Hope Dr. Scholz takes up the topic of liquid biopsies in one of his lectures. A new patented technique called the HrC test costing USD 125 has been introduced in India (and undergoing trials in US and UK) where a blood sample is used to get an accurate picture on the status of any cancer in the body. HrC reports on a scale starting from zero to 40. Zero to 2 indicates no cancer, >2 to 6 indicates inflammation/low risk of cancer, 6-10 indicates moderate risk of cancer and anything beyond 10 indicates presence of cancer (including a Stage 0 state). A further detailed analysis of the same sample costing USD 1200 will give the exact details of the cancer and its location as well as metastasis if any. And this test can detect ANY cancer. This has been verified on a blind trial on 1000 people (500 without cancer and 500 with cancer) with more than 99% accuracy.
Phenomenal tie and great video. I agree this micro-ultrasound could be beneficial. I had a pirads 4 lesion on mri scan which turned out to be nothing. Instead of doing a fusion biopsy I could have first confirmed with this micro-ultrasound.
I have MRI done on 04/21/23 and Pirad 3 with one lesion.(Because of my PSA 4.3( which was done on 01/12/24.Then I did another PSA test on 02/23/24(after an MRI) came down to 1.23.Then I talked to my urologist and we agreed an active surveillance.Your thoughts will be appreciated or any advice.
@@Nick-o5f sounds about right. I would repeat mri yearly. If lesion is same size and your psa is within normal range I wouldn’t worry. Active surveillance sounds good to me. I am no dr though. A biopsy is no fun.
I am always better informed when I watch PCRI videos. I can't begin to tell you how many times during my research that this channel has helped me gain valuable insight into the latest treatment options, as well as access to some of the best and brightest minds studying prostate cancer. That said, I would like to make a suggestion for a different kind of video. First, I want to say that PCRI does an incredible job at breaking down how different types of treatment options might be worth researching after receiving a diagnosis of PC. They have also taken the lead by explaining how genetic testing, and focal therapies like TULSA PRO, and emerging technologies such as PSMA Pet Scans and Micro-Ultrasound, are changing the playing field. These innovations, coupled with the public education PCRI provides, will inevitably lead to more men managing, rather than dying from PC. But, with more detailed imaging, and more precise focal therapies becoming available, the grade of the cancer is not the only factor that men will have to consider when determining a treatment plan. With improved imagining, the location of the cancer/lesion will become even more important. In other words, if I can now see exactly where the cancer is located in the prostate, then what focal therapy is better suited based on the location? What if the cancer is near the apex, or it is pushing on the interior wall of the prostate near the bladder or the rectum? What if it is surrounds the urethra? As imaging technologies improve, so does the need for an understanding on how these images may help men better choose which focal therapy works for them, based on its location. Therefore, I humbly ask, as someone who has a lesion at the apex, very close to the urethra, for a video explaining how the location of the cancer affects focal treatment options. As they say in real estate, it's location, location, location. Thank you for your consideration.
Ultrasound was 100% reliable since around 2000.I was diagnosed in South Korea and in2003 and could see clearly on the screen /CD where the tumors were ...no problem.
I have a Prostate Health Index of 112. I do not want another biopsy. Is a score such as this is cause for immediate action. If so, what action might that be?
So, it's random biopsies vs targeted biopsies...My brother had an MRI (PIRADS score of 3). Then the standard 12 segment biopsies, with two areas on the Right, positive (Gleason 8 --4/4 and 6--3/3). The PSMA showed no mets to the body, but indicated another positive spot on the opposite side from the already confirmed sites. He will start IGRT after placement of fiducial markers and rectal spacer. He's asked about the PROSTOX blood test, but they don't seem to know what it is.
Clarity's second treatment with 8gbqls of Cu67 brought the first patient to receive it mscrpc psa to zero and no one noticed. I would think this would be on the front page of every newspaper.
@@tjl5419 from what I know , there is a 30-50% chance of cancerous cells . Good luck . I hope it is ok . I know this is 4 months later . I have a Pirads 5 and a Pirads 3 . I’m a bit nervous .
When the only tool in you toolbox is a hammer everything looks like a nail. Surgeons make lots of money with their knives. I had a scare a couple years ago because of an elevated PSA. I went to one urologist who basically wanted to rush to biopsies. Thankfully I got a second opinion with another urologist. Turned out I was okay and this urologist told me to choose something else to be worried about. I've been following this channel on and off since then to keep up with the state of the art. I do love all those ties too. 😉
@@thogevollditto. My urologist performed a blind biopsy. Told me I needed surgury (not option due to physical size) or radiation. He really put fear into my wife and myself until I found this channel and learned my options.
Hope Dr. Scholz takes up the topic of liquid biopsies in one of his lectures. A new patented technique called the HrC test costing USD 125 has been introduced in India (and undergoing trials in US and UK) where a blood sample is used to get an accurate picture on the status of any cancer in the body. HrC reports on a scale starting from zero to 40. Zero to 2 indicates no cancer, >2 to 6 indicates inflammation/low risk of cancer, 6-10 indicates moderate risk of cancer and anything beyond 10 indicates presence of cancer (including a Stage 0 state). A further detailed analysis of the same sample costing USD 1200 will give the exact details of the cancer and its location as well as metastasis if any. And this test can detect ANY cancer. This has been verified on a blind trial on 1000 people (500 without cancer and 500 with cancer) with more than 99% accuracy.
Liquid biopsy is just a novelty; not accurate enough for top shelf diagnostics…
Alex always speaks well, and Dr Sholtz is just cool in general. Great questions - good interview style of communication.
Phenomenal tie and great video. I agree this micro-ultrasound could be beneficial. I had a pirads 4 lesion on mri scan which turned out to be nothing. Instead of doing a fusion biopsy I could have first confirmed with this micro-ultrasound.
I have MRI done on 04/21/23 and Pirad 3 with one lesion.(Because of my PSA 4.3( which was done on 01/12/24.Then I did another PSA test on 02/23/24(after an MRI) came down to 1.23.Then I talked to my urologist and we agreed an active surveillance.Your thoughts will be appreciated or any advice.
@@Nick-o5f sounds about right. I would repeat mri yearly. If lesion is same size and your psa is within normal range I wouldn’t worry. Active surveillance sounds good to me. I am no dr though. A biopsy is no fun.
Great video!
I am always better informed when I watch PCRI videos. I can't begin to tell you how many times during my research that this channel has helped me gain valuable insight into the latest treatment options, as well as access to some of the best and brightest minds studying prostate cancer. That said, I would like to make a suggestion for a different kind of video. First, I want to say that PCRI does an incredible job at breaking down how different types of treatment options might be worth researching after receiving a diagnosis of PC. They have also taken the lead by explaining how genetic testing, and focal therapies like TULSA PRO, and emerging technologies such as PSMA Pet Scans and Micro-Ultrasound, are changing the playing field. These innovations, coupled with the public education PCRI provides, will inevitably lead to more men managing, rather than dying from PC. But, with more detailed imaging, and more precise focal therapies becoming available, the grade of the cancer is not the only factor that men will have to consider when determining a treatment plan. With improved imagining, the location of the cancer/lesion will become even more important. In other words, if I can now see exactly where the cancer is located in the prostate, then what focal therapy is better suited based on the location? What if the cancer is near the apex, or it is pushing on the interior wall of the prostate near the bladder or the rectum? What if it is surrounds the urethra? As imaging technologies improve, so does the need for an understanding on how these images may help men better choose which focal therapy works for them, based on its location. Therefore, I humbly ask, as someone who has a lesion at the apex, very close to the urethra, for a video explaining how the location of the cancer affects focal treatment options. As they say in real estate, it's location, location, location. Thank you for your consideration.
Great question and suggestion.
Another great video.......lots of useful information...glad we can benefit from this....
Ultrasound was 100% reliable since around 2000.I was diagnosed in South Korea and in2003 and could see clearly on the screen /CD where the tumors were ...no problem.
Great video. Thanks.
I have a Prostate Health Index of 112. I do not want another biopsy. Is a score such as this is cause for immediate action. If so, what action might that be?
JUST MONITOR IT. DO NOT BE FRIGHTENED BY CANCER INDUSTRY.
Will this work if you have Urolift implants? Those implants blocked the entire transition zone on my MRI, ruining the value of the MRI for me.
So, it's random biopsies vs targeted biopsies...My brother had an MRI (PIRADS score of 3). Then the standard 12 segment biopsies, with two areas on the Right, positive (Gleason 8 --4/4 and 6--3/3). The PSMA showed no mets to the body, but indicated another positive spot on the opposite side from the already confirmed sites. He will start IGRT after placement of fiducial markers and rectal spacer. He's asked about the PROSTOX blood test, but they don't seem to know what it is.
Clarity's second treatment with 8gbqls of Cu67 brought the first patient to receive it mscrpc psa to zero and no one noticed. I would think this would be on the front page of every newspaper.
I got a pirad s 3 lesion also bph. How serious is Pirad s 3
@@tjl5419 from what I know , there is a 30-50% chance of cancerous cells . Good luck . I hope it is ok . I know this is 4 months later . I have a Pirads 5 and a Pirads 3 . I’m a bit nervous .
@@thomasbrady63 thank you
Is ultrasonido for treatment.
This is for prostate imaging :)
I think it may be called the "TULSA TREATMENT" or "TULSA - PRO" (Tulsa-procedure).
@@charlescharles9625this is ONLY for diagonstic imaging and not for treatment.
I believe the "TULSA-TREATMENT" is for treatment as the name implies.@@robertweber3140
Yeah but will Dr's use it.
When the only tool in you toolbox is a hammer everything looks like a nail. Surgeons make lots of money with their knives.
I had a scare a couple years ago because of an elevated PSA. I went to one urologist who basically wanted to rush to biopsies. Thankfully I got a second opinion with another urologist. Turned out I was okay and this urologist told me to choose something else to be worried about.
I've been following this channel on and off since then to keep up with the state of the art.
I do love all those ties too. 😉
@@thogevollditto. My urologist performed a blind biopsy. Told me I needed surgury (not option due to physical size) or radiation. He really put fear into my wife and myself until I found this channel and learned my options.
When you treat prostate with radiation and psa numbers are down what is the next step far as watching
Great video!