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July 17, 2018

Advancement in Prostate Cancer Diagnosis in Paducah

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Prostate cancer is typically diagnosed
through screening with a digital

rectal exam as well as a PSA.
Any abnormality in either of those has

tended to lead toward a biopsy. Currently,
biopsies are done using transrectal

ultrasound to image the gland,
and then we create a random template to do

biopsies from the gland without
identifying a certain lesion that could

be biopsied. MRI of the prostate gland has
improved dramatically through the years,

and with the latest, new 3 Tesla MRI,
we now see the internal architecture

of the prostate better than ever.
UroNav allows us to take the MRI image and

download it into a computer,
and then the software will superimpose the

MRI onto the live ultrasound which
we are doing at the time of the biopsy.

The radiologists pre-mark the MRI with
lesions that are suspicious.

And so, we literally see a bullseye that
we're able to put a needle in to be sure

we're hitting the lesion that was abnormal
on the MRI. Before the 3 Tesla MRI and the

UroNav were available to our patients,
they were having to go to major cities

to have this diagnostic procedure done
to even find out if they had

prostate cancer. This is a great
advantage for us to be

able to have this technology locally.

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Baptist Health Paducah: Advancement in Prostate Cancer Diagnosis

Baptist Health has invested in advanced technology to diagnose prostate cancer. Learn more about prostate cancer screenings and the improvements we have made for our patients.

Advancement in Prostate Cancer Diagnosis HealthTalks Transcript

Donald Spicer, MD
Prostate cancer is typically diagnosed through screening with a digital rectal exam, as well as a PSA. [If there is] any abnormality in either of those, we tend to lead toward a biopsy. Currently, biopsies are done using transrectal ultrasound to image the gland, and then we create a random template to do biopsies from the gland without identifying a certain lesion that could be biopsied.
MRI of the prostate gland has improved dramatically through the years. With the latest new 3 Tesla MRI, we now see the internal architecture of the prostate better than ever. UroNav allows us to take the MRI image and download it into a computer, and then the software will superimpose the MRI onto the live ultrasound, which we are doing at the time of the biopsy. The radiologists pre-mark the MRI with lesions that are suspicious, and so we literally see a bullseye that we’re able to put a needle in to be sure we’re hitting a lesion that was abnormal on the MRI.
Before the 3 Tesla MRI and the UroNav were available to our patients, they were having to go to major cities to have this diagnostic procedure done to even find out if they had prostate cancer, period. This is a great advantage for us to be able to have this technology locally.

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