Disappointing that MRIs dont do well on survalence. Maybe the PIRAD system is slso flawed. So active survalence means the best protocol would be yearly tageted biopsies with some random cores? Really not that big a deal if you got a updated urologist who does perineal biopsies. Surprised he left PSA out of the Equation. Always thought velocity is a good indicator of disease progression. Wish they would do a study on how often high PIRAD is mistaken for BHP. Bottom line all these test raise suspicion. But Biopsies targeted and random is still the gold standard for detection. Begs the question sould PIRAD 1 and 2s also be biopsed. Probably studies have been done on that subject. But seem Radiologist are a third of the time wrong. That needs to be studied.
I think maybe you are meaning “talks about pattern 3 or 4”? 3+4=G7 , when >G7 means there is more 4 pattern than the 3 pattern, it’s a grading measurement of the aggressiveness of the cancers genetics.
