Biparametric MRI Is Less Expensive, More Accurate Than Biopsy
Prostate Cancer

Biparametric MRI Is Less Expensive, More Accurate Than Biopsy

Two problems face men who have a high PSA or abnormal digital rectal exam (DRE). First, they are often referred for a conventional TRUS needle biopsy of the prostate because there is suspicion of prostate cancer (PCa). Second, multiparametric MRI is considered too time-consuming and expensive for routine determination of the need for a biopsy….

What Are The Benefits of Using mpMRI Before Prostate Biopsy?
Prostate Cancer

What Are The Benefits of Using mpMRI Before Prostate Biopsy?

Terrific news and a great way to start off 2017! On January 17, the prestigious medical journal The Lancet issued online publication of a British study, “Diagnostic accuracy of multi-parametric MRI and TRUS biopsy in prostate cancer (PROMIS): a paired validating confirmatory study” (Ahmed et al., 2017). This large trial validated the importance of multiparametric…

Can You Get an Infection From a Prostate Biopsy?
Prostate Cancer

Can You Get an Infection From a Prostate Biopsy?

Approximately one million prostate biopsies are performed each year in the United States, typically to help identify whether a man has prostate cancer. This moderately invasive technique (which involves inserting a needle into the prostate about a dozen times to collect tissue samples) is associated with some health risks. Specifically, prostate biopsy and infection risk…

What is a TRUS Biopsy?
Prostate Cancer

What is a TRUS Biopsy?

Question: What do transrectal ultrasound (TRUS) guided biopsy and MRI prostate scans have in common? Answer: Almost nothing. While both try to find cancer in a walnut-sized gland tucked away in the pelvic bed, there’s no comparison. Noninvasive MRI detects prostate cancer better than conventional invasive TRUS biopsy. In fact, multiparametric MRI (mpMRI) is so…

Should I Do A Multiparametric MRI Before Having A Prostate Biopsy?
Prostate Cancer

Should I Do A Multiparametric MRI Before Having A Prostate Biopsy?

In medicine, change sometimes happens with two steps forward but one step back. For example, in the early 20th century, delivering babies in hospitals became more popular than home births in order to have “painless” births with anesthesia. However, for many women the higher complication and infection rates proved to be a setback. Thankfully, problems…

What Are The Limitations of Transrectal Ultrasound (TRUS) For Detecting Prostate Cancer?
Prostate Cancer

What Are The Limitations of Transrectal Ultrasound (TRUS) For Detecting Prostate Cancer?

Did you ever make a pinhole camera when you were young? Pinhole cameras are the most basic type of camera. All you need is a closed box with a black interior, a pinhole in one side, and some type of film opposite the side with the pinhole. They capture pretty good pictures, depending on the…