MRI scan of the prostateProstate ka MRI scan

Yeh scan kya hai aur kyun kiya jata hai

MRI (magnetic resonance imaging) scan jism ke andar ki tasveerein ek mazboot magnet aur radio lehron se banata hai. Is mein X-ray ya radiation nahi hota. Yeh tasveerein ultrasound scan se kahin zyada tafseel mein prostate dikhati hain.

Aap ka urologist MRI prostate ke liye kahe sakta hai jab PSA test barha hua ho, jab muaine mein prostate ajeeb mehsoos ho, baar baar infection ho, ya biopsy se pehle, taake koi mushtabah jagah pehle dekhi ja sake. Cancer ka ilaaj ho chuka ho to baad mein prostate dekhne ke liye bhi istemal hota hai.

MRI tasveerein hain, tashkhees nahi. Radiologist jo dikhta hai woh report karta hai, aur aap ka urologist is report ko PSA, muaine aur alamaat ke saath mila kar agla qadam tay karta hai.

Scan se pehle

• Jism mein kisi bhi dhaat ke baare mein team ko batayein. Is mein pacemaker ya dil ka koi aur device, cochlear implant, kuch joint ya reedh ki hadd ke implants, pehle ke operation ke clips, aur aankh mein dhaat ke tukde shamil hain. Zyada tar implants MRI mein mahfooz hote hain, lekin team har aik ko andar jane se pehle check karti hai.
• Team ko batayein agar aap haamla hain, ya agar gurdon ka koi masla hai, kyun ke kuch scans mein dye istemal hota hai.
• Dye istemal ho sakta hai. Kuch scans mein dye nas mein lagaya jata hai. Aap ka hospital batayega ke aap ko yeh chahiye ya nahi, aur kya pehle gurdon ke liye khoon ka test zaroori hai.
• Kuch markazon mein peshab bhara hona ya khali hona kaha jata hai. Hospital ki hidayat par amal karein.
• Apni dawayein mamool ke mutabiq lein, jab tak hospital mana na kare. Apne taur par koi dawa band na karein.
• Dhaat ke baghair kapre pehnein. Aap se aam tor par gown pehanne ko kaha jayega, aur zewar, hairpins, belt aur sikke utarne honge.
• Agar band jagah mein ghabrahat hoti hai to team ko pehle batayein. Kuch hospitals kisi saathi ko kamre mein rehne dete hain ya halki dawa de sakte hain jo araam mein madad kare. Poochh lein ke kya dastyab hai.

Scan ke dauran

Aap ek gaddi wali mez par leten gey jo ek nali jaisi machine mein sarakti hai. Scan mein dard nahi hota, lekin machine tez khatkhatane aur bhinbhinane ki awaz karti hai, is liye aap ko kaan ke plug ya headphones diye jayenge. Aap ko bilkul sakoon se leté rehna hoga, kyun ke harkat se tasveer dhundhli ho jati hai. Radiographer speaker par aap se baat kar sakta hai, aur agar aap kahen to scan rok deta hai.

Prostate ki wazeh tasveer ke liye pelvis par ek chapti coil rakhi ja sakti hai. Kuch log scan ke dauran garmi mehsoos karte hain, yeh normal hai. Scan aam tor par CT scan se zyada waqt leta hai.

Agar aap ko band jagah mein ghutan mehsoos ho to fauran team ko batayein. Bohat se log nali mein thori der ke liye bechain hote hain, aur scan aksar thora waqfa ya madad ke saath mukammal ho jata hai.

Scan ke baad

• Aam tor par aap ghar ja sakte hain aur mamool ke kaam kar sakte hain, jab tak aap ko araam ki koi dawa na di gayi ho.
• Agar dye lagaya gaya ho to agle din zyada pani piyein, jaisa team batayegi, khaas tor par garmi mein.
• Nateeja aam tor par usi din nahi milta. Poochh lein ke report kab aur kaise milegi, aur kaun samjhayega.

Mumkin khatre

MRI mein radiation nahi hota, yeh bari khoobi hai. Ahem khatra jism mein ya jism par dhaat se mutaliq hai, is liye scan se pehle ki jaanch zaroori hai. Agar dye istemal ho to allergy bohat kam hoti hai, aur jin logon ko khatra ho un ke gurdon ko pehle dekha jata hai.

Kuch logon ko band jagah aur shor bardasht karna mushkil lagta hai. Scan se pehle hi batayein, scan ke dauran nahi.

Aap ke nateeje

Radiologist tasveeron par report likhta hai. Prostate MRI ki reports aksar mushtabah jagah ko darje ke saath batati hain, na mumkin se bohat mumkin cancer tak. Mushtabah jagah cancer ki tasdeeq nahi karti, aur normal report cancer ko mukammal taur par khaarij nahi karti.

Report aur tasveerein (aam tor par disc ya online) apne urologist ko dikhayein. Sirf woh doctor jo aap ko jaanta hai nateeja samjhaye.

Agar scan mein mushtabah jagah dikhe to agla qadam aam tor par prostate ki biopsy hai, kyun ke biopsy hi wahid tareeqa hai yeh jaanne ka ke cancer hai ya nahi. Transrectal ultrasound guide mein biopsy ke bare mein kuch baat hai, aur prostate cancer guide agle qadmon ke bare mein batati hai.

Normal MRI ka matlab yeh nahi ke alamaat ko nazar andaz karein. Agar peshab mein dikkat, peshab mein khoon ya koi aur alamat ho to scan normal hone ke bawajood urologist ko dikhayein.

Aam sawalaat

What it is and why it is done

An MRI (magnetic resonance imaging) scan makes pictures of the inside of the body using a strong magnet and radio waves. It does not use X-rays or radiation. The pictures show the prostate in much more detail than an ultrasound scan can.

Your urologist may ask for an MRI of the prostate when a PSA test is raised, when the prostate feels abnormal on examination, after repeated infections, or before a biopsy, so that any area that looks suspicious can be checked first. It is also used to look at the prostate after treatment for cancer.

An MRI is a set of pictures, not a diagnosis. The radiologist reports what the pictures show, and your urologist combines that report with your PSA, your examination and your symptoms before deciding what happens next.

Before the scan

• Tell the team about any metal in your body. This includes a pacemaker or other heart device, a cochlear implant, some joint or spine implants, clips from earlier operations, and metal fragments in the eye. Many implants are safe in an MRI, but the team must check each one before you go in.
• Tell the team if you may be pregnant, or if you have kidney problems, because some scans use a dye.
• A dye may be used. Some scans need a dye injected into a vein. Your hospital will tell you whether you need one, and whether a blood test is needed first to check your kidneys.
• Some centres ask for a full bladder or an empty one. Follow the instructions your hospital gives you.
• Take your medicines as usual unless your hospital tells you otherwise. Please do not stop any medicine on your own.
• Wear clothes without metal. You will usually be asked to change into a gown and to remove jewellery, hairpins, belts and coins.
• Tell the team if you feel anxious in enclosed spaces. Some hospitals can offer a companion in the room or a mild medicine to help you relax. Ask what is available.

During the scan

You lie on a padded table that slides into a tube-shaped machine. The scan is painless, but the machine makes loud knocking and buzzing noises, so you will be given ear plugs or headphones. You must keep very still, because movement blurs the pictures. The radiographer can talk to you through a speaker and will stop the scan if you ask.

A flat coil may be placed over the pelvis to get clear pictures of the prostate. Some people feel warm during the scan, which is normal. The scan usually takes longer than a CT scan.

If you feel closed in, tell the team straight away. Many people feel uneasy in the tube for a short while, and the scan can often be finished with a short break or with support.

After the scan

• You can usually go home and carry on as normal, unless you were given a medicine to relax.
• If you had a dye, drink plenty of water over the next day, as your team advises, especially in hot weather.
• Results are not usually given on the same day. Ask when and how you will get the report, and who will explain it to you.

Possible risks

An MRI does not use radiation, which is a major advantage. The main safety concerns are about metal in or on the body, which is why the checks before the scan matter. If a dye is used, an allergic reaction is rare, and the kidneys are checked beforehand in people who may be at risk.

Some people find the closed space and the noise hard to bear. Please say so before the scan rather than during it.

Your results

The radiologist writes a report on the pictures. Prostate MRI reports often describe any suspicious area with a graded score, from unlikely to very likely to be cancer. A suspicious area does not confirm cancer, and a normal report does not completely rule it out.

Please take the report and the pictures (usually on a disc or online) to your urologist. Only a doctor who knows you should explain what the result means for you.

If the scan shows a suspicious area, the usual next step is a biopsy of the prostate, because a biopsy is the only way to be sure whether there is a cancer. The transrectal ultrasound guide explains how the biopsy is often guided, and the prostate cancer guide explains the next steps.

A normal MRI does not mean you can ignore symptoms. If you have trouble passing urine, blood in the urine or other symptoms, see a urologist even if the scan is normal.

Common questions