Prostate BiopsyMRI Fusion Prostate Biopsy

MRI Fusion Prostate Biopsy

When it comes to diagnosing prostate cancer, accuracy matters.

Our Transperineal MRI Fusion Guided Prostate Biopsy uses advanced imaging technology to precisely target suspicious areas within the prostate, improving the accuracy of diagnosis and reducing the risk of missing clinically significant cancers.

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Why Choose MRI Fusion Guided Prostate Biopsy?

Traditional prostate biopsies often rely on a “systematic” approach – taking random tissue samples – which can miss significant cancers or capture insignificant ones. Our MRI Fusion method offers a better way.

Key Benefits of Transperineal MRI Fusion Biopsy
Real-Time Precision Targeting
Combines detailed MRI imaging with live ultrasound to guide the biopsy needle with accuracy
Fewer Biopsy Cores
Only the suspicious areas are sampled, so fewer needle passes are needed
Enhanced Cancer Detection
Especially useful for finding potentially aggressive cancers that have been identified by the MRI and would have been missed using standard methods
Reduced Infection Risk
The transperineal approach avoids the rectum, which lowers the risk of complications
Personalized Planning
Better imaging means better decisions about the next steps
Comfortable Experience
Done under local anesthesia, with the option of inhaled medication to help manage pain or anxiety.

How MRI Fusion Biopsy Works

Consultation & Assessment

We start by reviewing your medical history, PSA levels, and any previous imaging or biopsy results. This helps us determine if MRI Fusion Biopsy is the right choice for you.

Pre-Biopsy MRI

You’ll undergo a multiparametric MRI (mpMRI) — a highly detailed scan that identifies any suspicious areas within the prostate. These images are saved and used for precise targeting during the biopsy.

The Biopsy Procedure

Real-Time Fusion: We combine the saved MRI images with live ultrasound, creating a detailed, 3D view of your prostate and the suspicious areas to target.

Precision Targeting: A thin, specialized needle is guided directly to the areas of concern and multiple biopsy samples will be taken.

Transperineal Approach: The biopsy is performed through the skin between the rectum and scrotum, reducing risk of infection and bleeding. With a transperineal approach, we use a needle guide that will create a single puncture in the skin and all samples will then be taken through the guide without creating additional skin perforations.

Post-Biopsy Care and Results

You’ll receive clear instructions for a smooth recovery and a prescription for an antibiotic. The medication course should be started the night before the biopsy and completed in order to avoid an infection. Results will be ready in three weeks, and you will follow up with your referring urologist for your results.

Common Questions

Traditional biopsies often use a “blind” sampling approach, while MRI Fusion combines detailed MRI imaging with real-time ultrasound, providing a precise, 3D view of your prostate. This allows us to directly target suspicious areas, improving the detection of clinically significant cancers and reducing the chance of missing aggressive tumors.

You’ll receive anesthesia for comfort. Some men may feel mild pressure or a brief pinch, but serious pain is rare. Each sample takes less than one (1!) second to acquire.

The biopsy itself usually takes 20-30 minutes. You’ll be able to go home 15-20 minutes after the biopsy.

Our transperineal approach significantly reduces the risk of infection compared to traditional transrectal biopsies.

Yes, MRI Fusion Guided Biopsy is minimally invasive and carries a low risk of complications. Our team follows strict safety protocols to ensure your comfort and safety at every step.

You’ll receive detailed instructions during your consultation. These may include:

  • Adjusting medications (especially blood thinners)
  • Following dietary guidelines before the procedure
  • Starting an antibiotic course the night before and the morning of the biopsy to reduce infection risk

Most patients experience minimal discomfort and can resume normal activities soon after the biopsy. We’ll provide clear post-care instructions to ensure a smooth recovery. Here’s what to keep in mind:

  • Avoid strenuous activities and bike riding for 24-48 hours
  • Refrain from sexual activity for one week
  • Complete your prescribed antibiotic course to prevent infection

Like any medical procedure, MRI Fusion Biopsy carries some risks, but they are generally low:

  • Mild Bleeding: Light bleeding from the front or back may last 4-5 days. Blood in semen can persist for up to 8 weeks.
  • Discomfort: Most men feel only mild soreness, which can be managed with over-the-counter pain relief (e.g., Extra Strength Tylenol or Advil).
  • Infection: There is a very small risk of urinary tract infection (UTI) or, rarely, sepsis. If you experience fever, chills, shaking, or rigors, go to the nearest Emergency department immediately and inform them you’ve recently had a prostate biopsy.

Your biopsy results will be available in approximately three weeks. You must follow up with your referring urologist to discuss the findings and explore any necessary next steps.

Yes, the biopsy itself is covered by OHIP. A facility fee will apply to support the use of advanced imaging technology and ensure a comfortable, private setting for your procedure.

Next Step

Schedule a consultation or request a biopsy using the form below.
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