Introduction to Prostate MRI and PI-RADS: Approach and Principles

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  • Опубліковано 15 січ 2025

КОМЕНТАРІ • 99

  • @navigatingradiology
    @navigatingradiology  5 місяців тому +7

    Our MRI Prostate case-based course at navigatingradiology.com includes 25 prostate MR cases (full DICOMs) to practice with, and includes walkthroughs of imaging findings and key teaching points!

  • @waqaardiwan9197
    @waqaardiwan9197 4 роки тому +62

    i dont know if you fully understand what you are contributing to our field... but you are doing unbelievably great work and i hope you continue to produce these videos. you are the sal khan of radiology! clear, concise, thorough, digestible.

  • @coldmagnet
    @coldmagnet 2 роки тому +7

    You are doing saintly work! Think of all the lives you are impacting by training the next generation of radiology professionals!

  • @EnterprisePortals
    @EnterprisePortals Рік тому +3

    I love Sanjay, you taught me what 100 radiologists could not even spell. Thank you

  • @jatinderkumar5864
    @jatinderkumar5864 3 роки тому +8

    Thanks a lot. I wish we had similar exhaustive lectures on other topics as well. It's a gem !

  • @rsak91068
    @rsak91068 25 днів тому

    Thank you for a very specific and comprehensive narrative. Helps us interpret our MRI results and conclusions. Thank you so much for helping us understand.

  • @navigatingradiology
    @navigatingradiology  4 роки тому +39

    Protocol 5:42
    Anatomy 9:51
    Benign Findings 18:56
    PI-RADS 23:24
    Approach 36:04
    Cases 40:46

    • @janetw9430
      @janetw9430 Рік тому

      Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you
      Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with
      estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3.
      9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left
      peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal
      on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion
      is noted. PSA is 4.86.

  • @tessavanginkel6359
    @tessavanginkel6359 4 роки тому +14

    THE tutorial on prostate MRI that i have been wanting for years! Thank you so much!

  • @savored
    @savored Рік тому +4

    As an r2 radiology resident, this is quite amazing! great great work! saving me on body mri rotation rn

  • @xray3044
    @xray3044 2 роки тому

    謝謝!

  • @drabhib
    @drabhib 2 роки тому

    Thanks!

  • @real.knowledge
    @real.knowledge 2 роки тому +1

    Exceptionally nice presentation. Being Urologist, I am really benefited from your session. May Allah bless you.

  • @epitomeofsuave
    @epitomeofsuave 3 роки тому +4

    Excellent video communicated all important parts extremely well. With cases at the end to enhance learning.

  • @douglaswatt1582
    @douglaswatt1582 2 роки тому

    Super helpful for those of us coming from another clinical field. Lucid and comprehensive

  • @nwmw1988
    @nwmw1988 Рік тому +1

    Superb lecture, Prostate reporting cannot be made clear than this, Thank you very much for the superb lecture...l!

  • @cherukuri20
    @cherukuri20 4 роки тому +3

    This is a very elegantly done and useful video.

  • @kevinericsantos4689
    @kevinericsantos4689 3 роки тому +1

    Excellent lecture! Will recommend this video to my colleagues!

  • @eddiegardner8232
    @eddiegardner8232 3 роки тому +8

    Thank you so much. Now I understand what I am seeing on my own MRI images and can see how the pathologist categorized my prostate lesion. Now if I can figure out what is the “small inguinal hernia” he mentioned as an aside, I will understand everything he said. Your video is the absolute best source I have found for understanding a prostate MRI and the reality of what it implies. Next stop: a focal fusion biopsy to get a Gleason number for it, and then treatment.

    • @navigatingradiology
      @navigatingradiology  3 роки тому +5

      Best of luck - hoping for the best for you

    • @mtsai78
      @mtsai78 3 роки тому +2

      Would be very interested in your biopsy/treatment outcome. Thanks

    • @eddiegardner8232
      @eddiegardner8232 3 роки тому +2

      1.6 cm Gleason 4+5 apical left-side anterior transition zone lesion. Elected for robotic prostatectomy; was completed on October 5, 2021, including ePLND on left side and standard PLND on right side (benign). Negative margins, bilateral nerve sparing, bladder neck sparing. Unfortunately a single 3mm lymph node with 1mm of cancer was found on ePLND side. Currently PSA

    • @mtsai78
      @mtsai78 3 роки тому +3

      @@eddiegardner8232 Thanks for sharing. Wish you best luck Feb. 16.

  • @HuskyRadiologist
    @HuskyRadiologist Рік тому

    great introduction to the multiparametric prostate MR.. many thanks!!!!

  • @Idahomie
    @Idahomie 4 роки тому +3

    thx for your time and effort in this excellent presentation.

  • @352marshall
    @352marshall 4 роки тому +2

    Spot-on review! Subscribed! Cheers to Navigating Radiology team

    • @unimahesasari4088
      @unimahesasari4088 4 роки тому

      What do people who have stage 4 prostate cancer experience, and what type of treatment do they undergo? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio

  • @invisible5566
    @invisible5566 Рік тому

    Great video that helped me understand many aspects of prostate MRI, please keep posting 🤝🙏

  • @InfinityFishing
    @InfinityFishing 2 роки тому +2

    Thank you for this tutorial , being completely honest yours' one of the best radiology channels out there and you have very good teaching skills. a bit late discovery for me but i start watching all of your videos, most i dont need but it is always better to go over even basic elements

  • @dr.anjuverma4215
    @dr.anjuverma4215 Рік тому

    Love your videos... Doing great work... Please keep it up 👍

  • @apoptosis9966
    @apoptosis9966 Рік тому

    Very clear and detailed explanation. Thank You!

  • @fuatdede4500
    @fuatdede4500 4 роки тому +8

    It was really understandable even for non-radiologist physicians, thank you very much. What do you think about PSMA PET / MR? I think it will be useful to look at the PI-RADS approach from a different perspective. As is known, it is possible to specifically visualize primary tumors with Gleason score of 7 and higher with PSMA PET. Have you had experience? As far as I know there is no video on this subject yet. If you have the opportunity to prepare, it will be very enjoyable to watch this title on your youtube channel. Best wishes.

  • @scoot77777
    @scoot77777 6 місяців тому +1

    Very informative! Thank you 🙏😊

  • @andydoc4522
    @andydoc4522 Рік тому

    BEST VIDEO ON PROSTATE MRI

  • @rishavprasad8314
    @rishavprasad8314 4 роки тому +2

    You are a GEM sir!!!

  • @venkadaba5359
    @venkadaba5359 3 роки тому +1

    Excellent presentation! Very clear.

  • @leekenjuy
    @leekenjuy 4 роки тому +3

    Hooray, a new tutorial!

    • @tikaantikasagita5009
      @tikaantikasagita5009 4 роки тому

      Does drinking a lot of water provide for good prostate health? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio

  • @madhuguptan3209
    @madhuguptan3209 Рік тому

    Excellent lecture Sir!

  • @mtsai78
    @mtsai78 3 роки тому

    Excellent tutorial MRI PCa video. Thanks

  • @ukdhillon
    @ukdhillon 4 роки тому +3

    Amazing review!

    • @vinasaripaheri7691
      @vinasaripaheri7691 4 роки тому

      How similar are the mechanisms behind histopathological upgrading and biochemical recurrence in prostate cancer? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio

  • @salahuddinahmedsohan1878
    @salahuddinahmedsohan1878 Рік тому

    Absolutely amazing...
    Keep up the good works pls...

  • @arshiahmed5414
    @arshiahmed5414 Рік тому

    Excellent lecture.

  • @prakashrana1404
    @prakashrana1404 Рік тому

    amazing lecture sir :D

  • @samvelnikoghosyan2628
    @samvelnikoghosyan2628 2 роки тому

    Excellent lecture, great thanks

  • @sadiaimam2195
    @sadiaimam2195 8 місяців тому

    Thank u sir for your very nice presentation.

  • @aleshakhawar2821
    @aleshakhawar2821 5 місяців тому

    Best vedio . Kindly make more vedios like this.

    • @navigatingradiology
      @navigatingradiology  5 місяців тому

      @@aleshakhawar2821 check out our case-based prostate MR course on our website!

  • @stefanocapra1197
    @stefanocapra1197 10 місяців тому

    GREAT WORK, THANKS!

  • @darshanilakmali3523
    @darshanilakmali3523 Рік тому +2

    ❤️

  • @bhaweshkumaryadav1050
    @bhaweshkumaryadav1050 8 місяців тому

    Wow great job 😊

  • @thusharaweerakoon3451
    @thusharaweerakoon3451 2 роки тому

    Very impressive clarification...thanks sir......pls mention parameters of axial T2 sequence.

  • @yusuflawal2293
    @yusuflawal2293 2 роки тому

    Awesome 👌 🆒️, many thanks for the very educative video 📹

  • @silvershadowbd
    @silvershadowbd 3 роки тому

    clear and informative. excellent. thank you very much!

  • @k4400559
    @k4400559 2 роки тому

    Excellent lecture

  • @AsifKhan-mw4mw
    @AsifKhan-mw4mw Місяць тому

    Amazing❤

  • @MarcinKosowski-m4j
    @MarcinKosowski-m4j 10 місяців тому

    Very nice. Are you sure that mesorectal nodes are still regional?

  • @parthomukherjee6242
    @parthomukherjee6242 2 роки тому

    Amazing Video!

  • @rp6403
    @rp6403 2 роки тому +2

    At what level does base and mid gland differentiates

  • @privatejigsaw
    @privatejigsaw 3 роки тому

    Smooth video! Thanks.

  • @MrYttrium99
    @MrYttrium99 3 роки тому +1

    Great video, thnx for share

  • @ashrafeissa5766
    @ashrafeissa5766 2 роки тому

    Thank you too much I want to ask we can do pelvic mri for prostate without endorectal coil by 1.5 tesla

  • @bapumishra1
    @bapumishra1 3 роки тому +2

    Very nice

  • @uroTV
    @uroTV 3 роки тому +1

    Fantastic.

  • @janetw9430
    @janetw9430 Рік тому

    Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you
    Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with
    estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3.
    9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left
    peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal
    on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion
    is noted. PSA is 4.86.

  • @jtlang3138
    @jtlang3138 3 роки тому +1

    thanks a lot

  • @shanighias
    @shanighias 3 роки тому

    Very excellet lecture

  • @susu7683
    @susu7683 3 роки тому

    Thanks a lot, v well explained

  • @dennismyl6686
    @dennismyl6686 Рік тому

    Is this a 3.0t or 1.5T? If I were to choose, would the results of a 1.5T be sufficient for a urologist to diagnose my problem of hematospermia?

  • @SurendraYadav-mh2du
    @SurendraYadav-mh2du 2 роки тому

    brilliant, thanks

  • @MR..181
    @MR..181 4 роки тому +2

    Do surgeon refferals pay?

  • @Gray_lyf
    @Gray_lyf Рік тому

    Thanks😊

  • @altafhossainriad4751
    @altafhossainriad4751 11 місяців тому

    Why T2 is the primary sequence for TG lesion and DWI for PZ lesion?

  • @MrRambee
    @MrRambee 4 роки тому +2

    NICE!!!!!!!!!!!!!!!

  • @BannedG
    @BannedG 2 роки тому

    So how do you divide the base, mid gland and Apex?

  • @pointnorth2456
    @pointnorth2456 9 місяців тому

    Is the MRI a good instrument to study the prostate for cancer or any other illnesses. One doctor said is not accurate.....he said ultrasound is better. My urologist requested an MRI in Toronto

  • @pragyamishra9226
    @pragyamishra9226 2 роки тому

    Excellent

  • @nohaal-shehri4758
    @nohaal-shehri4758 2 роки тому

    So what is the mean reason to use dynamic study instead of push only of contrast

  • @poojasethi6378
    @poojasethi6378 Місяць тому

    Thankyou sir

  • @mrd4292
    @mrd4292 3 роки тому +1

    Fabulous

  • @jimjohngirard
    @jimjohngirard Рік тому +1

    MRI failed me. Had a 3T MRI that identified a PIRADS4 lesion, "Clinically significant disease likely". Then, had a MRI / TRUS fusion biopsy. 3 targeted on identified PIRADS4 lesion and 12 cores taken in systematic sampling. The PIRADS lesion was benign prostate tissue, but, the systematic 12 core biopsy found Gleason 3+4=7, intermediate Pca in the right APEX...MRI missed it altogether. So, it is not infallible. A good tool. Had PSMA ga68 CT/PET Scan showing no metastasis outside the gland. I'm not on the 3rd of 28 IMRT radiation treatments for a curative outcome.

    • @jon1rene
      @jon1rene 5 місяців тому

      So it sounds like MRI did not fail you!

  • @meghanabathini6267
    @meghanabathini6267 2 роки тому

    Thank you

  • @martinjamts4086
    @martinjamts4086 2 роки тому

    Si if i háve 3/4 in PZ, and chronic prostatisis.. I dont have to go to biopsy?

  • @clc-gl4jn
    @clc-gl4jn 3 роки тому

    Do ejaculatory duct obstructions come up on an MRI?

  • @Shiva77686
    @Shiva77686 Рік тому

    What is I'll defined t2 hypointense area bilateraly in Centra zone what this could be

  • @kuba4010
    @kuba4010 2 роки тому

    Thank you

  • @sakshiagarwaal3557
    @sakshiagarwaal3557 3 роки тому +1

    What is the normal prostate volume. How we divide into mild , moderate And severe. On usg and mri ?

  • @stephenpisani1730
    @stephenpisani1730 5 місяців тому

    Can a Radiologist or Urologist put me at ease. Without having a prostrate biopsy I've had 3 mri scans on my prostrate as my psa have been between 10-14 for the last 2yrs. I'm pirad 2 according to my Radiologist. I'm now becoming paranoid as now I'm experiencing pain in my groin region. My father passed away with prostrate cancer. Is their any action now that I should be asking my Urologist as he said I have inflammation of the prostrate..HELP

  • @dickinson9200
    @dickinson9200 Рік тому

    Can I avoid a biopsy and only do MRI to detect prostate cancer. Some urologist want to do a biopsy and most of them force to do a biopsy. Patients prefer a MRI instead

  • @RKV545
    @RKV545 2 роки тому

    what is the role of MRI SPECTROSCOPY

  • @johndemerse9172
    @johndemerse9172 3 роки тому +3

    PIRAD 5 is not always significant cancer.

  • @JB-be8co
    @JB-be8co 7 місяців тому

    If a man has PIRADS -2 , does he suspect prostate cancer?
    What about PIRADS -3 , reveals?

  • @clc-gl4jn
    @clc-gl4jn 3 роки тому +1

    If you give a reply on my last comment it could be life saving sir

  • @mahdouMD
    @mahdouMD 2 роки тому

  • @hasaneurope4603
    @hasaneurope4603 2 роки тому