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Can the chance of nerve sparing be assessed from MRI images?
Should my Urologist be able to provide a prediction on whether nerves could be spared during my RALP, based on the MRI images and the location of tumors identified in the Biopsy, along with PSA, PIRADS and Gleason values?
I understand that nothing is definite until the Surgeon actually sees what the situation is like during the procedure but could he be able to assess, within certain degree of confidence, what we might expect based on these studies?
So far he only went through the MRI interpretation report with me, which only shows a very general sketch of the tumor location, but he has not gone through the actual MRI captured images with me to explain what he is seeing. Should I be asking him to review these images with me?
Thank you.
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HugInterested in more discussions like this? Go to the Prostate Cancer Support Group.
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A PSMA scan found a metastasis on my L4.. Before they would radiate it, the radiation oncologist required that an MRI be done so they could more closely figure what area need to be zapped.
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2 ReactionsYes, as support for PSMA PET scans, MRIs can find hidden lesions - like between the prostate and bladder as just one example. Or in your case, to look for what other tissues are near the L4 lesion to be avoided.
But, what an MRI would see as a just a lesion, a PSMA PET scan can differentiate between prostate cancer or not (which is why MRI-guided biopsies are done).
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2 ReactionsAre you more interested in nerve sparing or wide clean margins? Just a thought as prostates in many cases leak cells that get left behind.
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1 ReactionAt a PCRI conference earlier in the year
Drs Kwon and Moyad agree to this. Seeds for metastasis were already there when surgery was done, waiting to grow.
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1 ReactionHopefully that was the cause of my BCR and radiation got it. Time will tell.
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