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Clarity before the biopsy. Assessed by the PI-RADS standard.
An elevated PSA value alone says little about the cause – a benign enlargement or an inflammation can raise it too. Multiparametric MRI images the prostate without X-rays and makes suspicious areas visible in a targeted way – the basis for a targeted rather than a blind biopsy.
Before a biopsy is due, MRI clarifies whether and where a suspicious area exists at all – an established part of the work-up according to the current S3 guideline.¹
Early prostate cancer rarely causes symptoms. Signs such as blood in the urine (haematuria) or in the semen (haematospermia) usually have harmless causes, but should be evaluated by a urologist.
New complaints when passing urine or unusual pain in the pelvis are likewise usually harmless, but should be investigated. If a biopsy is then being considered, mpMRI helps to proceed in a targeted rather than blind manner.⁵
With a known low-risk finding, MRI allows radiation-free observation over time – often the basis for postponing or avoiding an intervention.
Multiparametric MRI (mpMRI) is one examination that combines several imaging techniques into a single picture and is assessed in a structured way according to the international PI-RADS standard. The following sequences are its building blocks – not separately selectable procedures.
High-resolution anatomical images show the zones of the prostate in fine detail – the basis for assessing the gland cleanly, layer by layer.
Makes differences in tissue density visible – a particularly sensitive parameter for assessing conspicuous areas, complemented by the ADC map.
The dynamic acquisition shows the perfusion behaviour of the tissue – a complementary building block of the multiparametric assessment.
All sequences come together in a structured assessment according to PI-RADS 2.1² – with clear classification of each lesion and a comprehensible recommendation.
A finding is not a verdict. It is the beginning of a conversation.
Conveniently online or by phone – you receive an appointment promptly through our friendly reception.
The scan is performed in a modern, open and short MRI – comfortable even with claustrophobia. The contrast agent is given via an arm vein.
You receive a detailed PI-RADS report and a personal discussion of the next steps – in coordination with your urologist.
Physicist and radiologist – combining medical and technical expertise for precise imaging and personal care.
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Prostate cancer is the most common cancer in men in Germany – in 2023 alone around 79,600 new cases were registered, and around 15,000 men die from it each year.³ An elevated PSA value alone, however, says little about the cause: a benign enlargement or an inflammation can raise it too. Multiparametric MRI is an established part of primary diagnostics according to the current S3 guideline¹ and combines T2, diffusion and contrast sequences into a structured assessment according to PI-RADS 2.1.² This makes suspicious areas visible in a targeted way – the basis for a targeted rather than a blind biopsy and, in many cases, for a well-founded decision against an unnecessary intervention.⁴ Whether mpMRI makes sense in your case is something we clarify together and in coordination with your urologist.