thank you

Thank you

excellent

Very well explained. Thank you!

The report says the prostate is a bit bigger than usual, but the PSA (Prostate-Specific Antigen) production of your prostate is normal. There's a described area that's likely a small inflammation in the prostate (subclinical prostatitis), and no serious prostate cancer is found. I suggest checking the PSA every year. If it's higher after one year, we should do another MRI. I can't really say how important these findings are because I don't know how good the MRI was and how skilled the radiologists who described it are. I hope this information is helpful. Kind regards, Jelle Barentsz Professor of Radiology Expert-Prostate-MRI

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.

Thank you very much sir.

Excellent explanation Doctor Barentsz. Thank you so much for your time.

Thanks, Dr. Barentsz

I loved this video. The explanation was beautifully written.

I had the needle biopsy last 5th of this month but not yet got an answer. Because they saw 2 tomur in my prostate with the prostate mri and had a bone scan too because they also saw one abnomality in my bone, I am worried and asking myself did my cancer if I have already metastisized? I had only 3.8 psa and I am 62 yrs this yr.

Great

Excellent video！

Enjoyed your presentation. Very informative. Thanks

Skill issue

Excellent video, thank you for sharing!

Thank you sir for sharing your knowledge to us.

nice talk to the point

Thank you sir.

Very nice 👌 thanks 🙏

We are close to the German border. Juist cross it and have your MRI 😉

Here's hoping the medical care providers embrace the advances in technology... Germany is still using Fax machines, CDs and endless amounts of paper. An excellent briefing and so well presented, many thanks.

Best presentation yet! Thank you.

clear concise. thank you!

Should stop anti coagulation medication @5:20, so its ok to stroke out just don't bleed out.

Surgery is what they want; How much is money, and how much, needing to train the next generation...? My experience was of serious emotional blackmail after I opted for wait 'n' see rather than a hospitalising biopsy; Finasteride wasn't mentioned 'till I'd refused TURPS 4/5 times! What I eat /drink makes a big difference...

An excellent presentation! Thank you very much!

Had bloodwork done and PSA was 3.4 and free psa was 12. Doc said my real psa was 6.8 because I use finasteride and it masks the real number. Had the MRI done and pirads is 2. Going to see urologist Thursday and not sure what to expect. Also, had two TURP procedures last November and everything is good now, waking up three times a night is no problem. Just unsure of what the next step is - my urologist was the surgeon.

Hal open the door

Excellent video, very informative.

I had an MRI , pirads 2 , didn’t make any difference to the clinician , his thoughts were “surgery, that would be my plan if I were you”! Then I watch this and see a pirads 2 is don’t even biopsy. So overservicing is still very real. Go figure.

I too struggled with an enlarged prostate twice a year, every year for over 10 years. I always knew when my prostate was getting enlarged and infected as it became painful to sit and urinate. A few days of antibiotics and I'd be good to go for a few more months... But then back in April of 2019, antibiotics wouldn't help and the pain in my rectum became more severe with each passing day. And with that, came frequent urination, constant dribbling and leg numbness. An MRI of my prostate then quickly followed by a biopsy revealed that I have an aggressive Gleason 7 prostate cancer... Its taken multiple surgeries, multiple ER visits for blockages, clots, infections, tears to save my life. You name it, its happened. But I'm still here! I even had an AUS implant installed last year and then had to have that removed a few months later as my body rejected it. As of today, I'm being told that I should have a bladder lift to control the incontinence. When does the bullshit ever end! Men need to be educated from an early age regarding prostate infections and prostate cancer. Men need to start getting a yearly PSA test after the age of 40, not 50. I've talked to men all over the world in my forum and the magic number seems to be in the 40ish range. I've also talked to quite a few that were in their 30s. Prostate cancer is not just an old man's disease anymore.

Wow , you were young !!!!!

Currently waiting for MRI results.. hoping to avoid a biopsy, struggling with an enlarged prostate for many years now ..

So promising a diagnostic tool. But since I have a pacemaker it is not available to me.

Transrectal biopsies are stupid. Why put poop into your prostate. I have had transperineally performed biopsies. Much safer.

link for Multi-parametric Prostate MRI using PI-RADS v 2.1: an Introduction talk kzfaq.info/get/bejne/g9iYo7GAzt26qKc.html

Good basic talk on nodal disease distribution and pathways of spread.

Thank you very much .

I wish you can share daily cases with us . I learned prostate MRI when I was a resident in 2008 , I found it daunting because of perfusion curves and spectroscopy !!!! drop it for a while , and now I am going back to reading it , sometimes can't be sure what to do with small stuff ??? I keep on record my cases and follow the path but unfortunately we don't do image fusion !!! no sure about the results !

Excellent . Thank you very much .

Just great!!

Merci . Très intéressant.