In this edition of "Answering YouTube Questions," Alex asks Dr. Scholz, on behalf of a patient, whether he should redo his MRI after seeing that the image quality was sub-optimal on the MRI report--also on the report, the detection of a PI-RADS 4 lesion--or if he should just do a 12-core biopsy a is being recommended by his urologist? She also asks about where Dr. Scholz recommends getting a second opinion on the interpretation of MRI results, how to know if a doctor is experienced with targeted biopsies after MRI, and whether all patients should be seeking a second opinion on their pathology report.
0:09 "My MRI had a PI-RADS 4, but it also said that the image quality was sub-optimal. My doctor wants me to go ahead and do a biopsy. Should I redo the MRI, first, instead?
2:15 Where do you send patients to get a second opinion on an MRI?
2:40 Which questions should patients be asking if they want to know if a doctor is experienced with targeted biopsies?
3:38 Should every patient get a second opinion on their pathology slides (specifically, with Jonathan Epstein, MD at Johns Hopkins, but could refer to any other pathologist with a good reputation for interpreting prostate cancer or genitourinary cancers generally)?
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