The two major components of the pathology report from a random 12-core biopsy are the Gleason score, which measures how aggressive the tumor appears, and the quantity of cancer, i.e., the extent of disease detected by the 12-core specimen…

Multiparametric MRI (MRI) provides a three-dimensional image of the prostate, giving important information about the cancer’s location, size, and how “aggressive” it appears. MRI also greatly increases the confidence that higher-grade cancers are not being overlooked in men on active surveillance. MRI is usually performed without an endorectal coil…

This article will discuss an alternative type of imaging, called color Doppler ultrasound (CDU). Unfortunately, CDU followed by targeted biopsy is available in only a few centers around the United States. Even so, this article will expound the many advantages of CDU for the diagnosis and staging of prostate cancer...