Can a man with abnormal PSA and a negative diagnostic MRI avoid a prostate biopsy? It’s debatable

Not long ago, an abnormal PSA reading would be followed right away by a standard biopsy to search for potential cancer in the prostate. During such a procedure, doctors take 10 to 12 samples of the prostate from various locations while looking at the gland with an ultrasound machine. These days, however, men with high PSA levels during cancer screening might be offered a specialized imaging test first. Called a multiparametric magnetic resonance imaging (mpMRI) scan, it’s particularly good at visualizing cancer in the prostate and distinguishing high-grade tumors that need immediate treatment from low-grade tumors that don’t. Furthermore, if the scan is positive for cancer, then it’s also more effective than ultrasound at guiding doctors to suspicious areas of the prostate during a subsequent biopsy, so

from https://www.health.harvard.edu/blog/can-a-man-with-abnormal-psa-and-a-negative-diagnostic-mri-avoid-a-prostate-biopsy-its-debatable-2019062017176

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