Targeted Biopsy

[Scvol]

I live on the east coast of North Carolina. I’m looking for top choices of medical centers that conducts MRI targeted biopsies. I’ve been on active surveillance for 10 years but last three PSA tests have been rising. I’m currently being treated at Duke Medical but want to ensure best care for targeted biopsy.

[Tall_Allen]

Duke is excellent! Johns Hopkins has excellent radiologists.

[Scvol in reply to Tall_Allen]

Much thanks. Any recommendation for someone at Duke?

[Tall_Allen in reply to Scvol]

Sorry, I don't know their names.

[JVARA]

Have you changed your diet and life style .. it has a big impact on outcomes

[Scvol in reply to JVARA]

Thanks. Yes, been on the Mediterranean diet and exercise regularly.

[prostatelady]

For real time in-bore MRI guided targeted biopsy, try Dr. Dan Sperling (Delray Beach FL) or Dr. Busch (Atlanta GA). Both are highly experienced. Good luck!

[Scvol in reply to prostatelady]

Thanks much

[prostatelady in reply to Scvol]

I hope it helps. I did a lot of research and it appears that real-time MRI is more accurate than fusion-guided targeted biopsy. Also, in England they prefer transperineal targeted biopsy over transrectal. Best wishes for best outcomes.

[Scvol in reply to prostatelady]

Thanks. Really appreciate it

[gualala]

After my MRi, which showed a Pi-rads 2 and 3, and having watched a Dr. Scholz video, I wanted a targeted biopsy. Spoke with UCLA. and was told they would do a 20-core biopsy, if not more. Decided on UCSF, and was lucky enough to get Dr. Shinohara. He did a 20-core trans-perineal biopsy that showed lots of 4+3 PCa bilaterally.

I believe that a targeted biopsy may well miss PCa and you will end up having to do another biopsy. My suggestion: find the best urologist around and follow his advice.

[Scvol]

Thanks much. A great urologist is exactly what I’m looking for.

[Scooter22]

I had my sbrt treatment at Duke. Successful so far. They’ve been great.

[Scvol in reply to Scooter22]

Who is your urologist at Duke? Have you had biopsy at Duke? Thanks

[Scooter22]

Polascik was the Surgical Oncologist that performed my targeted biopsy, virtually painless. Lee is my radiation oncologist that performed sbrt. Hoimes was my medical oncologist that supervised adt treatment.

[Scvol in reply to Scooter22]

Appreciate it.