Abstract:
BACKGROUND:Functional magnetic resonance imaging (MRI) seems to be a useful tool for prostate cancer (PCa) detection in patients with a previous negative biopsy but persistently increased prostate-specific antigen (PSA) values. Additionally, it enables correct cancer localization in patients with known PCa under active surveillance to avoid misclassification on repeat biopsies. Nevertheless, suspicious lesions on MRI findings need verification by biopsy. The aim of the present study was to establish a standardized functional prostate MRI reporting scheme. METHODS:Prostate MRI with T(2)-weighted images, T(1)-weighted images, diffusion-weighted imaging, and dynamic contrast-enhanced MRI of 56 consecutive patients were performed on a 3-T scanner. Patients with prior negative random transrectal ultrasound (TRUS)-guided biopsy and continuous suspicion for PCa as well as patients under active surveillance were included. The MRI localization report of suspicious lesions followed a standardized scheme. TRUS-guided random biopsy with addition of targeted biopsy cores was performed afterwards based on the structured report. RESULTS:Of the 56 patients, 18 had suspicious MRI findings and subsequently underwent repeat biopsy under guidance of the standardized localization scheme. PCa was documented in 72% (13/18). CONCLUSIONS:A standardized reporting scheme of suspicious findings on prostate MRI leads to higher success rates as compared to standard random TRUS-guided biopsy.
journal_name
Urol Intjournal_title
Urologia internationalisauthors
Quentin M,Blondin D,Klasen J,Schek J,Buchbender C,Miese FR,Antoch G,Barski D,Albers P,Arsov Cdoi
10.1159/000338808subject
Has Abstractpub_date
2012-01-01 00:00:00pages
25-9issue
1eissn
0042-1138issn
1423-0399pii
000338808journal_volume
89pub_type
杂志文章abstract::Among the number of urological symptoms in women complaining of incontinence more specific symptoms are often overlooked. Frequency, urge, suprapubic pain, nocturia, etc., are typical for bladder wall disorders, but also often misleading as part of the incontinence symptomatology. The final diagnosis of bladder wall d...
journal_title:Urologia internationalis
pub_type: 杂志文章
doi:10.1159/000281652
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journal_title:Urologia internationalis
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,随机对照试验
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journal_title:Urologia internationalis
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pub_type: 临床试验,杂志文章
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更新日期:2018-01-01 00:00:00
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更新日期:2020-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:Urologia internationalis
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Urologia internationalis
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journal_title:Urologia internationalis
pub_type: 杂志文章
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