"Should I get an AI review of my MRI?"
Dr. Eric Walser, a pioneer in image-guided focal therapy for prostate cancer and BPH and former Professor and Chairman of Radiology at the University of Texas, raised a practical point on this recently.
When a doctor orders a prostate MRI, most patients simply go wherever the referral sends them. Whether that radiology practice uses AI in its reading workflow is largely invisible to the patient. In his words, "for a patient, it's really hit or miss."
His advice is to take control of your own imaging:
Get a copy. Those images belong to you. Ask for them on a disc, or through the download link many imaging centers now provide.
Keep them. If your PSA continues to rise years from now, comparing a new scan against an older one matters. Cancer tends to grow and change over time, while normal prostate tissue generally doesn't. It's the same principle behind comparing this year's mammogram to last year's.
Know your options. If you want a second look, you can send that imaging to a service that will analyze it with AI and return it to you with visual overlays highlighting areas of interest.
One caveat he's clear about: an AI analysis is information, not a decision. Understanding what it means for you, including whether a biopsy or treatment makes sense, still requires a conversation with a physician.
Should you get a second opinion on your prostate MRI?
In this short video, Dr. Eric Walser explains why a second MRI review may be worth considering and how AI can complement an expert's interpretation.
With decades of experience diagnosing and treating prostate disease, Dr. Walser is a recognized pioneer in MRI-guided prostate cancer treatment and the former Chairman of Radiology at the University of Texas
An elevated PSA is not a cancer diagnosis. It is a question mark.
Dr. Eric Walser, a leading authority in image-guided prostate diagnosis and treatment, explains what may happen next and why prostate MRI is increasingly an important early step. Many conditions besides cancer can raise PSA, including an enlarged prostate and inflammation.
Three things worth knowing:
🔹MRI is usually the first step before biopsy: It can help identify possible benign explanations for an elevated PSA and reveal suspicious areas that may need closer evaluation.
🔹AI is helping: Prostate MRI is one of the fastest-growing scans in the country, and it's new enough that many radiologists were never trained specifically on it. AI helps pinpoint the areas that need expert eyes.
🔹Not every finding requires immediate treatment: Some prostate cancers grow very slowly, and low-grade disease is often monitored through active surveillance. The decision depends on your age, overall health, biopsy results, and the specifics of what was found.
As Dr. Walser explains, this can be a long journey with several important decision points. Having a physician who understands modern prostate cancer care, and asking plenty of questions, can help you make informed decisions together.
Prostate health shouldn’t become a concern only when you reach your 50s or 60s.
Dr. Eric Walser makes the case for starting long before there is an elevated PSA, an MRI, or a prostate cancer diagnosis.
Healthy habits such as staying active, maintaining a healthy weight, not smoking, managing blood pressure, and eating a balanced diet are important for overall health. Research also suggests that some of these habits may be associated with a lower risk of aggressive or fatal prostate cancer.
Of course, lifestyle is only part of the picture. Age, family history, genetics, and ancestry can also affect prostate cancer risk.
Watch the short clip and share your thoughts: Did prostate health become something you thought about only later in life, or was it already on your radar?
Worried about prostate cancer? A few steadying words from Dr. Eric Walser.
An elevated PSA or a recommended prostate MRI can be unsettling. In this video, Dr. Eric Walser, a recognized authority in minimally invasive, image-guided treatment for prostate cancer and former Professor & Chairman of Radiology at the University of Texas, shared two ideas worth holding onto.
First, don't be afraid of the MRI. Some men avoid it because of claustrophobia, but scans have gotten shorter and mild sedation is often available. What matters is the information the scan provides, which can help patients and their doctors avoid unnecessary biopsies and treatment.
Second, seek more than one opinion. After a biopsy or a diagnosis, different specialists may recommend different paths, and that can feel overwhelming. Dr. Walser points out that many men accept the first recommendation and undergo aggressive treatment they may not have needed. Talking with several doctors, often alongside a partner, can lead to a decision you feel comfortable with.
A prostate MRI holds a great deal of information, and a careful second look at that same scan can sometimes add useful perspective. DeepView Imaging offers an FDA-cleared AI-supported second analysis of a prostate MRI you already have, giving you and your care team another perspective to discuss, typically within 30 minutes. A second opinion can help confirm the initial interpretation or highlight additional areas of interest. It does not replace your radiologist or treating physician.
The decisions are yours to make, guided by the doctors who know your case.