MRI of the prostate

The spread of prostate cancer can be assessed in more detail with MRI imaging. At Docrates Hospital, prostatic MRI scans are performed using an endorectal coil, i.e. a coil inserted in the rectum. Compared with an external magnetic coil, an endorectal coil produces much more precise information about the location of the cancer and about the normal anatomical boundaries in the prostate.

The scan is performed using contrast media and combined with MRI spectroscopy. This allows us to obtain a reliable idea of the spread of the cancer in the prostate gland. Special attention is given to the relationship between the cancer and the prostate capsule as this has considerable significance for treatment planning: radiotherapy can be targeted more precisely, the chances of a complete cure are higher, and the decision on whether hormone therapy is required is easier to make.

If surgical removal of the prostate is considered, an MRI should always be performed before making any final treatment decisions. The MRI shows whether the cancer has spread through the prostatic capsule, in which case curative surgery is no longer possible. Studies indicate that radiotherapy increases the likelihood of cancer cure even in those with locally advanced cancer.

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