Prostate and lymph node proton magnetic resonance (MR) spectroscopic Imaging with external array coils at 3 T to detect recurrent prostate cancer after radiation therapy

被引:22
作者
Heijmink, Stijn W. T. P. J.
Scheenen, Tom W. J.
Futterer, Jurgen J.
Klomp, Dennis W. J.
Heesakkers, Roel A. M.
Hulsbergen-van de Kaa, Christina A.
van Lin, Emile N. J. Th.
Heerschap, Arend
Barentsz, Jelle O.
机构
[1] Radboud Univ Nijmegen, Med Ctr, Dept Radiol, NL-6500 HB Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Med Ctr, Dept Pathol, NL-6500 HB Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Med Ctr, Dept Radiat Oncol, NL-6500 HB Nijmegen, Netherlands
关键词
prostate; neoplasms; magnetic resonance (MR); spectroscopy; lymphatic system; choline;
D O I
10.1097/01.rli.0000262759.46364.50
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
In a patient suspected of having recurrent prostate cancer after radiation therapy, we demonstrate the feasibility of noninvasive proton magnetic resonance spectroscopic (H-1-MRS) imaging of the prostate and a lymph node at 3 T using a matrix of external surface coils. Written informed consent was obtained from the patient. With H-1-MRS imaging, high choline with low citrate signal was observed in the prostate, and in the lymph node a signal of choline-containing compounds was identified. The tissue level of the compounds in the enlarged lymph node was estimated to be 8.1 mmol/kg water. Subsequent histopathological analysis of systematic transrectal ultrasound-guided prostate biopsy and computed tomography-guided biopsy of the lymph node confirmed the presence of prostate cancer in both.
引用
收藏
页码:420 / 427
页数:8
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