Fusion guided biopsy can spot prostate cancers the PSA test will miss.
Sanjay Gupta, MD, Everyday Health: Prostate cancer is usually very treatable, but first you have to find it. What is still needed is an accurate test that won’t alarm people with false positives, but also won’t miss potentially dangerous cancers.
Take Eric Langston. He had three biopsies of his prostate, looking for cancer.
Eric Langston: And all of them came back benign.
Dr. Gupta: They were all negative, but the PSA level in his blood told his doctor there was cancer there somewhere.
Eric Langston: He says we need to do another biopsy. I said, “I told you last time, I’m through with biopsies.”
Dr. Gupta: The problem is the traditional prostate biopsy is hit-or-miss. The doctor simply picks a section of the prostate at random and hopes to get lucky.
Eric didn’t want another traditional biopsy. But he agreed to go to the Cleveland Clinic for a more accurate test, called a fusion guided biopsy.
Eric Klein, MD, Cleveland Clinic: There’s no question that doing fusions is more accurate and has found a lot of tumors that we might otherwise have missed.
Dr. Gupta: It’s called “fusion” because it combines two technologies: MRI and ultrasound. The detailed MRI images, combined with the real-time ultrasound, allow doctors to spot parts of the prostate that look suspicious, and then target those.
Dr. Klein: We’re more likely to find a higher-grade cancer that we want to know about and less likely to find a low-grade cancer that we don’t want to know about.
Dr. Gupta: For Eric, the fourth time was the charm. The fusion guided biopsy found the cancer, and he had his prostate removed.
Eric Langston: Everything panned out the way he said it would, I think, and I’m happy with the results.
Dr. Gupta: With Everyday Health, I’m Dr. Sanjay Gupta. Be well.