Introduction to Prostate MRI and PI-RADS: Approach and Principles

Рет қаралды 159,793

Күн бұрын

Access our MRI and CT case-based courses at navigatingradiology.com, which include fully scrollable cases, walkthroughs of imaging findings, and comprehensive reviews of basic and more advanced imaging studies.
This will give you what you need to start looking at prostate MRI studies.
Protocol 5:42
Anatomy 9:51
Benign Findings 18:56
PI-RADS 23:24
Approach 36:04
Cases 40:46

Пікірлер: 90

@waqaardiwan9197 3 жыл бұрын

i dont know if you fully understand what you are contributing to our field... but you are doing unbelievably great work and i hope you continue to produce these videos. you are the sal khan of radiology! clear, concise, thorough, digestible.

@navigatingradiology 3 жыл бұрын

Protocol <a href="#" class="seekto" data-time="342">5:42</a> Anatomy <a href="#" class="seekto" data-time="591">9:51</a> Benign Findings <a href="#" class="seekto" data-time="1136">18:56</a> PI-RADS <a href="#" class="seekto" data-time="1404">23:24</a> Approach <a href="#" class="seekto" data-time="2164">36:04</a> Cases <a href="#" class="seekto" data-time="2446">40:46</a>

@janetw9430 9 ай бұрын

Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3. 9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion is noted. PSA is 4.86.

@coldmagnet 2 жыл бұрын

You are doing saintly work! Think of all the lives you are impacting by training the next generation of radiology professionals!

@christopherdesimone206 2 жыл бұрын

Highly in agreement with you.

@jatinderkumar5864 2 жыл бұрын

Thanks a lot. I wish we had similar exhaustive lectures on other topics as well. It's a gem !

@savored Жыл бұрын

As an r2 radiology resident, this is quite amazing! great great work! saving me on body mri rotation rn

@tessavanginkel6359 3 жыл бұрын

THE tutorial on prostate MRI that i have been wanting for years! Thank you so much!

@douglaswatt1582 Жыл бұрын

Super helpful for those of us coming from another clinical field. Lucid and comprehensive

@cherukuri20 3 жыл бұрын

This is a very elegantly done and useful video.

@epitomeofsuave 2 жыл бұрын

Excellent video communicated all important parts extremely well. With cases at the end to enhance learning.

@kevinericsantos4689 2 жыл бұрын

Excellent lecture! Will recommend this video to my colleagues!

@sadiaimam2195 2 ай бұрын

Thank u sir for your very nice presentation.

@user-rd3pv4sv3i Жыл бұрын

I love Sanjay, you taught me what 100 radiologists could not even spell. Thank you

@eddiegardner8232 2 жыл бұрын

Thank you so much. Now I understand what I am seeing on my own MRI images and can see how the pathologist categorized my prostate lesion. Now if I can figure out what is the “small inguinal hernia” he mentioned as an aside, I will understand everything he said. Your video is the absolute best source I have found for understanding a prostate MRI and the reality of what it implies. Next stop: a focal fusion biopsy to get a Gleason number for it, and then treatment.

@navigatingradiology 2 жыл бұрын

Best of luck - hoping for the best for you

@mtsai78 2 жыл бұрын

Would be very interested in your biopsy/treatment outcome. Thanks

@eddiegardner8232 2 жыл бұрын

1.6 cm Gleason 4+5 apical left-side anterior transition zone lesion. Elected for robotic prostatectomy; was completed on October 5, 2021, including ePLND on left side and standard PLND on right side (benign). Negative margins, bilateral nerve sparing, bladder neck sparing. Unfortunately a single 3mm lymph node with 1mm of cancer was found on ePLND side. Currently PSA

@mtsai78 2 жыл бұрын

@@eddiegardner8232 Thanks for sharing. Wish you best luck Feb. 16.

@HuskyRadiologist 8 ай бұрын

great introduction to the multiparametric prostate MR.. many thanks!!!!

@Idahomie 3 жыл бұрын

thx for your time and effort in this excellent presentation.

@venkadaba5359 3 жыл бұрын

Excellent presentation! Very clear.

@apoptosis9966 9 ай бұрын

Very clear and detailed explanation. Thank You!

@mtsai78 2 жыл бұрын

Excellent tutorial MRI PCa video. Thanks

@silvershadowbd 3 жыл бұрын

clear and informative. excellent. thank you very much!

@nwmw1988 9 ай бұрын

Superb lecture, Prostate reporting cannot be made clear than this, Thank you very much for the superb lecture...l!

@352marshall 3 жыл бұрын

Spot-on review! Subscribed! Cheers to Navigating Radiology team

@unimahesasari4088 3 жыл бұрын

What do people who have stage 4 prostate cancer experience, and what type of treatment do they undergo? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio

@real.knowledge Жыл бұрын

Exceptionally nice presentation. Being Urologist, I am really benefited from your session. May Allah bless you.

@rishavprasad8314 3 жыл бұрын

You are a GEM sir!!!

@invisible5566 9 ай бұрын

Great video that helped me understand many aspects of prostate MRI, please keep posting 🤝🙏

@nutellapringles 3 жыл бұрын

Smooth video! Thanks.

@bhaweshkumaryadav1050 Ай бұрын

Wow great job 😊

@dr.anjuverma4215 Жыл бұрын

Love your videos... Doing great work... Please keep it up 👍

@samvelnikoghosyan2628 Жыл бұрын

Excellent lecture, great thanks

@madhuguptan3209 Жыл бұрын

Excellent lecture Sir!

@yusuflawal2293 Жыл бұрын

Awesome 👌 🆒️, many thanks for the very educative video 📹

@salahuddinahmedsohan1878 Жыл бұрын

Absolutely amazing... Keep up the good works pls...

@darshanilakmali3523 Жыл бұрын

❤️

@leekenjuy 3 жыл бұрын

Hooray, a new tutorial!

@tikaantikasagita5009 3 жыл бұрын

Does drinking a lot of water provide for good prostate health? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio

@stefanocapra1197 4 ай бұрын

GREAT WORK, THANKS!

@InfinityFishing Жыл бұрын

Thank you for this tutorial , being completely honest yours' one of the best radiology channels out there and you have very good teaching skills. a bit late discovery for me but i start watching all of your videos, most i dont need but it is always better to go over even basic elements

@andydoc4522 6 ай бұрын

BEST VIDEO ON PROSTATE MRI

@arshiahmed5414 Жыл бұрын

Excellent lecture.

@fuatdede4500 3 жыл бұрын

It was really understandable even for non-radiologist physicians, thank you very much. What do you think about PSMA PET / MR? I think it will be useful to look at the PI-RADS approach from a different perspective. As is known, it is possible to specifically visualize primary tumors with Gleason score of 7 and higher with PSMA PET. Have you had experience? As far as I know there is no video on this subject yet. If you have the opportunity to prepare, it will be very enjoyable to watch this title on your youtube channel. Best wishes.

@parthomukherjee6242 Жыл бұрын

Amazing Video!

@ukdhillon 3 жыл бұрын

Amazing review!

@vinasaripaheri7691 3 жыл бұрын

How similar are the mechanisms behind histopathological upgrading and biochemical recurrence in prostate cancer? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio

@susu7683 2 жыл бұрын

Thanks a lot, v well explained

@k4400559 2 жыл бұрын

Excellent lecture

@MrYttrium99 3 жыл бұрын

Great video, thnx for share

@prakashrana1404 Жыл бұрын

amazing lecture sir :D

@uroTV 3 жыл бұрын

Fantastic.

@thusharaweerakoon3451 Жыл бұрын

Very impressive clarification...thanks sir......pls mention parameters of axial T2 sequence.

@shanighias 3 жыл бұрын

Very excellet lecture

@SurendraYadav-mh2du Жыл бұрын

brilliant, thanks

@pragyamishra9226 2 жыл бұрын

Excellent

@bapumishra1 3 жыл бұрын

Very nice

@jtlang3138 2 жыл бұрын

thanks a lot

@MrRambee 3 жыл бұрын

NICE!!!!!!!!!!!!!!!

@drabhib Жыл бұрын

Thanks!

@ashrafeissa5766 2 жыл бұрын

Thank you too much I want to ask we can do pelvic mri for prostate without endorectal coil by 1.5 tesla

@meghanabathini6267 2 жыл бұрын

Thank you

@kuba4010 Жыл бұрын

Thank you

@mrd4292 3 жыл бұрын

Fabulous

@Gray_lyf 7 ай бұрын

Thanks😊

@xray3044 2 жыл бұрын

謝謝！

@user-py6zc7zm1b 3 ай бұрын

Very nice. Are you sure that mesorectal nodes are still regional?

@jimjohngirard Жыл бұрын

MRI failed me. Had a 3T MRI that identified a PIRADS4 lesion, "Clinically significant disease likely". Then, had a MRI / TRUS fusion biopsy. 3 targeted on identified PIRADS4 lesion and 12 cores taken in systematic sampling. The PIRADS lesion was benign prostate tissue, but, the systematic 12 core biopsy found Gleason 3+4=7, intermediate Pca in the right APEX...MRI missed it altogether. So, it is not infallible. A good tool. Had PSMA ga68 CT/PET Scan showing no metastasis outside the gland. I'm not on the 3rd of 28 IMRT radiation treatments for a curative outcome.

@janetw9430 9 ай бұрын

@altafhossainriad4751 4 ай бұрын

Why T2 is the primary sequence for TG lesion and DWI for PZ lesion?

@BannedG Жыл бұрын

So how do you divide the base, mid gland and Apex?

@rp6403 Жыл бұрын

At what level does base and mid gland differentiates

@nohaal-shehri4758 Жыл бұрын

So what is the mean reason to use dynamic study instead of push only of contrast

@sakshiagarwaal3557 3 жыл бұрын

What is the normal prostate volume. How we divide into mild , moderate And severe. On usg and mri ?

@martinjamts4086 2 жыл бұрын

Si if i háve 3/4 in PZ, and chronic prostatisis.. I dont have to go to biopsy?

@dennismyl6686 6 ай бұрын

Is this a 3.0t or 1.5T? If I were to choose, would the results of a 1.5T be sufficient for a urologist to diagnose my problem of hematospermia?

@clc-gl4jn 3 жыл бұрын

Do ejaculatory duct obstructions come up on an MRI?

@pointnorth2456 2 ай бұрын

Is the MRI a good instrument to study the prostate for cancer or any other illnesses. One doctor said is not accurate.....he said ultrasound is better. My urologist requested an MRI in Toronto

@MR..181 3 жыл бұрын

Do surgeon refferals pay?

@Shiva77686 7 ай бұрын

What is I'll defined t2 hypointense area bilateraly in Centra zone what this could be

@RKV545 Жыл бұрын

what is the role of MRI SPECTROSCOPY

@johndemerse9172 2 жыл бұрын

PIRAD 5 is not always significant cancer.

@dickinson9200 8 ай бұрын

Can I avoid a biopsy and only do MRI to detect prostate cancer. Some urologist want to do a biopsy and most of them force to do a biopsy. Patients prefer a MRI instead