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MINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology


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Minerva Urologica e Nefrologica 2017 May 11

DOI: 10.23736/S0393-2249.17.02846-6

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Multiparametric prostate MRI: technical conduct, standardized report and clinical use. A narrative review

Matteo MANFREDI 1, Fabrizio MELE 1, Diletta GARROU 1, Jochen WALZ 2, Jurgen J. FÜTTERER 3, Filippo RUSSO 4, Lorenzo VASSALLO 4, Arnauld VILLERS 5, Mark EMBERTON 6, Massimo VALERIO 7

1 Department of Urology, University of Turin, San Luigi Gonzaga Hospital, Orbassano, Turin, Italy; 2 Department of Urology, Institut Paoli-Calmettes Cancer Centre, Marseille, France; 3 Department of Radiology and Nuclear Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands; 4 Department of Radiology, Candiolo Cancer Institute, FPO, IRCCS, Candiolo, Turin, Italy; 5 Department of Urology, CHRU Lille, Université Lille Nord de France, Lille, France; 6 Research Department of Urology, University College London, London, UK; 7 Department of Urology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland


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Multiparametric prostate MRI (mp-MRI) is an emerging imaging modality for diagnosis, characterization, staging, and treatment planning of prostate cancer (PCa). The technique, results reporting, and its role in clinical practice have been the subject of significant development over the last decade. Although mp-MRI is not yet routinely used in the diagnostic pathway, almost all urological guidelines have emphasized the potential role of mp-MRI in several aspects of PCa management. Moreover, new MRI sequences and scanning techniques are currently under evaluation to improve the diagnostic accuracy of mp-MRI. This review presents an overview of mp-MRI, summarizing the technical applications, the standardized reporting systems used, and their current roles in various stages of PCa management. Finally, this critical review also reports the main limitations and future perspectives of the technique.


KEY WORDS: Magnetic resonance imaging - Prostatic neoplasms - Review

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