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Minerva Urologica e Nefrologica 2018 February;70(1):9-21

DOI: 10.23736/S0393-2249.17.02846-6

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Multiparametric prostate MRI: technical conduct, standardized report and clinical use

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, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy; 2 Department of Urology, Institut Paoli-Calmettes Cancer Centre, Marseille, France; 3 Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands; 4 Department of Radiology, Candiolo Cancer Institute for Research and Care, Candiolo, Turin, Italy; 5 Department of Urology, Lille University Hospital, University of Lille Nord de France, Lille, France; 6 Research Department of Urology, University College London, London, UK; 7 Department of Urology, Vaudois University Hospital, 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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