Prostate MRI: Can we do without DCE sequences in 2013? - 02/12/13
Abstract |
Multiparametric MRI (mp-MRI) of the prostate currently provides stable and reproducible performances. The usefulness of dynamic contrast-enhanced (DCE) sequences is currently challenged, as they sometimes only confirm what has already been observed on diffusion-weighted imaging (DWI) and require the additional purchase of a contrast agent. Eliminating these sequences may help accelerate the use of MRI in addition to, or in lieu of, prostate biopsies in selected patients. However, many studies show that these sequences can detect lesions invisible on T2-weighted and diffusion-weighted images, better assess cancer extension and aggressiveness, and finally help detecting recurrence after treatment. We present the various applications of dynamic MRI and discuss the possible consequences of its omission from the current protocol.
El texto completo de este artículo está disponible en PDF.Keywords : Prostate, Cancer, Perfusion (DCE-MRI), Diffusion-weighted-imaging (DWI)
Esquema
Vol 94 - N° 12
P. 1299-1311 - décembre 2013 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.