MRI Fusion Prostate Biopsy

MRI Fusion Prostate Biopsy

Prostate Biopsy offer in Beverly Hills, Los Angeles

An MRI Fusion Prostate Biopsy is the most advanced prostate biopsy procedure to diagnose prostate conditions including Prostate Cancer and BPH. If you’re considering a MRI Fusion Biopsy, then chances are that you’ve already had Prostate Cancer Symptoms and you are looking to confirm if you actually have Prostate Cancer or another condition. MRI Fusion Biopsies can provide an accurate Prostate Cancer Staging with a higher accuracy than standard prostate biopsies.

If you’re at risk of or show signs of prostate cancer, a MRI Fusion Prostate Biopsy can rule out or diagnose it, so you can get the prompt treatment you need. At Comprehensive Urology in the Beverly Grove neighborhood of Los Angeles, California, Kiarash Michel, MD, and his expert urology team are highly skilled at completing prostate biopsies to make your experience comfortable and ensure accurate results. Schedule an appointment for prostate cancer screening by phone or online today.

Table of Contents

MRI Fusion Prostate Biopsy Q&A

What is a prostate biopsy?

A prostate biopsy is a diagnostic procedure in which your urologist takes a tissue sample from your prostate gland, which is the walnut-shaped gland that produces fluid to nourish and transport sperm. A biopsy helps your provider rule out or diagnose prostate cancer, which is the most common form of cancer (after skin cancer) among men.

Why might I need a MRI Fusion Prostate Biopsy?

Your urologist might recommend you undergo a prostate biopsy to detect prostate cancer if results from a 4Kscore® genetic test, prostate-specific antigen (PSA) blood test, digital rectal exam, a special type of a prostate MRI called multiparametric MRI of the prostate or the previous biopsy reveals you’re at risk of prostate cancer. Signs and symptoms of prostate cancer include:

  • A decreased urine force
  • Trouble urinating
  • Blood in semen
  • Bone pain
  • Pelvic discomfort
  • Erectile dysfunction

As noted, your doctor might complete a multiparametric MRI of the prostate gland to examine your prostate’s anatomy more accurately and identify abnormalities.

What happens during the procedure?

Follow all pre-procedure instructions before your scheduled biopsy. Stop taking certain medications, use a cleansing enema, and take antibiotics before the procedure if your doctor recommends it. Comprehensive Urology offers custom antibiotic profiling to optimize your outcome. Your urologist gives you a sedative to help you relax just before the biopsy.

During the procedure, they numb the treatment area and insert a needle into your rectum wall to extract prostate cells for testing. MRI fusion biopsies help your urologist achieve optimal precision and accuracy. They may take 10-12 tissue samples and send them to a lab for analysis. Your prostate biopsy might last about 15 minutes and is typically completely painless.

What should I expect after a prostate biopsy?

After a prostate biopsy, take it easy for about 24-48 hours. Your urologist might recommend you take an antibiotic. You may experience slight rectal bleeding, mild soreness, rust-colored semen, or blood in your stool or urine for a few days.

The Comprehensive Urology team often receives lab results from your biopsy within just a few days. They let you know if you have prostate cancer and its severity, and discuss treatment options with you.

Learn more about prostate biopsy near me today.

Enhanced Prostate Imaging Techniques


MRI Fusion Biopsy

The board certified and award winning team of prostate cancer specialists at Comprehensive Urology uses an enhanced imaging and diagnostic technique known as MRI fusion biopsy. Because cancer tumors are not always detectable on ultrasound exams alone, MRI (magnetic resonance imaging) screenings can provide more detailed results. An MRI fusion biopsy goes a step further than the regular test. It merges the images and data from an ultrasound and MRI screening to offer urologists a more precise, accurate view of the prostate and more specifically the size, location, and severity of the tumor.


Prostate Cancer Specialists in Los Angeles

The expert urologists at Comprehensive Urology in Los Angeles are industry leaders in prostate cancer diagnosis and treatment. They operate on the philosophy that every patient is unique and one size does not fit all when it comes to treatment and care.

Patients can expect individualized, comprehensive exams and evaluations to determine the treatment plan most appropriate for their situation. Determining the right stage and grade of prostate cancer tumors is very important in devising an adequate treatment plan for each patient, and the state-of-the-art tools available at Comprehensive Urology help to yield clearer and more accurate results than ever before.


Ultrasound Guided Biopsy

MRI machine for MRI Fusion Prostate Biopsy


Traditionally, a urologist performs a prostate biopsy through the use of an ultrasound probe into the patient’s rectum. As the prostate is found in front of the rectum, this allows the prostate to be seen and evaluated during the procedure. With the guidance of the ultrasound probe, the prostate can then be biopsied.

While these techniques have allows for urologists to provide needed help, the most important advances in prostate biopsies have been through consistently improving imaging technology. MRI imaging advancements now allow the team at Comprehensive Urology to identify many prostate cancers with unprecedented accuracy.


Ultrasound Prostate Biopsy vs MRI Fusion Biopsy

During an actual prostate biopsy, however, ultrasound (not MRI) is used to guide the urologist. The difficulty to date has been how to translate the information from an MRI to the urologist who is using an ultrasound to perform the biopsy.

Advances in medical imaging technology now allow us to use the MRI images and overlay them on the ultrasound images in real time (MRI fusion biopsy). That means that we are able to use the MRI as a real-time map when doing an ultrasound evaluation of the prostate. We are therefore no longer performing relatively blind biopsies, but in fact are able to have very targeted, precise prostate samplings.

This technological advance has been revolutionary. At the time of the biopsy, we can now see the lesions and accurately biopsy them. This leads to more precise diagnoses and fewer repeat biopsies for patients.

The following are some examples of how an ultrasound biopsy can easily miss significant prostate cancers:

1. By missing the actual mass of the cancer and only hitting the side of the cancer, doctors can be fooled in to believing that the cancer is quite small when in reality it is quite sizable and potentially life-threatening.

2. Depending on the location of the prostate cancer or the size of the cancer, an unguided biopsy can miss the cancer altogether. In this situation, a patient is erroneously told that they are cancer-free while there is a dangerous cancer growing in their prostate, unknowingly. These lesions will typically present in a much more advanced stage where the overall prognosis for patient can now be quite limited. The importance of an MRI fusion biopsy cannot be overstated.


MRI Fusion Prostate Biopsy

Prostate cancer is a disease which has many treatment methods, but patients must be very careful when selecting a treatment option that is suitable for them. Many factors go into deciding the proper form of therapy, including a patient’s age, the extent of his cancer, its level of aggression, and more.

Before determining a treatment method, however, patients need to ensure that their cancer is properly identified and diagnosed. MRI fusion target biopsies are a new, state-of-the-art procedure that can easily identify men who should be treated for prostate cancer.

Middle aged couple sitting on a dock

A biopsy is a method which is used to identify prostate cancer in men. During a traditional biopsy, a tiny needle is used to remove tissue samples from the prostate gland. After these tissues are removed, the samples are studied underneath a microscope and evaluated for any abnormalities that could signify the presence of cancer.

However, due to the nature of the procedure, the results of biopsies have been less-than-ideal. Because biopsies are performed without a clear visual on the prostate gland, it’s impossible to accurately discriminate between the benign and cancerous areas of the prostate, leading to false-negative results and necessitating more biopsy procedures.


How MRI Targeted Biopsies Work

An MRI targeted biopsy removes all the guesswork present in traditional biopsies. During an MRI targeted biopsy, prostate cancer specialists use MRI (magnetic resonance imaging) and ultrasound images to be more comprehensive and effective than traditional measures.

When performing an MRI targeted biopsy, specialists use magnetic resonance imaging to create a 3D image of a patient’s prostate. This image is then superimposed onto the ultrasound image, allowing the specialists to easily identify cancer cells and differentiate them from normal, healthy cells. Once the cancer cells have been identified, a biopsy is performed. A needle is inserted directly into the cancerous region of the prostate (no guesswork is required) and tissue samples are taken from the gland.

MRI target biopsies have made prostate cancer identification much more accurate and comprehensive. Prior to the advent of target biopsies, an estimated 38% of cancer cases were misidentified by traditional biopsy procedures. Since prostate cancer is best treated early, proper identification is incredibly important when treating the disease.


Frequently Asked Questions


What can I expect after my prostate biopsy?

Patients can expect to resume normal activity within 24 following their biopsy. In this time period, certain patients may experience blood in their urine, though this is common and will naturally resolve itself. After a patient’s tissue samples are reviewed by a pathologist, a prostate cancer specialist such as Dr. Michel will speak with the patient and go over additional care and treatment plans if necessary.


How long is an MRI Fusion Prostate Biopsy?

In most cases, an MRI targeted biopsy is performed in under an hour, usually 30-45 minutes.


Why is an MRI targeted biopsy better than a normal prostate biopsy?

Normal biopsies are performed using an ultrasound to help guide the biopsy needle into the prostate gland. However, when only using an ultrasound, prostate cancer specialists cannot determine the difference between healthy cells and cancerous cells. As a result, many biopsies come back negative even though cancer is present within the prostate gland. Patients may have to undergo multiple biopsies before the cancer is properly identified.

An MRI targeted biopsy, on the other hand, fuses ultrasound technology with MRI technology, creating a 3D model of the prostate that easily distinguishes between healthy and cancerous cells. Because there is no guesswork in an MRI targeted biopsy, the results are more accurate, allowing for proper treatment to begin almost immediately.


Who should get a MRI Fusion Biopsy?

Men with elevated PSA (prostate-specific antigen) should receive an MRI targeted biopsy. A high PSA level is indicative of prostate cancer, and an MRI targeted biopsy can successfully diagnose the cancer. As with all forms of cancer treatment, a patient should consult with their doctor before engaging in any form of treatment or therapy. Be sure to remember to get your annual PSA checked which you can schedule using our online form.

Kia Michel, MD

Kia Michel, MD

Written by Dr. Kia Michel, a board certified urologist, surgeon, and founding member of Comprehensive Urology in Beverly Hills, Los Angeles. Dr. Michel's expertise includes focal therapy (HIFU/TULSA), prostate cancer treatment, robotic surgery, and male enhancement treatments such as Shockwave Therapy for ED and penile injections.

Dr. Michel's Bio