Your MD should have known better re the sequencing of multi-parametric MRI (mp-MRI) versus the timing of a biopsy (if indicated). It takes 5 weeks after a biopsy for any bleeding due to the biopsies to resolve. If the mp-MRI is done in a shorter interval of time it will compromise the interpretation of the study. Moreover, and this is important re a flaw in current care of men in such a context, many urologists use ultrasound to "target" the prostate and do not have the skill or the quality of equipment to target the lesions seen on ultrasound. Therefore, in such a situation many biopsies may miss prostate cancer (PC). The prostate MRI should not be confused with mp-MRI. These are not synonymous. The official report, and not the dummied-down patient version (DDPV) on so-called patient portals, should say: Multi-Parametric MRI. And the reading should relate to Prostate Imaging Reporting and Data System (PI-RADS) scoring of the study. Moreover, the strength of the MRI magnet, measured in Tesla units should be 3.0, and not 1.5.
Your gland size of 50cc is not very large pending your age. And yes, you are perfectly correct in calculating the PSA density (PSAD) = weight per unit volume or in this case PSA ÷ gland volume. The threshold of concern for PSAD is ≈ 0.15. Much lower PSAD readings are of less relative concern. The PSAD also correlates with volume of PC when PC is indeed present. The biopsies you had done would show chronic inflammation in the detailed description of the pathology report indicating that prostatitis is likely been or is still present.
Thank you Doctor! I just sent you a direct message.
