Examination of the prostate using MRI (magnetic resonance imaging) has been one of the most precise diagnostic options for prostate cancer for several years. It is also an essential basis for decisions on therapeutic measures.
Below you will find further information and selected prostate MRI specialists.
Magnetic resonance imaging (MRI) is one of the imaging procedures used in medical diagnostics. With its help, fine tissue structures in particular can be detected very precisely. You have the option of having your prostate examined by a specialist radiologist using MRI. The focus here is on special features and changes in the tissue of yourprostate gland.
In contrast to conventional magnetic resonance imaging, the new multi-parametric MRI is a highly sensitive diagnostic tool for analyzing the prostate.
The radiation-free method offers maximum precision and allows exact detection of changes in the prostate. The particular advantage is the reliable differentiation of aggressive from benign tumors.
Multi-parametric MRI combines the MRI examination (magnetic resonance imaging) with at least two other imaging procedures.
These are used to:
Your doctor can see in detail the type and extent of a tumor and can draw conclusions about its biology. This means that unnecessary surgical interventions and biopsies can be avoided.
An MRI scan of the prostate is an examination that uses a magnetic field and not X-rays @ Mark Kostich /AdobeStock
From the age of 45, doctors recommend an annual examination of the prostate as part of early cancer detection. This initially takes the form of a palpation examination, which provides your doctor with information about any changes.
In addition, the so-called PSA value (prostate-specific antigen) is one of the options for early detection. In contrast to the palpation test, you pay the costs for this blood test yourself.
If your doctor detects a significantly elevated PSA level, a prostate MRI scan is helpful to confirm the diagnosis. This is usually the case if there is a suspicion of prostate cancer.
The examination is also helpful after a prostate biopsy (removal of tissue from the prostate) in order to determine a further treatment plan. In addition, prostate diagnostics within radiology offers the possibility of comprehensive therapy monitoring and aftercare.
A biopsy can often be avoided with a multiparametric MRI (mp-MRI) if the findings are harmless in the context of early detection of prostate cancer.
The tissue sample is only indispensable in the case of abnormal findings in order to determine the type of aggressiveness of the prostate cancer.
You are also responsible for the costs of the mp-MRI. They are not covered by statutory health insurance. In many cases, however, private health insurance companies are prepared to cover the costs.
The examination is performed on an outpatient basis. You are in a lying position and receive a contrast agent via the vein beforehand. This enables a precise visualization of the tissue.
As is usual with an MRI, the device works with a loud clicking noise. You will be given headphones to reduce the volume. During the examination, which lasts around 20-30 minutes, you will be in constant contact with the staff via an intercom system.
The radiology practice will ask you to bring any existing findings with you to the examination.
These include, for example
The creatinine laboratory value has nothing to do with your prostate, but indicates possible kidney restrictions. The contrast medium would be counterproductive in this case.
A radiologist (specialist in radiology) is responsible for evaluating and assessing the MRI images and making a diagnosis.
There is a magnetic field in the MRI itself. This requires you to remove all metal objects before entering the examination room.
This includes, for example
Your doctor will check for other possible exclusion criteria, such as the wearing of fixed dentures, pacemakers, surgical staples and similar items.
You do not need to do anything else after the examination. You can resume your normal daily routine immediately. The evaluation of the radiological examination will be sent to your attending physician, who will then discuss it with you.
Discussion of findings after prostate MRI @ RFBSIP /AdobeStock
The MRI examination itself is considered to be a particularly low-risk procedure. In very rare cases, minor complications are conceivable that may require further treatment.
These are primarily unproblematic and superficial irritations of the skin, which are usually associated with tattoos. Noises in the ear caused by the clicking sound are also rare, but usually subside quickly.
Hypersensitivity reactions in connection with the contrast medium are extremely rare. This may cause slight nausea, which disappears after a few hours. Very rarely, an allergic reaction to the contrast medium is possible. Specialist staff will recognize an allergic reaction immediately and treat it.
The high precision of this imaging procedure allows a reliable diagnosis to be made and, if necessary, tumors to be detected at a particularly early stage.
The earlier a finding is made, the faster treatment can be carried out. The prognosis for disease progression at an early stage is correspondingly positive.
Prostate MRI is a completely painless examination for suspected prostate cancer, for treatment planning and for monitoring the success of treatment.
It is performed on an outpatient basis and often avoids unnecessary biopsies as well as providing an extremely precise diagnosis.
The Leading Medicine Guide's quality assurance is ensured by the following acceptance prerequisites.
