{"id":2118,"date":"2025-02-22T05:54:05","date_gmt":"2025-02-22T05:54:05","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/?page_id=2118"},"modified":"2026-04-21T23:18:38","modified_gmt":"2026-04-21T23:18:38","slug":"mri-fusion","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/prostate-cancer\/prostate-biopsy\/mri-fusion\/","title":{"rendered":"MRI Fusion Prostate Biopsy – Transperineal and Transrectal Ultrasound Guided Biopsy Options"},"content":{"rendered":"

MRI – Ultrasound Prostate Fusion Biopsy<\/strong> in New York City<\/strong><\/h1>\n

by Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n

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If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-646-663-5515<\/span><\/a><\/strong>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>.  Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n

We offer affordable appointment prices<\/a> with or without insurance.  <\/strong><\/span>Same-day virtual video appointments<\/strong> and in-person appointments<\/strong> are available.<\/span><\/p>\n

Dr. Shteynshlyuger MD <\/a><\/strong>is a board-certified urologist in NYC who specializes in treating men with elevated PSA, prostate cancer, and sexual, testicular, hormonal, urinary, and sexual problems in men.   He has performed hundreds of prostate biopsies and prostate surgeries.  <\/strong><\/p>\n

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MRI Fusion Prostate Biopsy: What You Need to Know<\/strong><\/h1>\n

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MRI is used to evaluate the prostate for abnormal lesions that may be at higher risk for having prostate cancer.  While MRI may also be used to guide prostate biopsy, the procedure is a bit more complicated. Ultrasound is widely available. Prostate ultrasound allows real-time visualization of the prostate and guidance of the biopsy needle to the area where the biopsy needs to be taken.<\/p>\n

MRI-Ultrasound fusion with ultrasound prostate biopsy guidance<\/strong> is an innovative procedure that involves merging or superimposing the data from the MRI to the real-time images of the prostate obtained from transrectal ultrasound.  The first step involves mapping the MRI images to the ultrasound-acquired images of the prostate. Next, the suspicious areas on the MRI, now superimposed on the ultrasound image, are used in real-time to guide the prostate biopsy needle in real-time to the suspicious areas that need to be biopsied.<\/p>\n

MRI-ultrasound fusion biopsy of the prostate improves the detection of high-risk prostate cancer or what is called “clinically significant” prostate cancer. <\/p>\n

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Dr. Alex Shteynshlyuger is a fellowship-trained urologic oncologist, a robotically-trained surgeon specializing in the evaluation of elevated PSA, performance of prostate biopsy, and all aspects of care for early, advanced, and metastatic prostate cancer<\/b>. He is a member of the Society for Urologic Oncology and the American Society for Clinical Oncology.  He is one of the pioneers of MRI-fusion prostate biopsy in New York state. He is an experienced urologist with more than 20 years of experience. He has performed hundreds of prostate biopsies, including transperineal and transrectal biopsies and MRI-fusion biopsies.<\/p>\n

Dr. Alex Shteynshlyuger is a board-certified urologist who is experienced in treating men with abnormal PSA.  He has published articles in major urology journals<\/a> about PSA testing and screening.  He is available for consultations for men in NYC with abnormal or elevated PSA levels<\/strong>.  He has treated thousands of men with elevated PSA, and all stages of prostate cancer,<\/strong> including men with PSA recurrence after prostate cancer treatment<\/strong> (surgery, radiation, HIFU, cryotherapy, immunotherapy, chemotherapy, etc.).<\/p>\n

What is an MRI-Fusion Prostate Biopsy?<\/h2>\n

After prostate MRI is performed, the urologist uses special fusion software and equipment that overlays MRI and ultrasound images, allowing the urologist to biopsy the exact suspicious area.  Ultrasoud is used in real time to image the prostate and through fusion of images with the MRI, allows precise targeting of the prostate lesions. This improves diagnostic precision and risk stratification for treatment planning.<\/p>\n

When is MRI-fusion Prostate Biopsy Performed and Why?<\/h2>\n

For men whose MRI shows a PI-RADS 3 or greater<\/strong> lesion, MRI-fusion biopsy allows to specifically biopsy the areas of concern identified on prostate MRI.<\/p>\n

The Prostate Imaging Reporting and Data System (PI-RADS)<\/strong> scores lesions from 1 to 5 based on their appearance on MRI:<\/p>\n