Radiologie Ottobrunn, München
Radiologie Ottobrunn - Die sanfte Diagnostik

Prostate Cancer Prevention

Prostate Cancer Prevention through Open High-field MRI (Magnetic Resonance Imaging)

Prostate carcinoma is the most frequent malignant tumour for men (approximately 50,000 new diagnoses per year).  Its origin is still largely unknown.

Treatment possibilities of prostate carcinomas have improved significantly over the last few years, therefore it can often be cured when detected early, and for less aggressive tumours, regular monitoring is sufficient.

When is a Prostate Cancer Screening advisable?

All men over 45 years of age should undergo an annual prostate screening.
At first a tactile examination is recommended, as well as the determination of the PSA (prostate-specific antigen) value. In many cases these tests are not sufficient; a Prostate MRI provides greater accuracy.
In particular a Prostate MRI is advisable for patients:

• with high PSA readings (over 4.0 ng/ml) or increasing PSA readings or unclear tactile
   results
• for exact planning of tissue sample (biopsy)
• where a tumour is suspected and a biopsy showed no tumour
• where prostate carcinoma is confirmed, for determination of the exact extent of the
   tumour
• who seek maximum certainty from screening
• to monitor therapeutic progress

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What possibilities are offered by a Prostate-MRI?

Radiology Ottobrunn, is the first clinic worldwide to offer High-field-MRI with spectroscopy in open MRI (without rectal coil).

More safety is offered by the combination of:
MR-Spectroscopy (MRS):
   it furnishes the proof of tumour metabolic products (chemical biopsy)
Diffusion Analysis (DW):
   Motion analysis of water molecules
Dynamic MRI with perfusion analysis (DCE):
   Measurement of blood flow

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How accurate is the Prostate MRI?

The combination of several measurements can increase diagnostic accuracy by over 90%.
Besides precise data on localization, size and expansion of tumours, it provides the grading (tumour stage) in terms of low, middle and high Gleason scores.
Biopsies can also be done in more targeted and deeper areas.
With lower gradings and observed behaviour, the testing process is reliable.
Diffusion measurement of the entire pelvis highlights all lymph nodes, so that these can be either observed during the treatment or be surgically removed, or be radiated.

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How will the examination be done?

The x-ray assistant positions the patient comfortably on the examination table, situating the area to be examined in a coil, which serves as a transmitter and receiver of radio waves.
Since the imaging sequences create considerable noise, the patient is fitted with a headset immediately before the start of the examination. An emergency ball is placed in the patient's hand, with which he or she can stop the examination instantly in case of an emergency. The patient and the x-ray technician can communicate by intercom at any time and the examination team always has full view of the patient.

The examination takes about 40 minutes.

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What preparation is required?

No specific preparation is necessary.

Before the examination you should drink as little as possible and avoid coffee, tea and nicotine.

At least 6 weeks should elapse between prostate biopsies.

Please bring with you to the screening preliminary results, lab reports, etc.

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