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Inconclusive Prostate MRIs Targeted Biopsy Second Opinions for Pathology | Mark Scholz MD | PCRI

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Prostate Cancer Research Institute

In this edition of "Answering YouTube Questions," Alex asks Dr. Scholz, on behalf of a patient, whether he should redo his MRI after seeing that the image quality was suboptimal on the MRI reportalso on the report, the detection of a PIRADS 4 lesionor if he should just do a 12core biopsy a is being recommended by his urologist? She also asks about where Dr. Scholz recommends getting a second opinion on the interpretation of MRI results, how to know if a doctor is experienced with targeted biopsies after MRI, and whether all patients should be seeking a second opinion on their pathology report.

0:09 "My MRI had a PIRADS 4, but it also said that the image quality was suboptimal. My doctor wants me to go ahead and do a biopsy. Should I redo the MRI, first, instead?

2:15 Where do you send patients to get a second opinion on an MRI?

2:40 Which questions should patients be asking if they want to know if a doctor is experienced with targeted biopsies?

3:38 Should every patient get a second opinion on their pathology slides (specifically, with Jonathan Epstein, MD at Johns Hopkins, but could refer to any other pathologist with a good reputation for interpreting prostate cancer or genitourinary cancers generally)?

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The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) notforprofit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website at pcri.org or contact our free helpline with any questions that you have at pcri.org/helpline. Our Federal Tax ID # is 954617875 and qualifies for maximum charitable gift deductions by individual donors.

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