{"id":24436,"date":"2026-10-16T13:48:37","date_gmt":"2026-10-16T06:48:37","guid":{"rendered":"https:\/\/abdiwaluyo.com\/?p=24436"},"modified":"2026-10-16T16:21:44","modified_gmt":"2026-10-16T09:21:44","slug":"mri-fusion-prostate-biopsy-how-doctors-target-the-suspicious-area-found-on-your-prostate-mri","status":"publish","type":"post","link":"https:\/\/abdiwaluyo.com\/en\/health-info\/mri-fusion-prostate-biopsy-how-doctors-target-the-suspicious-area-found-on-your-prostate-mri\/","title":{"rendered":"MRI Fusion Prostate Biopsy: How Doctors Target the Suspicious Area Found on Your Prostate MRI"},"content":{"rendered":"<p><em>By: <\/em><em>RS Abdi Waluyo<\/em><\/p>\n<hr \/>\n<p><span style=\"font-weight: 400;\">It often starts with a routine blood test. Your PSA comes back higher than expected, and your doctor recommends a prostate MRI. The report describes &#8220;a suspicious lesion&#8221; and assigns it a score: PI-RADS 4.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The question that follows is almost always the same: <\/span><i><span style=\"font-weight: 400;\">&#8220;Does this mean I have prostate cancer?&#8221;<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Not necessarily. MRI is very good at showing where something looks abnormal, but it cannot by itself confirm what that area is. A definitive diagnosis generally requires examining a small sample of tissue under a microscope. MRI fusion prostate biopsy is a way of taking that sample from precisely the area your MRI has flagged.<\/span><\/p>\n<h4><b>PSA: An Important Signal, Not a Diagnosis<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">PSA (prostate-specific antigen) is a protein made by prostate tissue, both healthy and abnormal, and measured with a simple blood test.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">An elevated PSA tells your doctor that something in the prostate deserves a closer look. It does not say what that something is. Common causes include:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Benign prostate enlargement (BPH), which becomes very common with age<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Inflammation of the prostate (prostatitis) or a urinary tract infection<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Recent procedures involving the bladder or prostate, such as catheterisation or cystoscopy<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Prostate cancer<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">This is why prostate cancer is never diagnosed on PSA alone. Doctors often repeat the test and interpret it alongside your age, prostate size, PSA density (PSA relative to prostate volume), physical examination, family history, and any previous biopsies.<\/span><\/p>\n<h4><b>What Prostate MRI Adds<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Multiparametric prostate MRI (mpMRI) combines several types of MRI image, each highlighting a different property of the tissue, such as its anatomy and how tightly packed its cells are. Together, they help the radiologist spot areas that behave differently from the surrounding prostate.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This gives your care team two valuable pieces of information: <\/span><b>whether<\/b><span style=\"font-weight: 400;\"> there is a suspicious area, and <\/span><b>exactly where<\/b><span style=\"font-weight: 400;\"> it is. That location becomes the basis for planning a biopsy.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Radiologists report prostate MRI findings using <\/span><b>PI-RADS<\/b><span style=\"font-weight: 400;\"> (Prostate Imaging\u2013Reporting and Data System), a 1-to-5 scale describing how likely it is that clinically significant prostate cancer is present:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><b>PI-RADS 1:<\/b><span style=\"font-weight: 400;\"> very low suspicion<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><b>PI-RADS 2:<\/b><span style=\"font-weight: 400;\"> low suspicion<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><b>PI-RADS 3:<\/b><span style=\"font-weight: 400;\"> intermediate, or equivocal<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><b>PI-RADS 4:<\/b><span style=\"font-weight: 400;\"> high suspicion<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><b>PI-RADS 5:<\/b><span style=\"font-weight: 400;\"> very high suspicion<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">One point is worth stressing: <\/span><b>PI-RADS is an imaging assessment of suspicion. It is not a cancer stage, and it is not a diagnosis.<\/b><span style=\"font-weight: 400;\"> Your urologist will always interpret it together with PSA, PSA density, examination findings, family history, age, and other risk factors. Equally, a reassuring MRI does not completely rule out cancer, so some men still need follow-up based on their overall risk.<\/span><\/p>\n<p><b>What is &#8220;clinically significant&#8221; prostate cancer?<\/b><span style=\"font-weight: 400;\"> Broadly, it refers to cancer with features that make it more likely to need treatment or close medical attention, as opposed to very low-risk disease that can often be safely monitored.<\/span><\/p>\n<h4><b>If the MRI Can See It, Why Is a Biopsy Still Needed?<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">This is one of the most important questions patients ask, and the answer comes down to two different kinds of evidence.<\/span><\/p>\n<p><b>MRI provides imaging evidence.<\/b><span style=\"font-weight: 400;\"> It shows that an area looks different and how suspicious it appears. But some benign conditions, such as inflammation or BPH nodules, can occasionally look similar to cancer on a scan.<\/span><\/p>\n<p><b>A biopsy provides histopathological evidence<\/b><span style=\"font-weight: 400;\">: a pathologist examines the tissue itself under a microscope. This can show:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Whether cancer cells are actually present<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">How aggressive the cells appear, expressed as a Gleason score and Grade Group (from 1 to 5)<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">How much of each sample is involved<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Those details shape everything that follows, including whether monitoring or treatment is the better path.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Put simply: <\/span><b>MRI shows your doctor <\/b><b><i>where<\/i><\/b><b> to look. A biopsy tells your doctor <\/b><b><i>what<\/i><\/b><b> is actually there.<\/b><\/p>\n<h4><b>What Is MRI Fusion Prostate Biopsy?<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">MRI fusion prostate biopsy is a targeted biopsy in which your earlier prostate MRI is digitally aligned, or &#8220;fused&#8221;, with live ultrasound images during the procedure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Think of the MRI as a <\/span><b>detailed map<\/b><span style=\"font-weight: 400;\"> with the destination clearly marked. During the biopsy, ultrasound works like a <\/span><b>live camera<\/b><span style=\"font-weight: 400;\">, showing the prostate and the biopsy needle in real time. Fusion technology lines up the map with the camera view, so the urologist can steer the needle towards the area marked on MRI.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Why combine them? Ultrasound alone often cannot distinguish the suspicious area that MRI shows clearly. MRI, in turn, offers rich detail but is not taken live as the needle moves. Fusion brings together the strengths of both.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Step by step:<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">You have a prostate MRI.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">The radiologist identifies and outlines any suspicious area.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">During the biopsy, the prostate is imaged with real-time ultrasound.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Software aligns the MRI information with the ultrasound, so the MRI target appears on the ultrasound screen.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">The urologist uses this combined view to guide the needle and take several samples from the target.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">When clinically appropriate, additional samples may be taken from tissue immediately around the target (perilesional sampling) or systematically from other parts of the prostate.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">It helps to know that the prostate can shift or change shape slightly between the MRI and the biopsy, so alignment accuracy depends on MRI quality, equipment, and team experience. Software fusion is one of several targeting methods; others include cognitive fusion, where the urologist matches the MRI to the ultrasound visually, and in-bore biopsy performed inside the MRI scanner.<\/span><\/p>\n<h4><b>MRI Fusion Biopsy and Systematic Biopsy Compared<\/b><\/h4>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Feature<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Systematic (Conventional) Biopsy<\/span><\/td>\n<td><span style=\"font-weight: 400;\">MRI Fusion (Targeted) Biopsy<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">How sample sites are chosen<\/span><\/td>\n<td><span style=\"font-weight: 400;\">A standard pattern covering different regions of the prostate<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Directed at suspicious areas seen on MRI<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Use of MRI information<\/span><\/td>\n<td><span style=\"font-weight: 400;\">MRI not required<\/span><\/td>\n<td><span style=\"font-weight: 400;\">MRI used as the guiding map<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Sampling an MRI-visible lesion<\/span><\/td>\n<td><span style=\"font-weight: 400;\">May sample it, but does not aim at it specifically<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Aims at it specifically<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Sampling strategy<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Cores spread evenly across the gland<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Several cores from each target, often combined with perilesional or systematic cores<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Clinical role<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Still valuable, e.g. when MRI shows no lesion but clinical risk remains, or alongside targeted cores<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Particularly valuable when MRI identifies a suspicious area<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">These approaches are <\/span><b>complementary, not competing<\/b><span style=\"font-weight: 400;\">. Systematic biopsy is not obsolete, and targeted biopsy does not automatically replace it. Current international guidelines support combining strategies, and the right mix depends on each patient&#8217;s situation.<\/span><\/p>\n<h4><b>Who May Be Considered for MRI Fusion Prostate Biopsy?<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Every biopsy decision is individual. Not every raised PSA needs a biopsy, and not every MRI finding must be sampled. MRI fusion biopsy may be considered for men who have:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">A suspicious area on prostate MRI (typically PI-RADS 4 or 5, and in some cases PI-RADS 3 with additional risk factors)<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">An elevated or steadily rising PSA with clinical concern<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">A high PSA density or other risk factors<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">A previous negative biopsy but ongoing suspicion, with a suspicious area on MRI<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Other situations in which the urologist judges a targeted tissue diagnosis to be appropriate<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Your urologist will weigh the benefits and risks with you, taking into account your age, general health, and personal preferences.<\/span><\/p>\n<h4><b>What Happens During the Procedure?<\/b><\/h4>\n<p><b>Preparation.<\/b><span style=\"font-weight: 400;\"> Your doctor will review your medical history and medications, particularly blood thinners (anticoagulants) and antiplatelet drugs such as aspirin. Never stop a medication on your own; any adjustment should follow your doctor&#8217;s advice. Your infection risk will also be assessed, for example with a urine test, and preventive antibiotics given according to protocol.<\/span><\/p>\n<p><b>Biopsy route.<\/b><span style=\"font-weight: 400;\"> A prostate biopsy can be performed through the skin of the perineum, the area between the scrotum and the anus (transperineal), or through the rectum (transrectal). Several guidelines, including those of the EAU, favour the transperineal route because it is associated with a lower risk of infection. The technique used depends on the facility, equipment, your urologist&#8217;s assessment, and your clinical situation.<\/span><\/p>\n<p><b>Anaesthesia.<\/b><span style=\"font-weight: 400;\"> Depending on the technique, the procedure may be performed under local anaesthesia, sedation, or general anaesthesia. Some men still notice brief pressure or discomfort.<\/span><\/p>\n<p><b>During the biopsy.<\/b><span style=\"font-weight: 400;\"> An ultrasound probe images the prostate, the MRI is fused with the live ultrasound, and the urologist takes several small tissue samples from the target. Additional samples may be taken where needed.<\/span><\/p>\n<p><b>Recovery.<\/b><span style=\"font-weight: 400;\"> You will be observed for a short time afterwards. Many patients go home the same day, depending on the medical team&#8217;s assessment.<\/span><\/p>\n<h4><b>After the Biopsy: What Is Normal and When to Seek Help<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Some mild, temporary effects are common:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Blood in the urine for a few days<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Blood in the semen, which can last several weeks and is usually harmless<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">A small amount of blood in the stool, particularly after a transrectal biopsy<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Mild soreness or bruising around the perineum<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Contact your doctor promptly or go to the emergency department if you experience:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Fever or chills<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Inability to pass urine<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Heavy or persistent bleeding, or passing blood clots<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Pain that is severe or getting worse<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Other signs of infection, such as feeling very unwell or severe burning when passing urine<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Follow the aftercare instructions from your own doctor, including advice on medications and returning to normal activities.<\/span><\/p>\n<h4><b>What If the Biopsy Shows Cancer?<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">A diagnosis is not the end of the evaluation; it is the starting point for a more informed plan.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Your care team will combine the pathology result (including Gleason score and Grade Group) with your PSA, MRI findings, clinical stage, general health, and other factors to determine your risk group. Some men will need further imaging.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Management options vary widely. For selected low-risk cancers, active surveillance, a structured programme of regular monitoring, may be appropriate. Other options can include focal therapy in carefully selected patients, surgery to remove the prostate, radiotherapy, or a combination of treatments. No single option is right for everyone, and decisions are made together with you.<\/span><\/p>\n<h4><b>Comprehensive Prostate Evaluation at RS Abdi Waluyo<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Assessing possible prostate cancer works best as one connected pathway rather than a series of separate tests. RS Abdi Waluyo offers Urology services and Radiology services, including 3 Tesla MRI, supporting a pathway that brings each step together:<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Consultation with a urologist<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">PSA testing and risk assessment<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Prostate MRI when indicated<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Review of any suspicious MRI findings<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Targeted prostate biopsy when clinically indicated<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Pathology evaluation<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Individualised treatment planning<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">An integrated pathway means every decision, from whether you need an MRI to whether you need a biopsy, is made with the full picture in view.<\/span><\/p>\n<h3><b>FAQ<\/b><\/h3>\n<ol>\n<li><b> Does a high PSA mean I have prostate cancer?<\/b><span style=\"font-weight: 400;\"> Not necessarily. PSA can rise because of benign enlargement, inflammation, infection, recent procedures, or cancer. It is one part of the assessment, not a diagnosis.<\/span><\/li>\n<li><b> What do PI-RADS 3, 4, and 5 mean?<\/b><span style=\"font-weight: 400;\"> PI-RADS describes the level of suspicion on MRI. PI-RADS 3 is equivocal, PI-RADS 4 indicates high suspicion, and PI-RADS 5 very high suspicion for clinically significant prostate cancer.<\/span><\/li>\n<li><b> Is PI-RADS 4 or 5 always cancer?<\/b><span style=\"font-weight: 400;\"> No. The likelihood is higher than with lower scores, but PI-RADS is neither a diagnosis nor a cancer stage. Only examination of tissue can confirm cancer.<\/span><\/li>\n<li><b> I have already had an MRI. Why do I still need a biopsy?<\/b><span style=\"font-weight: 400;\"> MRI shows where a suspicious area is and how suspicious it looks. A biopsy confirms whether cancer is present and how aggressive it is, which is essential for planning care.<\/span><\/li>\n<li><b> How is MRI fusion biopsy different from a standard prostate biopsy?<\/b><span style=\"font-weight: 400;\"> A systematic biopsy samples the prostate in a standard pattern. An MRI fusion biopsy uses the MRI as a map to aim at the suspicious area. The two are often combined, depending on your situation.<\/span><\/li>\n<li><b> Is MRI fusion prostate biopsy painful?<\/b><span style=\"font-weight: 400;\"> The procedure is performed under local anaesthesia, sedation, or general anaesthesia. Some men feel brief pressure or discomfort, and any soreness afterwards is usually mild and temporary.<\/span><\/li>\n<li><b> Is a prostate biopsy risky?<\/b><span style=\"font-weight: 400;\"> It is a common, well-established procedure, but it does carry risks such as bleeding, infection, and difficulty passing urine. Your urologist will explain these risks and how they are minimised before the procedure.<\/span><\/li>\n<li><b> How long do prostate biopsy results take?<\/b><span style=\"font-weight: 400;\"> This varies with each hospital&#8217;s pathology process and whether additional tests are needed. Your care team can give you an estimate.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">If you have an elevated PSA, an abnormal prostate examination, or a suspicious finding on prostate MRI, a consultation with a urologist can help clarify whether further evaluation or a prostate biopsy is needed. The Urology and Radiology teams at RS Abdi Waluyo in Jakarta are here to guide you through each step. To learn more or book a consultation, visit<\/span><a href=\"https:\/\/www.abdiwaluyo.com\"> <span style=\"font-weight: 400;\">www.abdiwaluyo.com<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h3><b>References<\/b><\/h3>\n<ol>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">EAU \u2013 EANM \u2013 ESTRO \u2013 ESUR \u2013 ISUP \u2013 SIOG Guidelines on Prostate Cancer. European Association of Urology, 2026 edition.<\/span><a href=\"https:\/\/uroweb.org\/guidelines\/prostate-cancer\"> <span style=\"font-weight: 400;\">uroweb.org\/guidelines\/prostate-cancer<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Early Detection of Prostate Cancer: AUA\/SUO Guideline (2023, amended 2026). American Urological Association \/ Society of Urologic Oncology. <\/span><i><span style=\"font-weight: 400;\">J Urol<\/span><\/i><span style=\"font-weight: 400;\">.<\/span><a href=\"https:\/\/www.auanet.org\/guidelines-and-quality\/guidelines\/early-detection-of-prostate-cancer-guideline\"> <span style=\"font-weight: 400;\">auanet.org<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">NCCN Clinical Practice Guidelines in Oncology: Prostate Cancer Early Detection, current version. National Comprehensive Cancer Network.<\/span><a href=\"https:\/\/www.nccn.org\/guidelines\/category_2\"> <span style=\"font-weight: 400;\">nccn.org<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Turkbey B, et al. Prostate Imaging Reporting and Data System Version 2.1: 2019 Update. <\/span><i><span style=\"font-weight: 400;\">Eur Urol<\/span><\/i><span style=\"font-weight: 400;\">. 2019;76(3):340\u2013351.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Kasivisvanathan V, et al. MRI-Targeted or Standard Biopsy for Prostate-Cancer Diagnosis (PRECISION). <\/span><i><span style=\"font-weight: 400;\">N Engl J Med<\/span><\/i><span style=\"font-weight: 400;\">. 2018;378(19):1767\u20131777.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Ahdoot M, et al. MRI-Targeted, Systematic, and Combined Biopsy for Prostate Cancer Diagnosis. <\/span><i><span style=\"font-weight: 400;\">N Engl J Med<\/span><\/i><span style=\"font-weight: 400;\">. 2020;382(10):917\u2013928.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">Drost FJH, et al. Prostate MRI, with or without MRI-targeted biopsy, and systematic biopsy for detecting prostate cancer. <\/span><i><span style=\"font-weight: 400;\">Cochrane Database Syst Rev<\/span><\/i><span style=\"font-weight: 400;\">. 2019;4:CD012663.<\/span><\/li>\n<\/ol>\n<hr \/>\n","protected":false},"excerpt":{"rendered":"<p>By: RS Abdi Waluyo It often starts with a routine blood test. Your PSA comes back higher than expected, and your doctor recommends a prostate MRI. The report describes &#8220;a suspicious lesion&#8221; and assigns it a score: PI-RADS 4. The question that follows is almost always the same: &#8220;Does this mean I have prostate cancer?&#8221; <a href=\"https:\/\/abdiwaluyo.com\/en\/health-info\/mri-fusion-prostate-biopsy-how-doctors-target-the-suspicious-area-found-on-your-prostate-mri\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  MRI Fusion Prostate Biopsy: How Doctors Target the Suspicious Area Found on Your Prostate MRI<\/span><\/a><\/p>\n","protected":false},"author":19,"featured_media":24438,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-24436","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-info"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>MRI Fusion Prostate Biopsy: How Doctors Target the Suspicious Area Found on Your Prostate MRI - Rumah Sakit Abdi Waluyo<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/abdiwaluyo.com\/en\/health-info\/mri-fusion-prostate-biopsy-how-doctors-target-the-suspicious-area-found-on-your-prostate-mri\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MRI Fusion Prostate Biopsy: How Doctors Target the Suspicious Area Found on Your Prostate MRI - Rumah Sakit Abdi Waluyo\" \/>\n<meta property=\"og:description\" content=\"By: RS Abdi Waluyo It often starts with a routine blood test. 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