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Introduction to Prostate MRI and PI-RADS: Approach and Principles 

Navigating Radiology
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Access our MRI and CT case-based courses at navigatingradiology.com, which include fully scrollable cases, walkthroughs of imaging findings, and comprehensive reviews of basic and more advanced imaging studies.
This will give you what you need to start looking at prostate MRI studies.
Protocol 5:42
Anatomy 9:51
Benign Findings 18:56
PI-RADS 23:24
Approach 36:04
Cases 40:46

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9 июл 2024

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Комментарии : 90   
@waqaardiwan9197
@waqaardiwan9197 3 года назад
i dont know if you fully understand what you are contributing to our field... but you are doing unbelievably great work and i hope you continue to produce these videos. you are the sal khan of radiology! clear, concise, thorough, digestible.
@navigatingradiology
@navigatingradiology 3 года назад
Protocol 5:42 Anatomy 9:51 Benign Findings 18:56 PI-RADS 23:24 Approach 36:04 Cases 40:46
@janetw9430
@janetw9430 9 месяцев назад
Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3. 9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion is noted. PSA is 4.86.
@jatinderkumar5864
@jatinderkumar5864 2 года назад
Thanks a lot. I wish we had similar exhaustive lectures on other topics as well. It's a gem !
@savored
@savored Год назад
As an r2 radiology resident, this is quite amazing! great great work! saving me on body mri rotation rn
@tessavanginkel6359
@tessavanginkel6359 3 года назад
THE tutorial on prostate MRI that i have been wanting for years! Thank you so much!
@coldmagnet
@coldmagnet 2 года назад
You are doing saintly work! Think of all the lives you are impacting by training the next generation of radiology professionals!
@christopherdesimone206
@christopherdesimone206 2 года назад
Highly in agreement with you.
@douglaswatt1582
@douglaswatt1582 Год назад
Super helpful for those of us coming from another clinical field. Lucid and comprehensive
@cherukuri20
@cherukuri20 3 года назад
This is a very elegantly done and useful video.
@kevinericsantos4689
@kevinericsantos4689 2 года назад
Excellent lecture! Will recommend this video to my colleagues!
@user-rd3pv4sv3i
@user-rd3pv4sv3i Год назад
I love Sanjay, you taught me what 100 radiologists could not even spell. Thank you
@epitomeofsuave
@epitomeofsuave 3 года назад
Excellent video communicated all important parts extremely well. With cases at the end to enhance learning.
@Idahomie
@Idahomie 3 года назад
thx for your time and effort in this excellent presentation.
@venkadaba5359
@venkadaba5359 3 года назад
Excellent presentation! Very clear.
@rishavprasad8314
@rishavprasad8314 3 года назад
You are a GEM sir!!!
@silvershadowbd
@silvershadowbd 3 года назад
clear and informative. excellent. thank you very much!
@HuskyRadiologist
@HuskyRadiologist 9 месяцев назад
great introduction to the multiparametric prostate MR.. many thanks!!!!
@apoptosis9966
@apoptosis9966 9 месяцев назад
Very clear and detailed explanation. Thank You!
@mtsai78
@mtsai78 2 года назад
Excellent tutorial MRI PCa video. Thanks
@352marshall
@352marshall 3 года назад
Spot-on review! Subscribed! Cheers to Navigating Radiology team
@unimahesasari4088
@unimahesasari4088 3 года назад
What do people who have stage 4 prostate cancer experience, and what type of treatment do they undergo? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio
@nutellapringles
@nutellapringles 3 года назад
Smooth video! Thanks.
@dr.anjuverma4215
@dr.anjuverma4215 Год назад
Love your videos... Doing great work... Please keep it up 👍
@real.knowledge
@real.knowledge Год назад
Exceptionally nice presentation. Being Urologist, I am really benefited from your session. May Allah bless you.
@invisible5566
@invisible5566 10 месяцев назад
Great video that helped me understand many aspects of prostate MRI, please keep posting 🤝🙏
@eddiegardner8232
@eddiegardner8232 2 года назад
Thank you so much. Now I understand what I am seeing on my own MRI images and can see how the pathologist categorized my prostate lesion. Now if I can figure out what is the “small inguinal hernia” he mentioned as an aside, I will understand everything he said. Your video is the absolute best source I have found for understanding a prostate MRI and the reality of what it implies. Next stop: a focal fusion biopsy to get a Gleason number for it, and then treatment.
@navigatingradiology
@navigatingradiology 2 года назад
Best of luck - hoping for the best for you
@mtsai78
@mtsai78 2 года назад
Would be very interested in your biopsy/treatment outcome. Thanks
@eddiegardner8232
@eddiegardner8232 2 года назад
1.6 cm Gleason 4+5 apical left-side anterior transition zone lesion. Elected for robotic prostatectomy; was completed on October 5, 2021, including ePLND on left side and standard PLND on right side (benign). Negative margins, bilateral nerve sparing, bladder neck sparing. Unfortunately a single 3mm lymph node with 1mm of cancer was found on ePLND side. Currently PSA
@mtsai78
@mtsai78 2 года назад
@@eddiegardner8232 Thanks for sharing. Wish you best luck Feb. 16.
@leekenjuy
@leekenjuy 3 года назад
Hooray, a new tutorial!
@tikaantikasagita5009
@tikaantikasagita5009 3 года назад
Does drinking a lot of water provide for good prostate health? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio
@nwmw1988
@nwmw1988 9 месяцев назад
Superb lecture, Prostate reporting cannot be made clear than this, Thank you very much for the superb lecture...l!
@samvelnikoghosyan2628
@samvelnikoghosyan2628 Год назад
Excellent lecture, great thanks
@madhuguptan3209
@madhuguptan3209 Год назад
Excellent lecture Sir!
@salahuddinahmedsohan1878
@salahuddinahmedsohan1878 Год назад
Absolutely amazing... Keep up the good works pls...
@andydoc4522
@andydoc4522 6 месяцев назад
BEST VIDEO ON PROSTATE MRI
@k4400559
@k4400559 2 года назад
Excellent lecture
@yusuflawal2293
@yusuflawal2293 Год назад
Awesome 👌 🆒️, many thanks for the very educative video 📹
@arshiahmed5414
@arshiahmed5414 Год назад
Excellent lecture.
@parthomukherjee6242
@parthomukherjee6242 Год назад
Amazing Video!
@stefanocapra1197
@stefanocapra1197 4 месяца назад
GREAT WORK, THANKS!
@ukdhillon
@ukdhillon 3 года назад
Amazing review!
@vinasaripaheri7691
@vinasaripaheri7691 3 года назад
How similar are the mechanisms behind histopathological upgrading and biochemical recurrence in prostate cancer? *How Prostate Cured Total* 👉 *For more information My Profile In About* Or Bio
@MrYttrium99
@MrYttrium99 3 года назад
Great video, thnx for share
@susu7683
@susu7683 2 года назад
Thanks a lot, v well explained
@prakashrana1404
@prakashrana1404 Год назад
amazing lecture sir :D
@InfinityFishing
@InfinityFishing Год назад
Thank you for this tutorial , being completely honest yours' one of the best radiology channels out there and you have very good teaching skills. a bit late discovery for me but i start watching all of your videos, most i dont need but it is always better to go over even basic elements
@uroTV
@uroTV 3 года назад
Fantastic.
@shanighias
@shanighias 3 года назад
Very excellet lecture
@bhaweshkumaryadav1050
@bhaweshkumaryadav1050 Месяц назад
Wow great job 😊
@fuatdede4500
@fuatdede4500 3 года назад
It was really understandable even for non-radiologist physicians, thank you very much. What do you think about PSMA PET / MR? I think it will be useful to look at the PI-RADS approach from a different perspective. As is known, it is possible to specifically visualize primary tumors with Gleason score of 7 and higher with PSMA PET. Have you had experience? As far as I know there is no video on this subject yet. If you have the opportunity to prepare, it will be very enjoyable to watch this title on your youtube channel. Best wishes.
@sadiaimam2195
@sadiaimam2195 2 месяца назад
Thank u sir for your very nice presentation.
@SurendraYadav-mh2du
@SurendraYadav-mh2du Год назад
brilliant, thanks
@jtlang3138
@jtlang3138 2 года назад
thanks a lot
@pragyamishra9226
@pragyamishra9226 2 года назад
Excellent
@MrRambee
@MrRambee 3 года назад
NICE!!!!!!!!!!!!!!!
@thusharaweerakoon3451
@thusharaweerakoon3451 Год назад
Very impressive clarification...thanks sir......pls mention parameters of axial T2 sequence.
@bapumishra1
@bapumishra1 3 года назад
Very nice
@drabhib
@drabhib Год назад
Thanks!
@meghanabathini6267
@meghanabathini6267 2 года назад
Thank you
@kuba4010
@kuba4010 Год назад
Thank you
@rp6403
@rp6403 Год назад
At what level does base and mid gland differentiates
@altafhossainriad4751
@altafhossainriad4751 5 месяцев назад
Why T2 is the primary sequence for TG lesion and DWI for PZ lesion?
@ashrafeissa5766
@ashrafeissa5766 2 года назад
Thank you too much I want to ask we can do pelvic mri for prostate without endorectal coil by 1.5 tesla
@mrd4292
@mrd4292 3 года назад
Fabulous
@user-py6zc7zm1b
@user-py6zc7zm1b 4 месяца назад
Very nice. Are you sure that mesorectal nodes are still regional?
@BannedG
@BannedG Год назад
So how do you divide the base, mid gland and Apex?
@Gray_lyf
@Gray_lyf 7 месяцев назад
Thanks😊
@nohaal-shehri4758
@nohaal-shehri4758 Год назад
So what is the mean reason to use dynamic study instead of push only of contrast
@xray3044
@xray3044 2 года назад
謝謝!
@martinjamts4086
@martinjamts4086 2 года назад
Si if i háve 3/4 in PZ, and chronic prostatisis.. I dont have to go to biopsy?
@clc-gl4jn
@clc-gl4jn 3 года назад
Do ejaculatory duct obstructions come up on an MRI?
@pointnorth2456
@pointnorth2456 3 месяца назад
Is the MRI a good instrument to study the prostate for cancer or any other illnesses. One doctor said is not accurate.....he said ultrasound is better. My urologist requested an MRI in Toronto
@darshanilakmali3523
@darshanilakmali3523 Год назад
❤️
@dennismyl6686
@dennismyl6686 7 месяцев назад
Is this a 3.0t or 1.5T? If I were to choose, would the results of a 1.5T be sufficient for a urologist to diagnose my problem of hematospermia?
@Shiva77686
@Shiva77686 7 месяцев назад
What is I'll defined t2 hypointense area bilateraly in Centra zone what this could be
@janetw9430
@janetw9430 9 месяцев назад
Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3. 9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion is noted. PSA is 4.86.
@jimjohngirard
@jimjohngirard Год назад
MRI failed me. Had a 3T MRI that identified a PIRADS4 lesion, "Clinically significant disease likely". Then, had a MRI / TRUS fusion biopsy. 3 targeted on identified PIRADS4 lesion and 12 cores taken in systematic sampling. The PIRADS lesion was benign prostate tissue, but, the systematic 12 core biopsy found Gleason 3+4=7, intermediate Pca in the right APEX...MRI missed it altogether. So, it is not infallible. A good tool. Had PSMA ga68 CT/PET Scan showing no metastasis outside the gland. I'm not on the 3rd of 28 IMRT radiation treatments for a curative outcome.
@MR..181
@MR..181 3 года назад
Do surgeon refferals pay?
@sakshiagarwaal3557
@sakshiagarwaal3557 3 года назад
What is the normal prostate volume. How we divide into mild , moderate And severe. On usg and mri ?
@johndemerse9172
@johndemerse9172 2 года назад
PIRAD 5 is not always significant cancer.
@RKV545
@RKV545 Год назад
what is the role of MRI SPECTROSCOPY
@dickinson9200
@dickinson9200 8 месяцев назад
Can I avoid a biopsy and only do MRI to detect prostate cancer. Some urologist want to do a biopsy and most of them force to do a biopsy. Patients prefer a MRI instead
@clc-gl4jn
@clc-gl4jn 3 года назад
If you give a reply on my last comment it could be life saving sir
@JB-be8co
@JB-be8co Месяц назад
If a man has PIRADS -2 , does he suspect prostate cancer? What about PIRADS -3 , reveals?
@mahdou5097
@mahdou5097 2 года назад
@hasaneurope4603
@hasaneurope4603 Год назад
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