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  • consuldreugenio

    August 23, 2023 at 4:17 am

    Agreed. Prostate mri is excellent for biopsy planning and could decrease # of biopsies needed before definitive treatment. Patients are also generally knocked out for fusion biopsies. Not the case for the routine random biopsies.

    Get the PSA, get the MRI, then do fusion biopsy as needed. Before, it was get PSA, do random biopsy, get mri if biopsy shows low grade tumor, then fusion biopsy if needed.

    With a honed in protocol, high grade lesions should pop on most 3T scanners. 1.5T can be variable. Ive seen shaky quality even on scans performed at major academic centers.