Another colossal game changer. At this time I am waiting to get a blood draw for a PSA follow-up after a high reading. My Uro is clearly blind-biopsy happy, which given my status (T1C/G6) is just ridiculous. When I suggested MRI-guided, she said that insurance may not cover it this soon. My first (and only) MP-MRI showed nada, just some BPH and prostatitis. The µ-U/S is a win-win because the Uro gets to do it in their office, they get paid for a biopsy (even if no samples are taken), and we avoid the gadolinium.
This link about micro-ultrasound is actually to a completely unrelated article on transperineal biopsies:
“Micro-ultrasound improves detection of clinically significant prostate cancer by 3-5% compared to MRI alone,” he said. (See more: 10.1001/JAMA.2025.3579)
Sorry. I was working on four stories at once and got my refernces messed up. Thanks for letting me know: https://jamanetwork.com/journals/jama/fullarticle/2831985
Another colossal game changer. At this time I am waiting to get a blood draw for a PSA follow-up after a high reading. My Uro is clearly blind-biopsy happy, which given my status (T1C/G6) is just ridiculous. When I suggested MRI-guided, she said that insurance may not cover it this soon. My first (and only) MP-MRI showed nada, just some BPH and prostatitis. The µ-U/S is a win-win because the Uro gets to do it in their office, they get paid for a biopsy (even if no samples are taken), and we avoid the gadolinium.
This link about micro-ultrasound is actually to a completely unrelated article on transperineal biopsies:
“Micro-ultrasound improves detection of clinically significant prostate cancer by 3-5% compared to MRI alone,” he said. (See more: 10.1001/JAMA.2025.3579)
I was going to comment on this but you beat me to it!