Source: The New England Journal of Medicine
MRI-Targeted or Standard Biopsy in Prostate Cancer Screening
Authors: Martin Eklund, Ph.D., Fredrik Jäderling, M.D., Ph.D., Andrea Discacciati, Ph.D., Martin Bergman, M.D., Magnus Annerstedt, M.D., Markus Aly, M.D., Ph.D., Axel Glaessgen, M.D., Ph.D., Stefan Carlsson, M.D., Ph.D., Henrik Grönberg, M.D., Ph.D., and Tobias Nordström, M.D., Ph.D., for the STHLM3 consortium
MRI with targeted and standard biopsy in men with MRI results suggestive of prostate cancer was noninferior to standard biopsy for detecting clinically significant prostate cancer in a population-based screening-by-invitation trial and resulted in less detection of clinically insignificant cancer.
ericp502 This report confirms an MRI Guideed Biopsy is superior to a standard Biopsy . i.e Going in blind and performing the old " OFTEN DESCRIBED PINCUSHION BIOPSY " or
" Swiss Cheese Biopsy " -- take lots of random sample cores and hope you hit something .
The latest and ONLY REAL TIME MRI BIOPSY IS " " An In - Bore or Gantry Biopsy . These are rare because of the equipmennt costs . Australia is even using A TESLA T 7 MRI Machine .
The most common worldwide is the Tesla 3T MRI which replaced the 1.5 .
I repeat : An MRI CANNOT CONFIRM OR GRADE PROSTATE CANCER -- ONLY A BIOPSY CAN .
I know Canadian report very well . I live in Canada - I personally know many of the top Urologists and Oncologists at The Princess Margaret Hospital in Toronto - Ranked in the top 5 Research and Cancer Treatment Centers in the World . Also Sunnybrook in Toronnto where the TULSA-PRO Focal therapy was invented by Dr. Gupta , who I know and now practices in the USA . Dr. Laurence Klotz performs the TULSA- PRO at Sunnybrook and was on the original research team .
Sir , I respecctfully request you personally consult with several senior PROSTATE CANCER UROLOGISTS .
Ask the question " Can you determine for certain a patient has prostate cancer and it's grade ( Gleason Score ) from an MRI " ?
I look forward to their names and answer .