Multiparametric MRI to Detect Clinically Significant Prostate Cancer: What Urologists Need to Know

[@jellebarentsz2736]

The report says the prostate is a bit bigger than usual, but the PSA (Prostate-Specific Antigen) production of your prostate is normal. There's a described area that's likely a small inflammation in the prostate (subclinical prostatitis), and no serious prostate cancer is found. I suggest checking the PSA every year. If it's higher after one year, we should do another MRI. I can't really say how important these findings are because I don't know how good the MRI was and how skilled the radiologists who described it are. I hope this information is helpful. Kind regards, Jelle Barentsz Professor of Radiology Expert-Prostate-MRI

[@Willsontime]

This is great. Thanks. So basically don’t really need contrast unless there’s a huger risk if cancer. A lot can be done without the contrast by looking at black/white and density.

[@edinburgh1578]

Very well explained. Thank you!

[@kchopra4080able]

Excellent explanation Doctor Barentsz. Thank you so much for your time.

[@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.

[@THEPRINCESSAMAZING]

I loved this video. The explanation was beautifully written.

[@immane75]

I wish you can share daily cases with us . I learned prostate MRI when I was a resident in 2008 , I found it daunting because of perfusion curves and spectroscopy !!!! drop it for a while , and now I am going back to reading it , sometimes can't be sure what to do with small stuff ??? I keep on record my cases and follow the path but unfortunately we don't do image fusion !!! no sure about the results !

[@onexsculler]

An excellent presentation! Thank you very much!

[@atilaucar5752]

You're explaining very precise und clear. Thank you very much.

[@duposflies2621]

I had the needle biopsy last 5th of this month but not yet got an answer. Because they saw 2 tomur in my prostate with the prostate mri and had a bone scan too because they also saw one abnomality in my bone, I am worried and asking myself did my cancer if I have already metastisized? I had only 3.8 psa and I am 62 yrs this yr.

[@jellebarentsz2736]

Sorry, to answer your question, I need to be part of your Multi Disciplinairy Team that has access to all information (e.g. imaging of your bone). As this is not the case, I unfortunately cannot help you. Instead of a bone scan, in our country the guidelines advise a PSMA PET/CT to exclude bone and Lymph Node metastases.

[@olegh21]

Excellent video, thank you for sharing!

[@tomastojanovic497]

Vi,sye,fntasticmi

[@marczera]

Very nice presentation! Thank you!

[@kishorecoelho3186]

Enjoyed your presentation. Very informative. Thanks

[@bhumiotwani7513]

Very nice explanation 😊

[@AQUA14130]

Thank you sir for sharing your knowledge to us.

[@stevedosier1829]

Best presentation yet! Thank you.

[@robwells230]

Thank you.. Very informative

[@immane75]

Excellent . Thank you very much .

[@davidwhelan4803]

Excellent video, very informative.

[@jellebarentsz2736]

See also: doi.org/10.1016/j.eururo.2019.09.021 doi.org/10.1016/j.eururo.2019.10.024 doi.org/10.1016/j.eururo.2019.10.009

[@scoot77777]

Nice work ! Dr.

[@saqibiqbal5278]

very informative

[@prakashsingh-li3wy]

Thank you very much sir.

[@parwezshahid50]

Excellent.

[@DrMusen]

Excellent video！

[@patrykpatrzaek5641]

thank you

[@samreenlaeeque7613]

excellent

[@ravipushkarna475]

Great

[@ironsqee1609]

Skill issue

[@seveneight6535]

clear concise. thank you!