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CC BY-NC-ND 4.0 · Ann Natl Acad Med Sci 2019; 55(02): 074-083
DOI: 10.1055/s-0039-1694077
Review Article
National Academy of Medical Sciences (India)

Multiparametric Magnetic Resonance Imaging of the Prostate: An Update

Savinay Kapur
1   Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
,
Chandan J. Das
1   Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
,
Sanjay Sharma
1   Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
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Publikationsdatum:
02. Oktober 2019 (online)

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Abstract

Multiparametric magnetic resonance imaging (mp-MRI) has emerged as an important tool for the detection and characterization of prostatic lesions. It now plays a quintessential role in the surveillance, diagnosis, and staging of prostate cancer (PCa), as well as for the detection of local recurrence. As reliance on serum prostate-specific antigen has declined in the recent times, mp-MRI has emerged as the go-to tool for urologists all over the world. Hence, for the clinician, it has become necessary to be well versed with the technique, image interpretation, and fallacies of mp-MRI. Since mp-MRI has the advantage of better contrast resolution, combining PSMA PET (prostate-specific membrane antigen-positron emission tomography) with MRI could provide additional functional information. However, due to the absence of enough evidence supporting its routine use, mp-MRI still has the unsurpassed role in the initial diagnosis and local staging of PCa.

Keywords

multiparametric MRI - prostate cancer - PIRADS