Candidates for MRI-S

• Men who want to find prostate cancer that can’t be detected with a digital exam or ultrasound with biopsy
• Men who want to avoid a biopsy including men with a PSA value between 1.0-4.0 ng/ml (70-80% of prostate biopsies are negative)
• Men who want to avoid a biopsy who understand that a biopsy procedure can spread cancer beyond the prostate
• Men who have a PSA value in excess of 1.0 ng/ml, with a family history of prostate cancer
• Men who have had a persistently high PSA value with or without a negative biopsy
• Men with an elevated PSA (greater than 4.0 ng/ml), who have never had a biopsy but choose to improve the odds of finding a cancer if present, (only 20-30% of all prostate biopsies traditionally performed yield a cancer)
• Men who choose to monitor a low level of prostate cancer and live with the disease; similar to men living with arthritis or diabetes, without the risk of impotency or incontinence
• Men who have experienced a biopsy one or more times and want to improve the sensitivity of diagnosis for cancer, if present
• Physicians who want to localize prostate cancer so that fewer biopsies are required, when either a nodule and/or PSA suggests suspicion
• Patients who elect to choose a comprehensive, conservative alternative to repeat biopsies when they receive the diagnosis of High Grade Prostatic Intra-Epithelial Neoplasia (HGPIN)
• Patients (and physicians) who want to evaluate the true extent of the disease when a prostate biopsy is positive
• Men who have a Rising PSA following Brachytherapy
• Men who have a Rising PSA following IMRT
• Men who have a Rising PSA following HDR
• Men who have a Rising PSA following External Beam Radiation
• Men who have a Rising PSA following Cryosurgery
• Men who have a Rising PSA following HIFU
• Men who have a Rising PSA following Radical