Local Staging of Prostate Cancer with Multiparametric MRI

Autor: Martha F. Terrazas, Steven C. Eberhardt, Mark D. Ehrhart, Nandan Keshav
Rok vydání: 2021
Předmět:
Zdroj: Seminars in Roentgenology. 56:366-375
ISSN: 0037-198X
DOI: 10.1053/j.ro.2021.09.001
Popis: Multiparametric magnetic resonance imaging (mpMRI) plays several valuable roles in preoperative staging of adenocarcinoma of the prostate gland, including detection of clinically significant disease, determination of extraglandular extension, and assessment of nodal disease. The Prostate Imaging Reporting and Data System (PI-RADS) establishes certain acceptable technical standards for mpMRI. These technical parameters allow for consistent image quality, enabling accurate detection and staging of disease; this in turn has significant implications for treatment recommendations. The prostate gland has a characteristic zonal anatomy, with cancers arising from the peripheral zone tending to demonstrate more aggressive histologic features. The acquisition of several sequences as part of mpMRI protocol allows for assessment of locoregional disease as well as regional and distant lymphadenopathy. The local staging of prostate cancer with mpMRI is reviewed in this article.
Databáze: OpenAIRE