Multi-parametric MRI (mpMRI) of the prostate procedure
Prostate cancer: Early detection and diagnosis
In order to diagnose prostate cancer earlier and with greater precision, our team offers the most modern multi-parametric magnetic resonance imaging (mpMRI scan) of the prostate that is currently available. Using the technology of our 3 Tesla MRI system, the detection rate of patients with prostate cancer is over 90%. In contrast, the detection rate of a conventional biopsy without prior mpMRI is just 48%, according to the most recent study results. On the other hand, we can also safely exclude a clinically relevant prostate tumour in the event of a negative results thanks to our scan. This also means that, in the case of a suspicious increase in PSA level that is not caused by a cancerous prostate tumour, we can give you the necessary peace of mind that you are not suffering from prostate cancer.
Top quality thanks to specialisation
To be able to provide you with the best diagnostics possible, we have established a specialist centre for mpMRI of the prostate at the urology clinic in Planegg. At this branch of Conradia Radiologie München (ex. Diagnostik München), we are dedicating the lower ground floor of the urology clinic in Planegg specifically to mpMRI of the prostate, so that we are always able to offer you the newest technology and the best scientific expertise for a clear diagnostic picture of your prostate.
For you as patients our specialist centre dedicated to mpMRI of the prostate has the following key advantages:
- Extensive experience due to the high number of examinations performed
- The best medical expertise due to maximum focus on mpMRI of the prostate
- Newest scanning technology with MRI technologies optimised for the prostate specifically
- Scan without endorectal coil
- Structured diagnosis using the standardised PI-RADSv2 system according to the latest guidelines
- Interdisciplinary setting due to the location at the urology clinic in Planegg
Professor Henzler and Doctor Vag have achieved the highest level of qualification for the technical execution and evaluation of mpMRI of the prostate (special certification Q1 + Q2) issued by the German Roentgen Society.
Prostate mpMRI scan procedure
Before the scan the bladder should be emptied. There is no need for an endorectal coil due to our optimised scanning technology.
During the mpMRI scan the patient lies on a flat bed in a reclining position. The extra-wide tunnel opening of our MRI scanner is also extremely well-tolerated by patients with claustrophobia. During the scan an MRI contrast medium containing gadolinium will be injected through a vein in your arm. The contrast medium allows us to examine the flow of blood through the prostate tissue (known as perfusion). As prostate cancer displays enhanced and, over time, flow of blood, we are able to better differentiate tumours from other benign tissue changes by using a contrast medium.
- High-definition T2 imaging on 3 levels: Imaging of the anatomy of the prostate and its surrounding structures and conclusive sequencing for less common prostate cancers in the so-called transition zone.
- Diffusion-weighted imaging: Quantative imaging of the movement of water molecules in the tissue. As the free movement of water molecules is disturbed in the event of prostate cancer, this image sequence shows what is known as diffusion impairment. For the most common tumours in the peripheral zone of the prostate, this PI-RADSv2 criteria sequence is the most important sequence. For this reason, we use what are known as ultra-high b-values (measure of the strength of the difussion imaging) at our specialist centre. In order to achieve the best spatial resolution for this extremely important examination sequence, we use a novel zoom technology.
- Perfusion imaging: Image of the flood of blow through the tissues over time.
- T1 VIBE imaging: Image of the lymph nodes surrounding the prostate and detection of possible internal bleeding in the tissue.
The entire mpMRI scan takes about 30 minutes.
- Sichere Detektion und Lokalisierung von Prostatakarzinomen
- Planung der Gewebeentnahme (z.B. Bildgebung vor einer Fusionsbiopsie
- Vermeidung von unnötigen Biopsien und den damit verbundenen Risiken
- Auswahl der am besten geeigneten Therapieverfahren (OP, Bestrahlung, Active Surveillance)
- Ausschluss von Prostatakarzinomen durch sichere Abgrenzung gutartiger Vergrößerungen der Prostata (BPH) und entzündlichen Veränderungen der Prostata
- Active-Surveillance (aktive Überwachung) von Patienten mit einem niedrig-gradigen Prostatakarzinom (z.B. Gleason 3+3, 3+4)
- Verringerung des Upgradings nach Operation durch gezielte Planung der Gewebeentnahme
- Zweitmeinung vor Operation
- Therapiekontrolle und Nachsorge
- Rezidiv-Diagnostik (Wiederauftreten)
Should you have questions before an mpMRI scan of the prostate, please book an individual consultation appointment with Doctor Vag or one of the members of his team.