Role of MRI in Follow-Up After Focal Therapy for Prostate Carcinoma

被引:55
|
作者
De Visschere, Pieter J. [1 ]
De Meerleer, Gert O. [2 ]
Futterer, Jurgen J. [3 ]
Villeirs, Geert M. [1 ]
机构
[1] Ghent Univ Hosp, Dept Radiol, Div Genitourinary Radiol, B-9000 Ghent, Belgium
[2] Ghent Univ Hosp, Dept Radiotherapy, B-9000 Ghent, Belgium
[3] Radboud Univ Nijmegen, Dept Radiol, Nijmegen Med Ctr, NL-6525 ED Nijmegen, Netherlands
关键词
MRI; prostate cancer; prostate-specific antigen; prostatic neoplasm; recurrence; MAGNETIC-RESONANCE-SPECTROSCOPY; CONTRAST-ENHANCED MRI; EXTERNAL-BEAM RADIOTHERAPY; TRANSRECTAL HIFU ABLATION; RADICAL PROSTATECTOMY; RADIATION-THERAPY; LOCAL RECURRENCE; SALVAGE RADIOTHERAPY; CANCER RECURRENCE; BIOPSY;
D O I
10.2214/AJR.10.4263
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
OBJECTIVE. In patients with clinically suspected local recurrence of prostate cancer, a lobulated hyperintense mass in the radical prostatectomy fossa can be readily visualized with T2-weighted MRI, but this imaging technique is less successful after treatments such as radiation therapy, high-intensity focused ultrasound, and cryosurgery. We describe the additional value of functional techniques in the assessment of local recurrence. CONCLUSION. The use of functional MRI techniques such as MR spectroscopy, diffusion-weighted imaging, and dynamic contrast-enhanced MRI has shown promise in increasing overall imaging performance in the detection of local recurrence.
引用
收藏
页码:1427 / 1433
页数:7
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