MRI before biopsy, & then fusion biopsy if targets found (?)

Posted by jercalif @jercalif, Jan 21 1:39am

Has anyone heard a convincing argument as to why the following statement would not be true?:
"Unless availability or cost is an issue:
An MRI should always be performed prior to any biopsy, and the only reason that a systematic biopsy alone should ever be chosen over a fusion biopsy or combined (systematic + fusion) biopsy would be if the MRI finds no targets."

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

tdoriausername | @tdoriausername | Jan 23 12:51pm

In reply to @ezupcic "I guess my question is how likely is clinically significant cancer to be found after a..." + (show)

@ezupcic YES! What is the PSA at this time?

ezupcic | @ezupcic | Jan 23 1:29pm

In reply to @tdoriausername "@ezupcic YES! What is the PSA at this time?" + (show)

@tdoriausername 6 an prostate density 0.10

jercalif | @jercalif | Jan 23 2:22pm

In reply to @tdoriausername "@ezupcic YES! What is the PSA at this time?" + (show)

@tdoriausername PSA went from 6 to 9 last year, but my father had prostate cancer and my MRI shows a "suspicious 4mm nodule" in the peripheral zone.
My horrible original urologist...I can forgive incompetence all day long, but this is just arrogance or greed or ???...wanted to do a systematic biopsy immediately without an MRI, and then got angry when I asked about a fusion biopsy.
Thankfully I found a urologist 3 hours away who does UroNav fusion biopsies, and he also does da Vinci RALP if I should need that.

jercalif | @jercalif | Jan 23 2:26pm

In reply to @tdoriausername "@ezupcic YES! What is the PSA at this time?" + (show)

@tdoriausername Oops...I got confused...I replied to a question for @ezupcic 🙂

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