When is multiparametric MRI of the prostate useful?

• When there is clinical suspicion of prostate cancer (for example with elevated PSA), but biopsy of the prostate was negative; in order to eliminate doubt about the presence or absence of a tumour. In effect, we are able to answer the question: “Is there a tumour?”.
• When it is necessary to be sure about where a lesion is located in the prostate gland, in order to target of a biopsy on it, for example. In effect, we are able to answer the question: “Where is the tumour located?”.
• When biopsy has yielded the diagnosis of a clinically significant tumour that is suitable for robotic surgery, in order to indicate to the surgeon which of the nerves in the prostatic plexus can be spared. In effect, we are able to answer the question: “Can the nerves be spared?”.
• When prostatic biopsy has yielded the diagnosis of a low-risk tumour and the patient does not require any treatment, in order to monitor clinical parameters of the tumour and to intervene if they become unfavourable. In effect, we are able to answer the question: “Has the tumour become aggressive?”.

Is multiparametric MRI of the prostate safe?

• Yes, the examination does not expose the patient to ionizing radiation.

Is multiparametric MRI of the prostate an invasive exam?

• Absolutely not. At IEO, the exam is performed without the use of an endorectal coil and currently has a duration of less than 30 minutes.