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[Music] what do you do when a patient has a high suspicion mri and the biopsy comes back negative ill first start by saying that you know i often feel that im viewed as sort of uh mris defense attorney but i am not and i dont get anything out of you doing an mri but i do think its a good tool and i think its worthwhile for us to understand its value and of course its limitations in practice a few disclosures uh listed here none of which are specifically related to this talk so when when i put this talk together i actually had to shift what i normally talk about what were normally talking about and focused on and perseverating on is the cancers that mri misses this is really more about the cancers that mri should be finding and and if you have a pi red four or five abnormality what should really be the positive predictive value of that so why would an mri targeted biopsy for a high suspicion mri uh be benign well theyre simply two reasons one either the mri is wrong or two the t