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Frustration with biopsy scheduling due to MRI issues

Prostate Cancer | Last Active: Jun 15 9:51am | Replies (29)
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@jcf58

I just got my MRI report from Johns Hopkins. Their radiologist upgraded my Pi-Rads score from 4 to 4/5. I have a month to ponder this bad news before my biopsy. I think that this squashes any hope of a focal treatment and I'm probably looking at some combination of RP, radiation, and hormone therapy.

Anyone with a high Pi-Rads 4/5 have a positive experience?

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Replies to "@jcf58 I just got my MRI report from Johns Hopkins. Their radiologist upgraded my Pi-Rads score..."
charlesprestridge | @charlesprestridge | Jun 12 7:49am

@keithl56

I would not assume a Pirads4/5 eliminates focal treatment.

Just continue your information path: Biopsy and Doctor consults.

I have a Pirads5 lesion. I did consult with Doctor about TulsaPro. Doctor indicated he would do HIFU.

However, lesion size and location made me not a candidate for TulsaPro. Pirads4/5 was not a precluder.

From my experiences, do not let your thinking get too far in advance of information.

In general, Gleason score is a much larger factor vs Pirads rating. For example, multiple biopsy cores at 4+3 will guide treatment options/decisions much more than Pirads rating.

Follow path of getting biopsy results and then go from there.

Best Wishes.

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