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You may want to consider a 3T MRI with contrast using an endorectal probe. From my personal experience, as well as from what I've read and been told by two radiologists (and other patients), that type of scan is the most likely to show lesions in the prostate (as well as possible problems in the seminal vesicles and with the capsule itself). If you go the MRI route, ask if its 1.5, 2 or 3T. There IS a difference in the quality and capability of the images.
Even if it does not find any notable lesions, that to most, would be good news and help allay your concerns - and be considered the best result. Should it find lesion(s), you could then decide if you want a targeted biopsy.
