Prostate and Elevated PSA

The Ministry of Heath and Long-Term Care, Health Services Branch, confirms that an MRI exam of the prostate for patients with elevated PSA levels, without previous biopsy are eligible for third-party coverage (private pay).

Prostate cancer is the most common cancer among Canadian men (excluding non-melanoma skin cancers). It is the 3rd leading cause of death from cancer in men in Canada.

  • 21,300 men were diagnosed with prostate cancer. This represents 21% of all new cancer cases in men in 2017.
  • 4,100 men died from prostate cancer. This represents 10% of all cancer deaths in men in 2017.
  • On average, 58 Canadian men were diagnosed with prostate cancer every day.
  • On average, 11 Canadian men died from prostate cancer every day.

Multiparametric MRI uses several different types of MRI tests (called MRI sequences) that show different details on the MRI image. While a standard MRI can find a tumour in the prostate, a multiparametric MRI gives more details about the exact location of the tumour, how aggressive it is and whether or not it has spread outside of the prostate. A multiparametric MRI can also help a doctor better target an abnormal area during a prostate biopsy when an MRI is used. It can also help doctors decide which men with prostate cancer should be treated right away and which men may benefit most from .

MRI using an endorectal coil uses a thin wire surrounded by a small, inflated balloon that is placed inside the rectum. This type of MRI is sometimes used to get a better image of the prostate than a standard MRI. You may be given a mild sedative or a muscle relaxant to help make you more comfortable if you have an MRI using an endorectal coil.