Multiparametric Prostate MR Imaging: Impact on Clinical Staging and Decision Making.

Autor:	Duvnjak P; Department of Radiology, Duke University Medical Center, DUMC Box 3808, Durham, NC 27710, USA; Department of Radiology, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA., Schulman AA; Division of Urologic Surgery, Department of Surgery, Duke Prostate Center, Duke University Medical Center, DUMC Box 2804, Durham, NC 27710, USA., Holtz JN; Department of Radiology, Duke University Medical Center, DUMC Box 3808, Durham, NC 27710, USA., Huang J; Department of Pathology, Duke University Medical Center, DUMC Box 3712, Durham, NC 27710, USA; Duke Cancer Institute, DUMC Box 3917, Durham, NC 27710, USA., Polascik TJ; Division of Urologic Surgery, Department of Surgery, Duke Prostate Center, Duke University Medical Center, DUMC Box 2804, Durham, NC 27710, USA; Duke Cancer Institute, DUMC Box 3917, Durham, NC 27710, USA., Gupta RT; Department of Radiology, Duke University Medical Center, DUMC Box 3808, Durham, NC 27710, USA; Division of Urologic Surgery, Department of Surgery, Duke Prostate Center, Duke University Medical Center, DUMC Box 2804, Durham, NC 27710, USA; Duke Cancer Institute, DUMC Box 3917, Durham, NC 27710, USA. Electronic address: rajan.gupta@duke.edu.
Jazyk:	angličtina
Zdroj:	The Urologic clinics of North America [Urol Clin North Am] 2018 Aug; Vol. 45 (3), pp. 455-466.
DOI:	10.1016/j.ucl.2018.03.010
Abstrakt:	Meaningful changes to the approach of prostate cancer staging and management have been made over the past decade with increasing demand for high-quality multiparametric MR imaging (mpMRI) of the prostate. This article focuses on the evolving paradigm of prostate cancer staging, with emphasis on the role of mpMRI on staging and its integration into clinical decision making. Current prostate cancer staging systems are defined and mpMRI's role in the detection of non-organ-confined disease and how it has an impact on the selection of appropriate next steps are discussed. Several imaging pitfalls, limitations, and future directions of mpMRI also are discussed. (Copyright © 2017 Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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