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Prostate Cancer: The Role of Multiparametric Magnetic Resonance Imaging

dc.contributor.authorLopes Dias, J
dc.contributor.authorPina, J
dc.contributor.authorJoão, R
dc.contributor.authorFialho, J
dc.contributor.authorCarmo, S
dc.contributor.authorLeal, C
dc.contributor.authorBilhim, T
dc.contributor.authorMateus Marques, R
dc.contributor.authorCampos Pinheiro, L
dc.date.accessioned2015-06-01T15:57:49Z
dc.date.available2015-06-01T15:57:49Z
dc.date.issued2015
dc.description.abstractMultiparametric Magnetic Resonance Imaging has been increasingly used for detection, localization and staging of prostate cancer over the last years. It combines high-resolution T2 Weighted-Imaging and at least two functional techniques, which include Dynamic Contrast–Enhanced Magnetic Resonance Imaging, Diffusion-Weighted Imaging, and Magnetic Resonance Imaging Spectroscopy. Although the combined use of a pelvic phased-array and an Endorectal Coil is considered the state-of-the-art for Magnetic Resonance Imaging evaluation of prostate cancer, Endorectal Coil is only absolute mandatory for Magnetic Resonance Imaging Spectroscopy at 1.5 T. Sensitivity and specificity levels in cancer detection and localization have been improving with functional technique implementation, compared to T2 Weighted-Imaging alone. It has been particularly useful to evaluate patients with abnormal PSA and negative biopsy. Moreover, the information added by the functional techniques may correlate to cancer aggressiveness and therefore be useful to select patients for focal radiotherapy, prostate sparing surgery, focal ablative therapy and active surveillance. However, more studies are needed to compare the functional techniques and understand the advantages and disadvantages of each one. This article reviews the basic principles of prostatic mp-Magnetic Resonance Imaging, emphasizing its role on detection, staging and active surveillance of prostate cancer.por
dc.identifier.citationActa Med Port 2015 Mar-Abr; 28 (2): 240-249por
dc.identifier.urihttp://hdl.handle.net/10400.17/2222
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherCentro Editor e Livreiro da Ordem dos Médicospor
dc.subjectMagnetic Resonance Imaging/methodspor
dc.subjectProstatic Neoplasms/diagnostic imagingpor
dc.subjectHSJ IMApor
dc.subjectHSJ UROpor
dc.titleProstate Cancer: The Role of Multiparametric Magnetic Resonance Imagingpor
dc.title.alternativeCancro da Próstata: O Papel da Ressonância Magnética Multiparamétricapor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage249por
oaire.citation.startPage240por
oaire.citation.titleActa Médica Portuguesapor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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