MR imaging of the prostate in clinical practice Journal Article
| Authors: | Mazaheri, Y.; Shukla-Dave, A.; Muellner, A.; Hricak, H. |
| Article Title: | MR imaging of the prostate in clinical practice |
| Abstract: | Magnetic resonance imaging (MRI) is the imaging tool of choice in the evaluation of prostate cancer. The main applications of MR imaging in the management of prostate cancer are: (1) to guide targeted biopsy when prostate cancer is clinically suspected and previous ultrasound-guided biopsy results are negative; (2) to localize and stage prostate cancer and provide a roadmap for treatment planning; and (3) to detect residual or locally recurrent cancer after treatment. Other MR techniques such as proton MR spectroscopic imaging (MRSI), diffusion-weighted imaging (DWI), and contrast-enhanced MRI (CE-MRI) complement conventional MR imaging by providing metabolic and functional information that can improve the accuracy of prostate cancer detection and characterization. In everyday clinical practice, and to account for patient comfort, MR imaging studies are limited to 1 h. To obtain consistently high-quality images, a well-designed protocol is necessary. Routine MR imaging can be supplemented by other MR techniques such as MRSI, DWI or CE-MRI depending on the expertise available and the clinical questions that need to be answered. This review summarizes the role of MR imaging in the management of prostate cancer and describes practical approaches to implementing anatomic, metabolic and functional MR imaging techniques in the clinic. © 2008 ESMRMB. |
| Keywords: | adult; middle aged; review; cancer localization; gadolinium; cancer staging; nuclear magnetic resonance imaging; follow up; magnetic resonance imaging; staging; cancer diagnosis; neoplasm staging; clinical practice; prostate specific antigen; neoplasm recurrence, local; prostate cancer; prostatic neoplasms; prostate; prostatectomy; contrast enhancement; diagnosis; brachytherapy; choline; citric acid; creatine; nuclear magnetic resonance spectroscopy; prostate hypertrophy; external beam radiotherapy; electromagnetic fields; gadolinium pentetate; diffusion weighted imaging; cryosurgery; follow-up; nuclear magnetic resonance scanner; polyamine derivative |
| Journal Title: | Magnetic Resonance Materials in Physics, Biology and Medicine |
| Volume: | 21 |
| Issue: | 6 |
| ISSN: | 0968-5243 |
| Publisher: | ESMRMB |
| Date Published: | 2008-11-01 |
| Start Page: | 379 |
| End Page: | 392 |
| Language: | English |
| DOI: | 10.1007/s10334-008-0138-y |
| PUBMED: | 18795354 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 14" - "Export Date: 17 November 2011" - "CODEN: MRBME" - "Source: Scopus" |
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