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so another comment we have theres a 73 year old and they went to their urologist he ordered an MRI they came back with a pirates four but on the report it said that it was sub-optimal that there was rectal gas and that the MRI wasnt as useful as they wanted it to be so instead of retesting and just going and getting another MRI the doctor wants to do a biopsy so what in that situation should he do should he do the biopsy should he get another MRI how does he go about this well its still controversial to use MRI as a as a tool in men with high PSAs as a first step tool because more often than not in the field of Urology people are being treated with random biopsies its still the go-to methodology I dont agree with it but its the standard of care so Ive been promoting the concept that since Empire MRIs are more accurate than biopsies and theyre non-invasive that they should be the first step and were seeing some transition toward that thinking especially as MRIs get better more