Multiparametric MRI scanning

Conventional MRI scanning has been useful in determining in men diagnosed with prostate cancer whether there is spread through the capsule (the outer lining of the prostate) or into the lymph nodes (glands within the pelvis adjacent to the prostate). It has been less accurate in determining whether areas within the prostate itself contain cancer – non-cancerous growth and inflammation within the prostate are also picked up.

Multiparametric MRI (mpMRI) is the latest generation of the technique and uses modifications including diffusion-weighted imaging (DWI), T2-weighted imaging (T2W) and dynamic contrast enhancement (DCE) to increase the reliability of assessment of abnormal-looking parts of the prostate. It can be helpful in deciding whether a man with a raised PSA requires a biopsy or whether a man with a previous negative biopsy requires a repeat biopsy.

Mr Yardy uses Mutiparametric MRI scanning at the Ipswich Nuffield Hospital provided by InHealth.

Blood in urine

Most people who notice blood in their urine ("haematuria") are understandably alarmed. Some people are also found to have traces of blood in their urine detected unexpectedly. The list of possible causes is very long, including infections, injuries, stones, tumours or inflammation in the kidney or bladder. Depending on presence or absence of other risk factors, people with blood in their urine will usually require a kidney scan and a flexible cystoscopy. Cystoscopy involves examination of the bladder using a fine flexible telescope usually under local anaesthetic. Although it sounds unpleasant, it is not painful.