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Use of multiparametric magnetic resonance imaging and comparison with other modern imaging methods in the preoperative diagnosis of prostate cancer


Authors: Olga Dolejšová 1;  Viktor Eret 1;  Alžběta Šobrová 1;  Jiří Ferda 2;  Ondřej Hes 3;  Milan Hora 1;  Jiří Baxa 2
Authors‘ workplace: Urologická klinika LF UK a FN, Plzeň 1;  Klinika zobrazovacích metod FN, Plzeň 2;  Šiklův patologicko-anatomický ústav LF UK a FN, Plzeň 3
Published in: Ces Urol 2014; 18(4): 300-309
Category: Review article

Overview

Magnetic resonance (MR) has long been considered a promising imaging method to assess the localization and local staging of prostate cancer (CP). The aim of this study is to present modern multiparametic MR and other imaging modalities that could lead to improvement in detection and localization of CP. MR of the prostate was introduced into clinical practice in the mid- 1980s. Since then, there have been significant developments to the present multiparametric MR, which includes a combination of anatomical and functional displays as well as metabolic information. MR is helpful in the diagnosis of prostate cancer, particularly in the cases of suspected clinical or laboratory finding which have not been confirmed by prostate biopsies. The other modern imaging methods include prostate transrectal power Doppler sonography with 3D reconstruction (3D-PDS ), transrectal sonography with echocontrast substances (Contrast – Enhanced Ultrasound, CEUS) HistoScanningTM or elastography. Currently, multiparametric MR is considered to be the optimal preoperative imaging method for evaluating localization and local staging of prostate cancer.

Key words:
prostate cancer, magnetic resonance imaging, positron emission tomography, scintigraphy, ultrasonography.


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