I had an MRI T3 which indicated a T2 Signal & PI-RADS 5 following which I had a MRI Fusion Biopsy . The pathology results were negative . The recommended number of cores for the fusion Biopsy is 2 to 4 . I had 5 cores taken .
Unhappy with the conflicting results given the T Signal plus the Rads 5 . I proceeded with a 2nd
T3 MRI , this time with contrast , followed by a 2nd MRI Fusion Biopsy . This time my new Urologist took 16 Cores. The result 6 Cores were Gleason ( Grade 1 ) 3+3 = 6 Cancer .
I am 84 years young . Why did my original Urologist - The previous Head of Surgery and Head of Urology, at a leading big city hospital , not take more samples at the 1st Biopsy . Particularly given my age to prevent the need for a 2nd Biopsy .
It makes you wonder , when typically the more cores are more accurate .
p.s. Both Biopsies were "Transparineal " NOT " the more risky for infection " Transrectal " .
p.p.s. Most Urologists term the MRI Fusion Biopsy -- REAL TIME . This is incorrrect as
images can be slightly distorted in tthe fusion process .
The latest " REAL TIME BIOPSY " is called "An IN-BORE or Gantry Biopsy "
You are in the MRI machine during the Biopsy . Most clinics and hospitals have yet to
catch up with this new procedure -- Equipment costs .