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Navigating Prostate Cancer Screening: How New Technologies Are Reducing Unnecessary Biopsies

Adnan Dervishi, MD

1 min read

Apr 26

27

5


Prostate cancer screening is crucial but can lead to unnecessary biopsies. We utilize cutting-edge tools—ExoDx Prostate (Exosome Dx), prostate MRI, and PSA density—to enhance accuracy and reduce invasive procedures.


ExoDx Prostate (Exosome Dx) analyzes RNA biomarkers in urine to predict high-grade prostate cancer, providing guidance on whether a biopsy is necessary. This test is particularly useful for patients with ambiguous PSA levels.


Prostate MRI offers detailed imaging that pinpoints areas likely to harbor significant cancer. The negative predictive value (NPV) of a PI-RADS v2 score of 1-2 on mpMRI can exceed 90%, suggesting that a negative MRI result strongly indicates the absence of significant prostate cancer.


PSA Density calculates PSA levels relative to prostate volume. A higher PSA density >0.15 may indicate a higher risk of cancer, helping to distinguish between benign conditions and potential malignancies.


By integrating these technologies, we can accurately assess the risk of prostate cancer. For example, a combination of a low-risk ExoDx score, negative MRI findings, and low PSA density can often eliminate the need for a biopsy, sparing patients from discomfort and risk.


Stay Informed and Safe These advancements mean more personalized care and fewer unnecessary interventions. If you’re due for screening or have concerns about your prostate health, contact us.

Adnan Dervishi, MD

1 min read

Apr 26

27

5

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