What is this test?
This is a highly specialized Magnetic Resonance Imaging (MRI) scan focused on the prostate gland, enhanced by the use of dynamic contrast (typically gadolinium-based). It allows visualization of blood flow patterns within the prostate, which helps identify areas with abnormal vascular activity — a common feature of prostate cancer. This multiparametric approach combines anatomical and functional imaging for more accurate detection and characterization of prostate lesions.
What is it used for?

• Detecting and characterizing prostate cancer
• Differentiating malignant from benign prostate conditions such as BPH (benign prostatic hyperplasia) or prostatitis
• Assessing tumor size, location, and spread for staging
• Guiding targeted biopsies and aiding in treatment planning (surgery, radiation, or active surveillance)
• Monitoring known prostate cancer or post-treatment changes

Who should get this test?

• Men with elevated PSA (Prostate-Specific Antigen) levels or fluctuating PSA results
• Individuals with an abnormal digital rectal examination (DRE)
• Patients with previous inconclusive biopsies needing improved lesion localization
• Men on active surveillance programs who require non-invasive follow-up
• Those preparing for prostate cancer treatment or surgery and need detailed staging

Preparation Required:

• Avoid ejaculation for at least 48 hours before the test to reduce interference with prostate imaging
• No fasting is generally required, but a mild enema or bowel preparation may be suggested for optimal clarity
• Inform the radiology team about any kidney conditions, metal implants, or contrast allergies
• Arrive wearing loose-fitting clothing with no metal parts (e.g., zippers, belts, etc.)

How is the procedure performed?
You will lie flat on your back inside the MRI scanner. A small intravenous line (IV) is inserted to administer the contrast dye during the exam. The scan involves multiple sequences over 30–45 minutes, including dynamic contrast-enhanced imaging that tracks the flow of dye through prostate tissue. The patient must remain still to ensure image quality. In some centers, an endorectal coil may be used for higher-resolution images, though many modern scanners no longer require this.
Risks & Safety:
The procedure is considered very safe and does not involve ionizing radiation. Gadolinium-based contrast is generally well tolerated, though rare allergic reactions can occur. Patients with severe kidney disease may not be suitable candidates for contrast-enhanced MRI. Always disclose your full medical history to your provider beforehand.
Results:
The radiologist will analyze the images for any suspicious lesions, structural changes, or signs of inflammation or malignancy. A structured report — often using the PI-RADS (Prostate Imaging Reporting and Data System) score — will be issued, grading the likelihood of clinically significant cancer. The results help determine whether further investigation (e.g., biopsy) or immediate treatment is necessary.
Short Statement:
A specialized MRI that uses contrast to visualize the prostate gland and surrounding tissues — essential for detecting prostate cancer, inflammation, or other abnormalities.
Call to Action:
Monitoring prostate health? Book a Prostate MRI with Dynamic Contrast for early detection and better decision-making.