An artificial intelligence re-read of the MRI called 'MaleScan' It is now available for $259.00 if 3rd party does not cover it. The source is precisionprostateassociates.com of Maine. They cannot read every MRI for technical reasons. There is no charge if unusable. Unless things have changed they cannot use your copy of the disk but require a direct digital transfer form the MRI facility. The report is generated in two days, Your data is compared to thousands of other prostate MRIs. Prostate cancer tissue is quite similar in appearance on an MRI. The digital comparison I suspect will be standard of care (SOC) in the not too distant future.
Regarding treatment: There appears to be a 'lacuna' (unmentioned oversite?)
Photon therapy: There are more subdivisions in this category:
1) External Beam Radiotherapy: [EBRT]
SBRT about 5 visits & IMRT (MFRT /CFRT): [(20 visits/30 visits)
...the difference is the amount of radiation per visit (gamma rays/'Gys')
....the cancer killing effect is about the same and the ACUTE time limited side effects are about the same
However the delayed (months to years) of urinary tract symptoms is an issue with all three.
Therefore for any form of EBRT the Miradx ProsTOX Ultra test should be done first:
The background for DELAYED symptoms is < /= 5%, for those who test LOW [clinician dependent?]; however
those who test HIGH >15% or more for SBRT may be LOW for the IMRT variety. or HIGH for all three,
2) Interstitial Radiotherapy: (non external) a//k/a brachytherapy
A) Temporary: High Dose Radiotherapy (HDR) often 2 visits separated by a week because the short lived irradiation might be too high for one session. Often Under MRI guidance the clinician visualizes the number one tumor target and gives the highest safe dose, then the secondary tumors less on that or a subsequent visit.
B) Permanent Low Dose Radiotherapy: (LDR) About 20 minute one time procedure under visual guidance by one of 3 imaging sources: Ultrasound, CT (Memorial Sloan Kettering/MSKC in NYC) or MRI (MD Anderson, Houston.
The major advantage of LDR (permanent seeds) is that the total dose over time weeks to months is the optimal amount without passing through radiosensitive tissue in short exposures. [The ProsTox test is not used for internal glandular irradiation as there should be very little or no effects outside?]
A primer on the effect of seeds may be found in You-Tube videos 'Brachytherapy' 101. It was produced by the Prostate Cancer Research Institute.org [PCRI.org] which is a 'arms length' from any recommendations form its guest presenters. (Watch the Q & A after the video.)
@thmssllvn
The MRI review company is unable to review an MRI that has been taken with contrast. That is the reason they are unable to review some MRIs.
You can get an MRI second opinion here is a video about the company and procedure
https://ancan.org/