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Multiparametric Prostate MRI (mpMRI)

An advanced MRI method used to detect cancerous areas in the prostate.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Multiparametric Prostate MRI (mpMRI)?

Multiparametric prostate MRI (mpMRI) is an advanced imaging method that combines anatomical (T2-weighted) and functional (diffusion-weighted and dynamic contrast-enhanced perfusion) sequences.

PI-RADS v2.1 scoring grades the likelihood that a detected lesion represents clinically significant prostate cancer from 1 to 5. Biopsy is recommended for lesions with a score of 3 or higher.

Owing to its high negative predictive value, it helps avoid unnecessary biopsies, enables targeted sampling with MR-TRUS fusion biopsy, and contributes to treatment planning.

Symptoms

High or rising PSA
Suspicion of cancer despite a negative biopsy history
Need for staging
Active surveillance planning
Mapping before focal therapy
Suspected recurrence after radiotherapy
Lesion detection before biopsy

Risk Factors

Metallic implants (MRI-incompatible)
Claustrophobia
Renal failure (contrast agent)
Pacemaker (incompatible)
Active rectal pathology
Movement disorder
History of pelvic surgery

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Before biopsy decision in high PSA
  • Rising PSA despite previous negative biopsy
  • Follow-up during active surveillance
  • Surgery/radiotherapy planning
  • Suspected recurrence

Treatment Methods

01
mpMRI acquisition with standard protocol
02
PI-RADS scoring
03
Lesion mapping for targeted biopsy
04
Guidance of MR-TRUS fusion biopsy
05
Integration with radiotherapy/radical surgery for treatment planning
06
Use as a key tool in active-surveillance decisions

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Üroloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.