I am particularly interested in MRI/MRSI scans for PC. A year into my diagnosis, and with good ancedotal evidence that my PC is not progressing (declining PSA, continued clear DRE's, absence of BPH-like symptoms, etc.) for now, and an aversion to further biopsies, I am very interested in the potential for MRI/MRSI as a screening tool, and as a method to create an accurate baseline for future reference.
Even more specific as I have studied the subject, the current state of the art appears to be the 3 Telsa MRI's using endorectal coils with MRSI. It appears that these are available through UCSF, MD Anderson in Houston, Sloan Kettering and from Dr. Wheeler in FL. The technology is expensive, and I am looking to find the least expensive approach, be that through a clinical trial or with billing via my health insurance.
I would be very interested to read posts from anyone who has experience with MRI/MRSI as it relates to PC.
There is a good overview of MRI/MRSI relating to PC at the PCRI web site:
I am presently pursuing no treatments or surgeries, but have made major lifestyle changes and endeavor to monitor PC as carefully as possible, but non-invasively. Weeks after my diagnosis, I adopted a strict macrobiotic diet, cutting out all sugar and sugar substitutes, all dairy products, all meat, hydrogenated vegetable oils, caffiene, etc. I went from 187 lbs at diagnosis to 140 lbs, where my weight has remained steady for several months. That's exactly what I weighed at the age of 25. That delivers a lean but viable BMI and a six inch reduction in waist size. As a side note, the cardio benefits of this have been phenominal. I take supplements, but nothing in mega-doses. I have adopted a pretty vigourus excercise program, and practice Yoga. All of these seem to be making positive contributions, including a reversal of my PSA trend. This is not the course recommended by the two urologists I have consulted, or by the surgeon (robotic) and radiation oncologist I interviewed post diagnosis. I recognize that it is a road less traveled, and thus the interest in MRI/MRSI to get a better handle on my PC status.