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High resolution Color Doppler Ultrasound is really two scans in one: A grey scale image in black and white, and a color image that detects areas of increased blood flow. Prostate cancer shows up as a dark area on grey scale imaging or as an area of increased flow on a Color Doppler Ultrasound. When both a dark spot and increased blood flow are seen in the same location in the prostate, cancer is more likely. Color Doppler Ultrasound can be used to perform lesion-directed biopsies as opposed to random biopsies as are commonly performed by most urologists. The results of Color Doppler Ultrasound scanning cannot be trusted unless the study is performed at a center using state-of-the-art technology and read by physicians with special experience and training.
For decades the random 12-core biopsy has been the mainstay for diagnosing prostate cancer. Unfortunately, there is a slew of problems that comes with random biopsy, including misdiagnosis, infection, and …
Listen: https://soundcloud.com/prostate-oncology/six-not-a-bad-score “There’s rapid progress ongoing in the prostate cancer world and new treatments are being developed all the time. One of the major advantages of active surveillance is postponing …
Listen: https://soundcloud.com/prostate-oncology/the-beat-on-big-prostates “BPH is an incredibly common thing as men get older. There’s so much confusion since everything is related to the prostate and many men don’t even know what …
BY MARK SCHOLZ,MD A Cancer that Can be Watched If someone tells you your cancer can be watched instead of treated, your initial reaction might be that they have no …
Elevated PSA does not point specifically to prostate cancer; it is only an indication that further investigation is necessary. Each year one million men are biopsied when they do not …
BY MARK SCHOLZ, MD The Limitations of PSA PSA is nonspecific. Meaning it doesn’t distinguish between the harmless, low-grade type of prostate cancer that can be watched and the higher-grade …
When people hear about multiparametric MRI, accurate imaging of the prostate, they are always surprised that doctors are still doing random biopsies. The question always comes up, “Why are we …
https://youtu.be/1IFjr2fKPaU Patients ask me why their scans have to be repeated. The modern methodology, for monitoring prostate cancer, historically, was putting needles into the prostate on a regular basis. We …
The process of Active Surveillance, the way we practice in Marina del Rey, is to perform a PSA blood test every three months and plot these results on a graph, …
WHAT IF I HAVE AN ELEVATED PSA So what do you do when you have a high PSA? Is simply doing a scan enough? The scan not only helps men …