Prostate cancer diagnosis – an overview

Overview by Mr Hashim Ahmed

All our Consultants use the latest 3T MRI and template guided biopsy protocols for prostate cancer diagnosis, which are far in advance of standard TRUS biopsy.

3T MRI scan

Our Non-invasive Multiparametric 3T MRI scans and reports provide a picture of potential cancer lesions. For about a third of patients the MRI shows the chance of significant disease is so low that no further investigation is required.

3T MRI prostate cancer diagnosisNuada performs around 2,000 of these specialist scans a year, more than any other centre in the country.

Template Guided Biopsy

If your scan indicates the specific areas of concern on the scan, then our consultants will proceed with a state of the art template guided biopsy, this involves using the MRI results to accurately target and take samples from suspicious lesions. The transperineal method also allows for accurate testing of the anterior region of the prostate where 25-30% of tumours occur, this area cannot be reached by standard TRUS biopsies. The samples are taken through the perineum rather than the rectum so the chances of infection are considerably lower.

Prostate cancer treatment options

For all patients diagnosed with cancer, we hold a multi-disciplinary team meeting (MDM). The Consultants meet together to discuss and manage an individual patient’s diagnostic and treatment pathway so that the treatment options we propose are the most appropriate for that patient.

If cancer is detected by the biopsy, the severity can be accurately described. Very often the detected cancer areas are small and not that advanced and don’t require treatment. In this case the best course of action is active surveillance, that is keeping an eye on the detected areas through repeating the MRI and monitoring the PSA level.

Because we have such an accurate picture of the location and severity of the cancer, very often we can recommend non-invasive focal therapies such as HIFU and Cryotherapy. Because they are minimally invasive, these therapies have far less impact on quality of life than radical treatments. For example sexual function is much more likely to be preserved.

If the meeting concludes that the cancer is severe enough to warrant radical treatment, then we can offer radiotherapy as well as Robotic radical prostatectomy. The advantage of the robotic approach being that recovery times are much quicker and impact on quality of life and sexual function is improved over standard surgery.

If you have recently received a worrying PSA test result then call now for further information.

Watch a Video of Prostate Diagnostics

Watch a Video of MR Fusion

See example prostate cancer diagnosis reports using TGB