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There are more than 47,000 men diagnosed with prostate cancer every year in England but new research says using MRI scans can reduce deaths caused by the disease. Current tests usually detect the level of the protein prostate-specific antigen (PSA) in the blood, but scientists say this has meant overdiagnosis and overtreatment of low-risk cancer. The Reimagine study, by University College London, University College London Hospitals NHS Foundation Trust and King’s College London, invited 303 men aged between 50 and 75 to have a screening MRI and a PSA test. Of those men, 48 (16%) had an MRI that indicated prostate cancer despite having a median PSA density – 32 of those had lower PSA levels than the current screening benchmark, meaning they would ordinarily not have been referred for investigation. After NHS assessment 29 were diagnosed with cancer that required treatment, and three were diagnosed with low-risk cancer with no need for treatment. Prof Caroline Moore, consultant surgeon at UCLH, chief investigator of the study and NIHR research professor, called the findings “sobering”. She said: “Our results give an early indication that MRI could offer a more reliable method of detecting potentially serious cancers early, with the added benefit that less than 1% of participants were ‘over-diagnosed’ with low-risk disease.” What is prostate cancer? Prostate cancer is the UK’s most common male cancer. It affects the prostate – a walnut-sized gland that sits beneath the bladder and surrounds the urethra in people born with male sex organs. Its main purpose is to help produce semen (the fluid that carries sperm). Prostate cancer can develop when cells in the prostate start to grow in an uncontrolled way. While some prostate cancers grow quickly and spread, others grow too slowly to cause any problems and therefore will never need any treatment. What are the risk factors “Prostate cancer is a disease we tend to see in older age groups (over-50s), but there are exceptions, as with any form of cancer,” said Dr Sanjay Mehta, GP at The London General Practice. According to Prostate Cancer UK black men are at a higher risk – one in four black men will get prostate cancer in their lifetime (compared to one in eight for other men). The risk increases after the age of 45. Family history is important too; your father or brother has had prostate cancer or your mother or sister has had breast cancer, your risk is higher. What are the symptoms? Often there aren’t any signs in the early stages, so be aware of your own risk factors and chat to your doctor if concerned. Prostate Cancer UK have an online risk checker you can use too. Mehta said to watch out for urinary symptoms and changes to how you urinate. “So frequency, where you need to go more often. Hesitancy, where you’re standing over the toilet bowl and a period of time will pass before you’re able to pass urine, and ‘dribbling’, where you’ve finished but find you’re still passing when you walk away. “These are common in older men anyway. But if it’s new for you, and you find you’re having to go more often at night, and you’re having hesitancy or urgency, see your doctor.” Other things to get checked include erectile dysfunction, blood in your urine, and any new and unexplained lower back pain. “Then there are general systemic symptoms, like lethargy, lack of appetite,” added Mehta. “Again, these things often happen anyway, but if it’s a change for you and it’s been happening for a couple of weeks, see your doctor.” How is prostate cancer diagnosed and treated? First, your doctor will chat through your symptoms and history with you. “The next step would involve an examination, including a rectal examination of the prostate,” said Mehta, before referral for further investigations. “I appreciate this can put some men off seeing their doctor but it is a very helpful way of assessing things”. After diagnosis, treatment depends on the stage of the cancer and what’s suitable for each individual, but it may include surgery or radiotherapy. Caught early, prostate cancer is generally very treatable. And even with advanced prostate cancer, treatments have come a long way. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Keep fit to avoid heart rhythm disorder and stroke, study suggests How to give your home a proper summer sort out What you really need to do in autumn to keep your lawn in shape

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Lando Norris admits this has been the toughest season of his Formula One career – and he is not prepared to wait another five years before he can fight to be crowned champion of the world. Norris heads into his home race at Silverstone off the back of his best result of 2023 – an upgraded fourth in his updated McLaren at last weekend’s Austrian Grand Prix. He made his debut in 2019, scoring six podiums and taking one pole position along the way, narrowly missing out on a maiden victory at a rain-hit Russian Grand Prix two years ago. But the 23-year-old from Glastonbury has endured a largely frustrating campaign in his under-performing McLaren. His strong finish in Spielberg marked the first time from the opening nine rounds that he has finished in the top five. “This has been my toughest season,” Norris said in an interview with the PA news agency ahead of this weekend’s British Grand Prix. “I have been on the rise and felt that glory and the podiums and then it drops off to the worst it has been for me. I want to win so much, but at the same time it feels so far away. “Everyone puts in the effort, and when I am not close to fighting for points, it takes a lot out of me. I don’t get anything out of it and it hurts. “And when I think I have been in F1 for five seasons, I feel like ‘damn’. Five years have gone by so quickly and before I know it I will have been here for 10. I don’t want to be in this position then.” Although Lewis Hamilton, Max Verstappen and Fernando Alonso are regarded as the top three in F1, Norris is leading the chasing group. Norris effectively ended eight-time grand prix winner Daniel Ricciardo’s career by outperforming him during their two years together at McLaren. And Red Bull team principal Christian Horner is known to be an admirer of the young Englishman. Sergio Perez has struggled for form in recent races, leading some to question whether there might be a vacancy alongside Verstappen at Red Bull next year. Is Norris, who is contracted to McLaren until 2026, monitoring the situation at the grid’s all-conquering team? “You always monitor things,” he replied. “Every driver on the grid does. And I do think sometimes, ‘What would happen if I was in this position or that position?’ “But I am not the guy who wastes time thinking about it, or wishing for something else. I have kind of got to a point where I am just very happy to keep my head down. “When the time comes and something happens then something happens, but I don’t get carried away with any of that, as much as I daydream about things in life, like everyone does.” Norris’ strong display at Spielberg will have lifted the mood at McLaren’s Woking headquarters. And Norris wants to carry over his form from the Styrian Mountains by putting on a show for a crowd on Sunday that will touch 150,000 spectators – a large chunk of whom will be cheering on the popular McLaren man. “The experience of having a home race and the support of the fans, the cheers and the shouting, is such a cool thing,” Norris added. “In a way it makes me feel odd because I could never have ever imagined to be in that position, with people wearing my T-shirt and shouting my name. I am an introvert really, and not necessarily the best with crowds. “But it gets me because there are people supporting me and spending their weekend cheering me on. I feel like I want to deliver and make sure they have a good time.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live 5 memorable races staged at Silverstone David Coulthard looks at the key issues surrounding Lewis Hamilton’s next deal Phenomenal circuit and incredible atmosphere – Mark Webber remembers Silverstone

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Ukraine is in talks with some of the world's biggest insurance companies to cover ships traveling to and from its ports in the Black Sea — a crucial step toward a full resumption of vital grain exports around the globe.

The number of West Africans suffering acute hunger has surged fourfold since 2019, driven in part by Nigeria’s