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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.
Replies to "Thanks. Appreciate the feedback. My MRI was a Pirads 3. Here is the radiologists narrative. MRI..."
@ezupcic . Thanks I appreciate your timely response . Active Surveillance seems in order at this juncture , with particular attention to your PSA ( DOUBLING TIME ) etc .
Are you immersing yourself in Prostate Cancer knowledge in order to be your own best advocate in future decision making ?
P.S. Are you aware that patients with a very low PSA can have prostate cancer , and those with a very high PSA may not ? A PSA can be in the thousands -- the highest recorded is over 20 ,000 . yes twenty thousand . Accordingly , PSA alone is a poor barometer .
Boy, there is a real iffy MRI. It may or may not be a problem, That isn’t what one wants to hear.
The PSE test was designed to filter out cancer versus non-cancer to decide whether or not you need a biopsy. That would be real helpful in this case but not all doctors will let you get one. There isn’t the only test, but it is very accurate 93%.
Sure, you can wait another six months, There are options.
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Although I've been researching Prostate Cancer for the last 3 months and my dad had it and surgery in the early 1990's but lived another 24 years, I have not read Walsh's book although many people reference it. I guess my approach is to try as many non invasive strategies, see what they say before I move to Biopsy.