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@ezpcic . First what was your PI-RADS Score on your MRI . And second : Have you ever purchased and studied Dr. Patrick Walsh's book " Guide to Surviving Prostate Cancer " or followed Dr Mark Scholz U Tube Videos on Prostate Cancer .
Finally . You can not determine if you have cancer from a PSE , DRE or MRI Test . They are signals only . A DRE Test cannot feel the area of the prostate where 90% of cancer starts .
A PSA & DRE are Amber lights - An MRI can be a RED light . The Biopsy confirms whether you have cancer or not . See below Re : 2nd and 3rd opinions .
CAUTION . Should you require a Biopsy : Go for a TRANSPERINEAL MRI Fusion Biopsy . NOT The outdated TRANSRECTAL where for obvious reasons the risk of infection is higher , plus with a Transperineal you can reach areas of thhe prostate much , much more easier .
And finallly and most important . After a Biopsy and you receive your Gleason Score . Get a 2nd even a 3rd opinion to confirm your Gleason score . Your treatment options rely on an accurate Gleason score .
Good luck.
Replies to "@ezpcic . First what was your PI-RADS Score on your MRI . And second : Have..."
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Thanks. Appreciate the feedback. My MRI was a Pirads 3. Here is the radiologists narrative.
MRI PROSTATE W WO CONTRAST
HISTORY: Prostate specific antigen above reference range R97.20: Elevated prostate specific antigen (PSA)
COMPARISON: None.
TECHNIQUE: Multiplanar multisequence MR imaging of the pelvis performed without and with intravenous contrast using the prostate protocol. Multiple B-value diffusion-weighted imaging in the axial plane was also performed through the prostate gland with
ADC mapping.
IV Gadavist 10 mL.
FINDINGS:
PROSTATE VOLUME: 6.8 x 4.29 x 6.1 cm with a prostate volume 95 mL.
PERIPHERAL ZONE: Diffuse abnormality of the peripheral zone noted characterized by low T2-weighted signal and mildly elevated diffusion-weighted signal and mildly decreased ADC signal without focal lesions. The capsule is well defined.
TRANSITION/CENTRAL ZONE: Diffuse nodular transition zone noted
OTHER PELVIS: No pelvic adenopathy identified. The seminal vesicles appear symmetric. The bladder appears normal.
Impression
IMPRESSION:
1. Diffuse abnormality the peripheral zone. This is a nonspecific finding and can be seen in both acute and chronic prostatitis or other inflammatory process and rarely in diffuse malignancy. Malignancy being considered less likely in the presence of
a well-defined capsule. Consider follow-up MRI in 6 months.
FINAL PI-RADS: 3, intermediate. The presence of clinically significant cancer is equivocal.