the naked truth

Typically, a patient may be referred for further evaluation if a doctor has felt an abnormal prostate gland during a physical exam or if a blood test shows an elevated PSA level (4 or more). Princeton Radiology’s prostate MRI procedure, performed on state-of-the-art equipment, combines the diagnostic precision of high-resolution imaging with computerized modeling of blood flow to the prostate gland, resulting in a 3D color map of the prostate that reveals any possible tumor sites.

Compared to the numerous random needle sticks of traditional prostate biopsy, a non-invasive prostate MRI can quickly provide precise diagnostic answers and clarify the next steps that may be needed. Even if a patient has already had a prostate biopsy, a prostate MRI at Princeton Radiology can add another level of precision to diagnosis—as well as staging and treatment planning if cancer is confirmed. For patients yet to have a biopsy, the need for one can be assessed at the time of the MRI scan. When necessary, an interventional radiologist can perform a much faster, more comfortable, and less invasive MRI-guided prostate biopsy during the same visit.

If a patient’s diagnosed prostate cancer is being monitored under a “watchful waiting” approach, prostate MRI provides a precise yet easily tolerated option for periodic monitoring for signs of disease progression.  

Typically, no special preparation is needed for a prostate MRI. Patients can eat, drink, and take their usual medications. It is important for the patient to inform Princeton Radiology about any implanted metal in the body, such as a pacemaker or artificial joints, as this may affect the ability to have an MRI. Due to the contrast material used in these scans, patients may need lab testing prior to the exam, depending on factors such as age and medical history.

• Some patients may need blood tests to ensure sufficient liver and kidney health to manage injected contrast material.
• If there is any possibility of pregnancy, or if a patient is currently breastfeeding, it is very important to inform Princeton Radiology about this.

MRI uses a powerful but harmless magnetic field and radio frequency pulses to produce images of the inside of your body. During the MRI, you will lie on the exam table as it enters a magnetic field. You will hear repeated drum-like knocking sounds as the scans are recorded. These sounds can be quite loud, but they are normal. You will be given the option of listening to satellite radio during your scan to create a more calming experience. Our staff will explain every step of the procedure and ensure you are as comfortable as possible!

You can help to produce high quality images by lying still during the examination while breathing normally. The average scan takes 5 to 15 minutes – the complete examination is about 30 to 45 minutes.

This exam is available at the following locations:

• Princeton
• Mercerville
• Monroe 
• Freehold 
• Mountain Lakes
• Newtown