MRI fusion biopsy or nah?

Posted by vincenzo66 @vincenzo66, Oct 16, 2025

Hi - I posted earlier about a spike in my PSA over one month from 4.7 to 10.7. I had an MRI done and they noted a PI RADS 3 lesion without noted bone or lymph node pathology. The local urology group wants to biopsy it - and that’s fine - but doesn’t have MRI fusion technology. The clinician who is an experienced guy said there’s a paper out there that says that the incremental benefit of the fusion biopsy vs the traditional ultrasound transrectal biopsy done by an experienced practitioner is very marginal. Of course this is a little self serving. I can likely drive a few hours and have state of the art at a UC urology center. Is it worth the drive or is he generally correct?

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

FWIT, I add my support to the "travel for Fusion Biopsy" suggestions.

Your biopsy will be be a very important test result and I would want, and I received, the Fusion Biopsy.

Best wishes.

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