I was diagnosed with prostate cancer over nine years ago at the age of 55 with a Gleason score of 6 and have been managed on an active surveillance programme since that time. I have undergone two sets of biopsies and one MRI scan, the latter of which was completed approximately six years ago. Currently, I have PSA blood tests every three to six months, depending on the results. My PSA levels have remained relatively stable and are generally just below 5, which is reassuring. As I am now approaching the ten-year mark since my diagnosis, I would like to ask whether it would be appropriate to consider a repeat MRI to reassess my current status. Given the length of time since the previous imaging, I feel it may be helpful to ensure that there have been no significant changes. I would appreciate any advice on this and whether further imaging should form part of my ongoing surveillance plan.
Hello coxcom15
A warm welcome to the online Community.
So the NICE guidelines for AS say after year one a PSA test every 6 months and a DRE every 12 months - the MRI is only offered in the first 18 months - NICE guidelines here:
NICE Guidelines Active-Surveillance (Scroll up to 1.3.14 for full details).
Personally I would be asking for another MRI after such a long time - however if you get one - well that's in the hands of the NHS. I think you have done well to get 9 years out of AS (Regulars on the Community will know personally I am not a fan of AS).
Do let us know how you get on - if you ask for one.
Best wishes - Brian.
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