Tests for Prostate Cancer
Your doctor may prescribe one or more of the following tests to diagnose, locate, and stage your prostate cancer. Testing may involve radiologists specifically trained in prostate MRI, who have expert knowledge to determine the best treatment for you.
Prostate-Specific Antigen (PSA) Test
Blood test that measures levels of PSA produced by your prostate. High levels may indicate cancer.
Digital Rectal Exam
Your doctor inserts a surgically gloved finger into your rectum to examine your prostate, including an assessment of its size and if anything feels out of the ordinary.
Our providers can use a specialized prostate MRI exam to determine the size, number, location, and aggressiveness of tumors within the prostate. We can use this imaging to determine exact locations for further testing, such as a biopsy, or treatment.
PSMA PET Scan
If our providers suspect your prostate cancer may have spread, a PSMA PET scan includes injecting a safe, FDA-approved radioactive tracer drug that is specially made to find cancerous cells on a PET scan. This test can identify cancer in and outside the prostate gland, allowing for providers to track any spread and determine how well a treatment is working.
Guided by prostate MRI, a provider inserts a needle into your prostate and collects a tissue sample that is analyzed for the presence of cancer. Depending on your individual needs, we may do this procedure either transrectally (via your rectum) or transperineally (the area between the anus and the scrotum or vulva).
Active Surveillance for Prostate Cancer
Our active surveillance process uses sophisticated prostate MRI imaging to analyze the makeup of your tumor and provide a personalized risk assessment. This process is used for small, nonaggressive tumors that have a low probability of impacting your health and are not likely to grow or spread.
Your doctor may recommend active surveillance and periodic imaging tests to monitor your prostate cancer and determine whether treatment is needed. Active surveillance includes a prostate-specific antigen test every six-to-12 months and a prostate MRI every one or two years. A biopsy may be taken at the time of your prostate MRI as well.
Leaders in Diagnosing and Treating Prostate Cancer
We are one of the select centers designated by the National Cancer Institute as a Comprehensive Cancer Center, and we are part of the National Comprehensive Cancer Network, an alliance of the nation’s leading cancer centers dedicated to improving care for our patients.
Robotic prostate surgery is the gold standard for prostate cancer surgery. Duke was one of the earliest adopters of robotic surgery in North Carolina, and our care team includes surgeons that are fellowship-trained, meaning they studied additional years to become experts in urologic surgery.
Imaging Abilities that Make a Difference
A prostate MRI can be one of the most important ways your care team can find tumors and determine a course of treatment. Every person who undergoes an MRI for prostate cancer will receive imaging from our 3-telsa MRI machines that are twice as powerful as conventional scanners and just as safe. This advanced equipment allows us to provide the most specific diagnosis possible so radiologists and oncologists can collaborate on your course of treatment.
Expertise in Systemic Therapy
We are one of 13 Department of Defense Prostate Cancer Clinical Trial Consortium sites where new drugs and innovative therapies are being developed and delivered to people with advanced prostate cancer. Duke researchers have been closely involved in the development and approval of therapies now available to men with advanced prostate cancer, including newer hormonal therapies, immunotherapies, chemotherapies, and radiopharmaceuticals.
We Support You
Our comprehensive cancer support services help you with concerns ranging from how to minimize the side effects of treatment to coping with the emotional and psychological effects of your diagnosis and treatment. This includes a Prostate Cancer Survivors clinic and pelvic floor physical therapy to rehabilitate urinary function. Learn more about our prostate cancer support groups.