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UCLA Health
myUCLAhealth
School of Medicine
UCLA Prostate Imaging and Treatment
About Us
About Us
About Us
Case Studies
Radiation Therapy
Small Volume Low Grade Disease
Active Surveillance
Example of Change to Nerve Sparing
Extracapsular Extension and Seminal Vesicle Invasion
Dynamic Contrast-Enhancement for Biochemical Failure
MR-Guided Targeted Biopsy
Benign Disease (Infertility)
Clinical Trials
CME Course
Research Publications
About Us
Case Studies
Clinical Trials
CME Course
Research Publications
Case Studies
Radiation Therapy
Small Volume Low Grade Disease
Active Surveillance
Example of Change to Nerve Sparing
Extracapsular Extension and Seminal Vesicle Invasion
Dynamic Contrast-Enhancement for Biochemical Failure
MR-Guided Targeted Biopsy
Benign Disease (Infertility)
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UCLA Prostate Imaging and Treatment
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Case Studies
Case Studies
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1) Radiation Therapy Follow-Up
69 year-old, BPH gradual
PSA rise 1.6 → 4.8 ng/dl
Abnormal digital rectal exam → Biopsy: Gleason 5+4=9
Read More >
2) Small Volume, Low Grade Disease
60 year-old
PSA 3.6
5 of 6 right biopsies GS3+3
Read More >
3) Active Surveillance Example 1
(Initial MRI order was for surgical planning)
65 year-old
PSA 3 → 11 over 6 months
Microfocus of Gleason 3+3
Initial report : No posterior disease
Targeted Biopsy consult prompted 2
nd
look
Read More
>
4) Example of Change to Nerve Sparing
59 year-old
PSA 4.3
standard biopsy: 3+3=6 but large volume left
Read More >
5) Extracapsular Extension and Seminal Vesicle Invasion by MRI + Spectroscopy and Pathology
59 year-old male
PSA level: 10
Clinical staging: T1C
Blind systematic biopsy results: Gleason: 3+4=7 in the Left prostate
Read More >
6) Dynamic Contrast-Enhancement for Biochemical Failure
Elevated PSA after prostatectomy
Read More >
7) MR-Guided Targeted Biopsy
63 y/o, PSA 8.8 → 13.2 over 5 years
All systematic biopsies negative
Hypointense left anterior lesion with restricted diffusion is moderately suspicious, not in biopsy zone
Read More >
8) Benign Disease (Infertility)
Young man presents with infertility (azospermia)
Workup and medical history otherwise noncontributory
Muellerian duct remnant in central upper prostate may obstruct ejaculatory ducts
Left seminal vesicles are atrophic
Read More >
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