MRI in 2021 - nano MRI advantages?

I found the video quite interesting, but it is certainly not easy to follow. To tell the truth I prefer videos of cats doing silly things.

I requested copies of my own MRI scans. I could just about make out the anatomy but could not do any real interpretation of them. In this video Dr Jalf does a lot of interpretation of images taken with different techniques. Amazing that he can spot slight differences in brightness and conclude a lymph node is cancerous.

The later part of the  video showing hifu(?) being guided by MRI showing the whole prostate being destroyed in a very controlled manner was great.

As Barry said in one of your earlier threads most people on this site are uk based and treated on the NHS I don't think many of us will be able to better the research you have already done in this area.

On one of your previous threads you listed your treatment choices. Assuming you go for one of these excellent scans. How will it affect your treatment choice?

In the video he says he can now detect cancerous nodes down to 2mm, but presumably you will be worried about the 1mm cancers which he can't detect. 

If no micromets are discovered, will you book a scan somewhere else in the hope that someone else has a bigger and better scanner and they might find some?

If micromets are discovered, will you abandon any direct treatment of the prostate and just go on HT for the rest of your life?

I vaguely remember imaging at the Radboud being mentioned several years ago but it may have been on an American forum on which I am a member. I can't recall it having been mentioned on this forum in recent years. They do advanced scans there and seem to have developed one using 'Combidex' as an agent. They were expensive. Though not cheap, the 68 Gallium PSMA scan has become more widely accepted and in due course it is likely that the 18 DCFPyl scan on trial in the USA and Canada will become widely used - https://clinicalconnection.hopkinsmedicine.org/news/psma-pet/ct-with-pyl-reaches-a-key-milestone-toward-approval

So, as with various treatments, scans are improving. Very few our UK members, comprising the vast majority on this forum, have gone abroad for treatment or scans and only then coupled with treatment.

Whilst I appreciate you ultimately want the best and appropriate treatment, I do agree that it would be sensible to go to a top hospital and get a treatment plan rather than get hung up on the latest scan which you may not need or for which you may not be a suitable candidate.

Edited by member 27 Jul 2021 at 12:07  | Reason: Not specified

Hi, it probably is better to keep adding to this thread. The questions all relate to more or less the same thing, and it is handy to be able to refer back to previous comments, which one can then scroll up to rather than have to search for them. 

Anyway, if you are worried about mets then go for a treatment involving EBRT. Speak to your consultant and ask whether it is appropriate to go for whole pelvis RT in the hope you will catch some mets if they are out there; though of course cause some needless damage to other organs if they are not. 

As I said in my previous post (which is on this thread, so easy for all to see), no matter how good the scan you will still be worried about micro mets so actually the scan is pointless. 

We all like certainty in life but sadly with cancer you can't have that. Go with whatever the professionals recommend. If they recommend two treatments and you can't decide flip a coin. 

Four years ago I had a similar situation with salvage RT , any distant Mets meant no SRT. It has changed slightly in recent years.

Thanks Chris

Edited by member 29 Jul 2021 at 13:09  | Reason: added meant