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mpMRI

Medical imaging can provide health care professionals with valuable information that aids in the diagnosis or treatment of many conditions and diseases. If you have symptoms or signs of possible prostate cancer, you may be offered an mpMRI as well as other investigative procedures.

What is an mpMRI?

An mpMRI is a special type of scan for people who may have prostate cancer. The scan uses a magnet and radio waves to take detailed images of the prostate, gathering information that helps your medical team determine the next steps in your treatment plan. ‘MpMRI’ stands for ‘multi-parametric magnetic resonance imaging’. MpMRIs can:
  • help your specialist determine whether you need a prostate biopsy
  • provide information about whether your cancer has spread
  • guide the needle during a biopsy.

Why might I need an mpMRI?

Although an mpMRI alone cannot diagnose prostate cancer, it can often show areas that look suspicious and could be cancerous. If other tests have indicated the possibility of cancer, your health care professional may suggest you have an mpMRI.

If you already have prostate cancer, an mpMRI may help your medical team to understand if your cancer has spread.

What are the risks of an mpMRI?

MpMRIs are generally considered safe because they don’t use radiation, for some patients there are some additional clinical considerations listed below

  • If you have a metal implant in your body (for example, an artificial heart valve, a pacemaker, or a defibrillator) you may not be able to have an mpMRI. However, some of the newer metal implants are mpMRI-safe, so check with your doctor before taking the test.
  • If you have any kidney problems, the mpMRI may need to be modified. Discuss your options with your doctor.
  • If you have claustrophobia (a fear of confined spaces), an mpMRI scan can be challenging. Please make the staff aware so they can help you.

How do I prepare for an mpMRI?

Your specialist will tell you how to prepare for your mpMRI. You may be asked to fast (not eat or drink) prior to your scan.

Before your mpMRI, you will fill out a safety questionnaire. Some medical implants and devices can’t be scanned safely with an MRI.

Just before your mpMRI begins, you’ll need to remove all jewellery and any metal objects. You will also be asked to put on a hospital gown.

You might need an injection of MRI contrast (dye). The injection is usually through a vein in the arm or hand. If you have renal impairment or kidney disease, you will not be given a contrast injection.

What happens during an mpMRI?

Here’s what to expect during your scan:

  • You will lie very still on a table.
  • The table will slide into a large cylinder (the MRI machine).
  • The MRI machine will take detailed pictures of the area as requested by your treating doctor.
  • You’ll be instructed to hold your breath for 10 seconds as each picture is taken.
  • The MRI machine will make loud humming, tapping and buzzing noises as it takes the pictures.
  • The technicians will be able to talk to you using headphones.

The scan takes around 30 to 60 minutes.

What happens after an mpMRI?

Immediately after your mpMRI, your radiographer will review the images to check they have covered the right areas. If you had a contrast injection, your nurse will remove the needle. It’s also important to drink a lot of water to pass out the dye. You will not notice the dye, as it is colourless.

As soon as your specialist agrees, you can return home and resume your normal activities. As your test results are available, your specialist will discuss your results and recommend a treatment plan.

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