These are good questions that everyone should ask of their doctors. My Uro Oncologist also told me that color doppler wouldn't work.
Bahn and Lee are interventional radiologists, not urologists and they have different skills, especially when reading images. Urologists are not trained or have experience in reading images. Also as Dr Bahn explained to me, the urologist biopsies at an angle through the rectum, in my case the angle would have never hit the anterior of the transition zone where my tumor was located. The other difference in Dr Bahn's biopsy was that he spent about
25 minutes just looking, drawing images and taking notes before he even picked up a needle. My other biopsies would have already been over.
MRIS can see PC if it is in the perpheral zone or in the bed, but has a difficult time seeing into the interior of the prostate. Also a Telsa 3 MRI using Dye Enhanced Imaging can spot small tumors in the prostate.
Please don't stop asking good questions until you get answers that make sense. Knowing what I know now, I wouldn't hesitate to travel to get a color doppler from Bahn or Lee.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.
2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.
25 treatments of IMRT 6 weeks after seed implants. No side affects at all.
PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.