Introduction
MRI Accurate Prostate Cancer Diagnosis and Treatment
Welcome to the new world of imaged based prostate cancer management. For the first time in medical history
the prostate can be imaged in anatomic and functional detail
This new ability to actually image prostate internal anatomy, physiology and microvasculature is providing accuracy in prostate cancer diagnosis and treatment whic
h was a guesstimate before detailed imaging with Prostate MRI. Prostate MRI diagnoses prostate cancer earlier
with greater opportunity for cure
Prostate MRI is able to identify prostate cancer nodules determining which men to biopsy and where in the prostate to target the biopsy. MRI characterizes prostate cancers in detailed ways we did not have before – cancer location, size, degree of malignancy, microvasculature, capsule involvement and local-regional tumor staging. Aggressive prostate cancers can now be diagnosed with the first TRUS/MRI fusion targeted biopsy session. PSA
A misused good test with a bad reputation
Prostatic Specific Antigen (PSA) is still an important component in Prostate Cancer diagnosis. Thorough Prostate Cancer Risk Assessment including PSA determines which patients benefit from having a Prostate MRI. PSA Screening Biopsy often led to repeat biopsy sessions, biopsy complications and diagnosing indolent Not-Agressive prostate cancers which cause no harm. Many patients with Not-Agressive cancers have undergone unnecessary treatment. PSA ERA to the Prostate Imaging ERA
Urology is undergoing dynamic change from PSA Screening Biopsy of over diagnosis and incomplete prostate imaging to the Prostate Imaging ERA of MRI accurate early diagnosis and imaged based treatment. Prostate MRI is becoming essential in prostate cancer diagnosis, treatment selection, planning and post-treatment monitoring for residual or recurrent cancer. A Team Effort
Prostate MRI is a team effort. Radiologists produce the MRI. Urologists utilize it for biopsy targeting, treatment decisions and monitoring. Pathologists provide the tissue proof the presence of cancer. It has taken a number of years and many scientists and clinicians from around the world to develop Prostate MRI for clinical use. Prostate MRI is a remarkable advancement. Advancement in Knowledge
Consider the Family Doctor treating pneumonia before chest x-ray was available and how the diagnosis and treatment of pneumonia changed with chest x-ray. Chest x-ray was a major advancement in understanding pulmonary disease, diagnosis, treatment and research as Prostate MRI is becoming for Prostate Cancer. Thank you for visiting this Website. Dr. Samuel Aronson, Urologist
The Educational Pamphlets are the opinion of Dr. Aronson and may not reflect the opinion of experts in the Prostate MRI field, the Jewish General Hospital or McGill University. Dr. Aronson does not have financial association with any MRI Imaging Centers.
