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MRI – prostate cancer imaging

In the last few years, MRI (Magnetic Resonance Imaging) has become by far the most effective and versatile diagnostic procedure for prostate carcinomas.

This is why an endorectal MRI of the prostate has been listed as the best imaging procedure in the current German S3 Guidelines for prostate cancer. It is now the leading procedure for prevention, diagnosis and therapy planning.

With a detection sensitivity of over 85%, the prostate MRI detects cancer at least twice as reliably as ultrasound, elastography or the usual punch biopsy. An MRI that does not show any cancer is reliable: it is at least 90% accurate in precluding cancer.

But not only that—a prostate MRI is non-invasive, painless, and doesn't expose the body to any radiation.

But: not every so-called prostate MRI fulfills the requirements of a high-quality examination. So ask an expert. As a physician and physicist, Prof. Stehling, together with the Nobel Prize winner Sir Peter Mansfield, has himself had a substantial influence on the development of magnetic resonance imaging and is one of the leading international experts in the field of prostate MRIs.

Parameters measured in order to accurately diagnose prostate cancer

As opposed to other imaging procedures [CAT (Computer Tomography) scan, ultrasound, scintigraphy or PET (Positron Emission Tomography)], an MRI provides several independent parameters to evaluate the prostate: T1 and T2 relaxations, tissue susceptibility, water diffusion, tissue perfusion and spectroscopic information about the metabolism. For this reason, it is also called a multiparametric MRI.

In many places, only one or two different physical weightings are performed, but for many years, we have always performed all technically available weightings in order to achieve the maximum validity of the examination. This makes an MRI significantly superior to other imaging techniques, particularly ultrasound and elastography.

The most important applications of prostate MRI

Today, MRI technology, which continues to develop very quickly, is the leading procedure for many urological issues concerning the prostate:

  1. Early detection or exclusion of cancer: when the PSA level is elevated or there is a suspicious palpation finding before the biopsy. This can prevent many unnecessary biopsies from being performed.
    For more information: 
    Allow us to analyze your PSA level to decide if an MRI is a good idea for you.
  2. Biopsy planning or exclusion of cancer: when the PSA level increases again after a negative biopsy or biopsies, because punch biopsies without MRI planning are shots in the dark.
    For more information: 

    Ask our experts on modern diagnostics for prostate cancer, including the 3D biopsy.
  3. Staging and therapy planning: to make a therapy plan for prostate cancer that has been detected or to determine the exact magnitude of the disease in the pelvis (staging).
    For more information:
    Ask our experts about possible prostate cancer therapy.
  4. Detection of recurrent cancer and re-staging: when the PSA level increases again after treatment of prostate cancer (radical removal of the prostate, radiation therapy, HIFU, etc.), to detect, exclude or localize a recurring tumor (local recurrence).
    For more information:
    Ask our experts about NanoKnife and its capabilities.
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Each procedure in detail: