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  • PIRADS 4 - Prostate cancer - Inspire
    I had a Pirad 4 and Pirad 5 at the anterior location of the prostate, clinically very significant, likely cancerous This was a private MRI company, probably 1 5T, no contrast because the techs were (incompetent) and couldn't get an IV line in quickly and didn't want to wait - need those machines running for return on investment
  • PI-RAD score 4 - Prostate cancer - Inspire
    Eggener recommend that I go back to N O and have a fusion biopsy My original MRI report was two PIRADS 4 lesions I got UChicago to do a second read and they saw only one PIRADS 4, and nothing else The fusion biopsy hit the lesion (3 out of 6 cores in the lesion area) and pattern biopsy also turned up two other positive cores
  • MRI shows cancer PIRADS 5, but Biopsy negative? - Prostate cancer - Inspire
    Prostate measures: 4 1x3 3x4 8 Volume 32 5 cc Peripheral gland: In the right postero-lateral mid gland to base is a 1 8 x 1 9 x 1 0 cm low T2 area with marked restricted diffusion ADC 574 with extracapsular extension and abutment to right neurovascular bundle and probable infiltration to inferior aspect of the right seminal vesicle
  • PIRAD correlation to Gleason - Prostate cancer - Inspire
    jackjs Mar 4, 2021 • 12:37 AM Wierdwood, Does the heavy prostate massage that happens before a PCA3 test (i e , a digital rectal exam or steroids) also happen before an ExoDx test?
  • Question about my delayed follow up on mri exams - Prostate . . . - Inspire
    I did a 3t-MRI 2 5 years ago in 2017 after tested of an elevated psa at 5 6 The MRI result came back from two radiologists found a 5mm lesion in the peripheral zone rated Pirad 3 However a third radiologist who also reviewed the images saw another 5mm lesion and rated it as pirad 4 but with a high adt value of over 1200
  • Active Surveillance PiRads from 4 to 5 - Prostate cancer - Inspire
    Diagnosed April 2018, On AS -- Recently PSA went from 8 98 to 9 38 (10 months) and 3tMRI showed no change in lesion size, but PiRads went from 4 to 5 I have Gleason 3+4 in one spot with a Decipher test indicating a 3 5% chance of metastasis in 5 yrs My Urologist is "vert concerned about the "rising PSA" and the PiRads 4 going to PiRads 5
  • But with perineural invasion. . . . . . . . . . . . . . - Prostate cancer - Inspire
    Results came back as PiRad 4, one 7mm lesion noted Contained inside capsule Urologist wanted to do a ultrasound guided biopsy I declined and went for a 3rd opinion Feb 2019: Went to see Dr Joe Busch at The Busch Center in Alpharetta, Georgia A 3rd 3T mpMRI was performed which came back PiRad 4, Six total lesions found Dr
  • Nervous for my husbands mpMRI readings - Prostate cancer - Inspire
    This is the explanation of a PI-RAD 4 lesion from my MRI report: PI-RADS (4): High: clinically significant cancer is likely to be present You probably have the same explanation on your report You can certainly get the disk of your husband's MRI and get a second opinion
  • Pros and Cons of different procedures having Gleason 7
    The results came back and suggested a biopsy since I had a PIRAD 4 lesion on the right side of my prostate I had a second opinion done in the USA using a MRI which confirmed the PIRAD 4 on the right side, I decided to do a targeted biopsy and the results came back, I have Gleason 7 (3+4) on the right side, a lesion of 8 mm, 40% damaged
  • New prostate cancer diagnosis - Prostate cancer - Inspire
    Based on your PSA levels, biopsy results, Gleason grade, and MpMRI findings, it appears that you have a localized prostate cancer with a PIRAD 4 lesion Considering your high-risk Decipher score, radiation therapy may be a suitable treatment option for you Radiation therapy uses high-energy beams to target and destroy cancer cells in the prostate





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