MRI Fusion Prostate Biopsy

Advanced Diagnostic Technique for Accurate Prostate Cancer Detection in Arlington and Dallas Fort Worth

Advanced Precision for Prostate Cancer Detection

With over 22 years of experience in urology and 13+ years specializing in MRI Fusion Prostate Biopsies, Dr. Richard Bevan-Thomas offers men the most advanced and accurate prostate cancer detection tools available. He performs state-of-the-art MRI Fusion Biopsies using both transrectal and transperineal approaches, ensuring early detection and reducing unnecessary procedures.

Patients from across North Texas trust Dr. Bevan-Thomas for his expertise in fusion biopsies and prostate cancer diagnostics, known for delivering precise and personalized care.

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What is an MRI Fusion Prostate Biopsy?

An MRI Fusion Prostate Biopsy is a cutting-edge diagnostic tool that combines multiparametric MRI (mpMRI) with real-time ultrasound imaging to accurately target suspicious areas of the prostate.

Unlike traditional biopsies that use random sampling, this advanced technique focuses on specific areas identified on MRI, helping detect clinically significant cancers while minimizing unnecessary biopsies.

How Does the Technology Work?

Step 1: Prostate MRI Scan (Pre-Biopsy Imaging)

  • Patients undergo a multiparametric prostate MRI at a specialized imaging center.
  • The MRI provides high-resolution images that highlight areas needing further evaluation.

The images are analyzed using the PI-RADS scoring system, which identifies potentially high-risk areas.

Step 2: MRI-TRUS Fusion Technology

  • The MRI images are fused with real-time transrectal ultrasound (TRUS) imaging.
  • Advanced software creates a 3D map of the prostate, allowing for precise targeting.
  • This significantly reduces the chance of missing clinically significant cancers compared to random biopsies.

Step 3: Precision Biopsy Sampling

Dr. Bevan-Thomas performs the biopsy using one of two approaches:

  1. Transrectal Biopsy – A traditional method where the needle is inserted through the rectum.
  2. Transperineal Biopsy – A more advanced approach where the needle is inserted through the perineum (between the scrotum and anus), reducing infection risk.

This targeted biopsy approach ensures greater accuracy, focusing on suspicious areas identified by MRI, and reduces unnecessary sampling.

Why MRI Fusion Biopsy is Superior to Traditional Biopsy

FeatureMRI Fusion BiopsyTraditional Biopsy
AccuracyTargets specific suspicious areas on MRIRandom sampling across the prostate
Risk of Missing CancerLower—focuses on high-risk areasHigher—may miss critical areas
InvasivenessMinimally invasive with precise targetingMore invasive due to random sampling
Risk of InfectionLower with transperineal approachHigher with transrectal approach
Need for Repeat BiopsyLess likely due to greater accuracyMore likely if initial biopsy misses cancer

👉 MRI Fusion Biopsy is especially beneficial for men with elevated PSA levels or abnormal MRI results, offering more reliable cancer detection.

Transrectal vs. Transperineal Biopsy: Which One is Right for You?

Dr. Bevan-Thomas offers both transrectal and transperineal fusion biopsies, choosing the best approach based on your medical history, risk factors, and insurance coverage.

1. Transrectal Prostate Biopsy

  • ✅ Most common approach
  • ✅ Needle inserted through the rectum
  • ✅ Quick and effective for many patients
  • ❌ Slightly higher infection risk due to rectal bacteria

2. Transperineal Prostate Biopsy (If Covered by Insurance)

  • Lower infection risk – Avoids rectal bacteria
  • ✅ Needle inserted through the perineum
  • ✅ More effective at accessing hard-to-reach areas of the prostate
  • ✅ Recommended for patients with previous infections or prior negative biopsies

Why Choose Dr. Bevan-Thomas for Your Prostate Biopsy?

Extensive Experience & Personalized Care

  • 22 Years in Private Practice – Trusted by patients across North Texas for comprehensive urologic care.
  • 13+ Years of MRI Fusion Biopsy Expertise – One of the first urologists in the region to adopt this advanced diagnostic technique.

Advanced Technology for Precision Diagnosis

  • Performs Both Transrectal & Transperineal Biopsies – Tailors the biopsy to each patient’s needs for accuracy and comfort.
  • Partners with Leading Imaging Centers – Access to high-resolution multiparametric MRI for accurate targeting and diagnosis.


Focused on Safety & Accuracy

  • Minimizes Risk, Maximizes Detection – Reduces the chance of missing cancer and unnecessary procedures.
  • Collaborates with Referring Physicians – Ensures seamless follow-up care for patients referred by other urologists.

What Happens After the Biopsy?

  • Pathology Review: Specimens are sent to a specialized pathologist, with results available within 5 days.
  • Follow-Up:
    • For Dr. Bevan-Thomas’ patients: He will personally review the results and discuss next steps, such as active surveillance, treatment options, or additional testing.

For patients referred by other urologists: Results will be sent back to your referring urologist for ongoing care.

Take the Next Step – Schedule Your MRI Fusion Prostate Biopsy

  • Advanced prostate cancer detection technology
  • Lower infection risk with transperineal approach
  • Performed by a trusted urologist with 22 years of experience

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