice presentation.

[@salahuddinahmedsohan1878]

Absolutely amazing... Keep up the good works pls...

[@mtsai78]

Excellent tutorial MRI PCa video. Thanks

[@prakashrana1404]

amazing lecture sir :D

[@martinjamts4086]

Si if i háve 3/4 in PZ, and chronic prostatisis.. I dont have to go to biopsy?

[@Shiva77686]

What is I'll defined t2 hypointense area bilateraly in Centra zone what this could be

[@clc-gl4jn]

Do ejaculatory duct obstructions come up on an MRI?

[@sakshiagarwaal3557]

What is the normal prostate volume. How we divide into mild , moderate And severe. On usg and mri ?

[@samvelnikoghosyan2628]

Excellent lecture, great thanks

[@stephenpisani1730]

Can a Radiologist or Urologist put me at ease. Without having a prostrate biopsy I've had 3 mri scans on my prostrate as my psa have been between 10-14 for the last 2yrs. I'm pirad 2 according to my Radiologist. I'm now becoming paranoid as now I'm experiencing pain in my groin region. My father passed away with prostrate cancer. Is their any action now that I should be asking my Urologist as he said I have inflammation of the prostrate..HELP

[@bhaweshkumaryadav1050]

Wow great job 😊

[@stefanocapra1197]

GREAT WORK, THANKS!

[@darshanilakmali3523]

❤️

[@yusuflawal2293]

Awesome 👌 🆒️, many thanks for the very educative video 📹

[@dickinson9200]

Can I avoid a biopsy and only do MRI to detect prostate cancer. Some urologist want to do a biopsy and most of them force to do a biopsy. Patients prefer a MRI instead

[@k4400559]

Excellent lecture

[@parthomukherjee6242]

Amazing Video!

[@RKV545]

what is the role of MRI SPECTROSCOPY

[@MrYttrium99]

Great video, thnx for share

[@silvershadowbd]

clear and informative. excellent. thank you very much!

[@privatejigsaw]

Smooth video! Thanks.

[@AsifKhan-mw4mw]

Amazing❤

[@johndemerse9172]

PIRAD 5 is not always significant cancer.

[@susu7683]

Thanks a lot, v well explained

[@bapumishra1]

Very nice

[@shanighias]

Very excellet lecture

[@Gray_lyf]

Thanks😊

[@uroTV]

Fantastic.

[@SurendraYadav-mh2du]

brilliant, thanks

[@jtlang3138]

thanks a lot

[@MrRambee]

NICE!!!!!!!!!!!!!!!

[@pragyamishra9226]

Excellent

[@poojasethi6378]

Thankyou sir

[@meghanabathini6267]

Thank you

[@mrd4292]

Fabulous

[@kuba4010]

Thank you

[@JB-be8co]

If a man has PIRADS -2 , does he suspect prostate cancer? What about PIRADS -3 , reveals?

[@clc-gl4jn]

If you give a reply on my last comment it could be life saving sir

[@mahdouMD]

…

[@hasaneurope4603]