Role of multiparametric magnetic resonance imaging in early detection of prostate cancer

Most prostate cancers (PC) are currently found on the basis of an elevated PSA, although this biomarker has only moderate accuracy. Histological confirmation is traditionally obtained by random transrectal ultrasound guided biopsy, but this approach may underestimate PC. It is generally accepted tha...

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Published inInsights into Imaging Vol. 7; no. 2; pp. 205 - 214
Main Authors De Visschere, Pieter J. L., Briganti, Alberto, Fütterer, Jurgen J., Ghadjar, Pirus, Isbarn, Hendrik, Massard, Christophe, Ost, Piet, Sooriakumaran, Prasanna, Surcel, Cristian I., Valerio, Massimo, van den Bergh, Roderick C. N., Ploussard, Guillaume, Giannarini, Gianluca, Villeirs, Geert M.
Format Journal Article Book Review
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.04.2016
Springer Nature B.V
Subjects
Diagnostic Radiology
Imaging
Internal Medicine
Interventional Radiology
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Neuroradiology
Radiology
Review
Ultrasound
Magnetic resonance spectroscopy
Prostatic neoplasms
Magnetic resonance imaging
Diffusion magnetic resonance imaging
Prostate
Online AccessGet full text

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Abstract Most prostate cancers (PC) are currently found on the basis of an elevated PSA, although this biomarker has only moderate accuracy. Histological confirmation is traditionally obtained by random transrectal ultrasound guided biopsy, but this approach may underestimate PC. It is generally accepted that a clinically significant PC requires treatment, but in case of an non-significant PC, deferment of treatment and inclusion in an active surveillance program is a valid option. The implementation of multiparametric magnetic resonance imaging (mpMRI) into a screening program may reduce the risk of overdetection of non-significant PC and improve the early detection of clinically significant PC. A mpMRI consists of T2-weighted images supplemented with diffusion-weighted imaging, dynamic contrast enhanced imaging, and/or magnetic resonance spectroscopic imaging and is preferably performed and reported according to the uniform quality standards of the Prostate Imaging Reporting and Data System (PIRADS). International guidelines currently recommend mpMRI in patients with persistently rising PSA and previous negative biopsies, but mpMRI may also be used before first biopsy to improve the biopsy yield by targeting suspicious lesions or to assist in the selection of low-risk patients in whom consideration could be given for surveillance. Teaching Points • MpMRI may be used to detect or exclude significant prostate cancer . • MpMRI can guide targeted rebiopsy in patients with previous negative biopsies . • In patients with negative mpMRI consideration could be given for surveillance . • MpMRI may add valuable information for the optimal treatment selection .
AbstractList Most prostate cancers (PC) are currently found on the basis of an elevated PSA, although this biomarker has only moderate accuracy. Histological confirmation is traditionally obtained by random transrectal ultrasound guided biopsy, but this approach may underestimate PC. It is generally accepted that a clinically significant PC requires treatment, but in case of an non-significant PC, deferment of treatment and inclusion in an active surveillance program is a valid option. The implementation of multiparametric magnetic resonance imaging (mpMRI) into a screening program may reduce the risk of overdetection of non-significant PC and improve the early detection of clinically significant PC. A mpMRI consists of T2-weighted images supplemented with diffusion-weighted imaging, dynamic contrast enhanced imaging, and/or magnetic resonance spectroscopic imaging and is preferably performed and reported according to the uniform quality standards of the Prostate Imaging Reporting and Data System (PIRADS). International guidelines currently recommend mpMRI in patients with persistently rising PSA and previous negative biopsies, but mpMRI may also be used before first biopsy to improve the biopsy yield by targeting suspicious lesions or to assist in the selection of low-risk patients in whom consideration could be given for surveillance. • MpMRI may be used to detect or exclude significant prostate cancer. • MpMRI can guide targeted rebiopsy in patients with previous negative biopsies. • In patients with negative mpMRI consideration could be given for surveillance. • MpMRI may add valuable information for the optimal treatment selection.
Abstract Most prostate cancers (PC) are currently found on the basis of an elevated PSA, although this biomarker has only moderate accuracy. Histological confirmation is traditionally obtained by random transrectal ultrasound guided biopsy, but this approach may underestimate PC. It is generally accepted that a clinically significant PC requires treatment, but in case of an non-significant PC, deferment of treatment and inclusion in an active surveillance program is a valid option. The implementation of multiparametric magnetic resonance imaging (mpMRI) into a screening program may reduce the risk of overdetection of non-significant PC and improve the early detection of clinically significant PC. A mpMRI consists of T2-weighted images supplemented with diffusion-weighted imaging, dynamic contrast enhanced imaging, and/or magnetic resonance spectroscopic imaging and is preferably performed and reported according to the uniform quality standards of the Prostate Imaging Reporting and Data System (PIRADS). International guidelines currently recommend mpMRI in patients with persistently rising PSA and previous negative biopsies, but mpMRI may also be used before first biopsy to improve the biopsy yield by targeting suspicious lesions or to assist in the selection of low-risk patients in whom consideration could be given for surveillance. Teaching Points * MpMRI may be used to detect or exclude significant prostate cancer. * MpMRI can guide targeted rebiopsy in patients with previous negative biopsies. * In patients with negative mpMRI consideration could be given for surveillance. * MpMRI may add valuable information for the optimal treatment selection.
Most prostate cancers (PC) are currently found on the basis of an elevated PSA, although this biomarker has only moderate accuracy. Histological confirmation is traditionally obtained by random transrectal ultrasound guided biopsy, but this approach may underestimate PC. It is generally accepted that a clinically significant PC requires treatment, but in case of an non-significant PC, deferment of treatment and inclusion in an active surveillance program is a valid option. The implementation of multiparametric magnetic resonance imaging (mpMRI) into a screening program may reduce the risk of overdetection of non-significant PC and improve the early detection of clinically significant PC. A mpMRI consists of T2-weighted images supplemented with diffusion-weighted imaging, dynamic contrast enhanced imaging, and/or magnetic resonance spectroscopic imaging and is preferably performed and reported according to the uniform quality standards of the Prostate Imaging Reporting and Data System (PIRADS). International guidelines currently recommend mpMRI in patients with persistently rising PSA and previous negative biopsies, but mpMRI may also be used before first biopsy to improve the biopsy yield by targeting suspicious lesions or to assist in the selection of low-risk patients in whom consideration could be given for surveillance. times MpMRI may be used to detect or exclude significant prostate cancer. times MpMRI can guide targeted rebiopsy in patients with previous negative biopsies. times In patients with negative mpMRI consideration could be given for surveillance. times MpMRI may add valuable information for the optimal treatment selection.
UNLABELLEDMost prostate cancers (PC) are currently found on the basis of an elevated PSA, although this biomarker has only moderate accuracy. Histological confirmation is traditionally obtained by random transrectal ultrasound guided biopsy, but this approach may underestimate PC. It is generally accepted that a clinically significant PC requires treatment, but in case of an non-significant PC, deferment of treatment and inclusion in an active surveillance program is a valid option. The implementation of multiparametric magnetic resonance imaging (mpMRI) into a screening program may reduce the risk of overdetection of non-significant PC and improve the early detection of clinically significant PC. A mpMRI consists of T2-weighted images supplemented with diffusion-weighted imaging, dynamic contrast enhanced imaging, and/or magnetic resonance spectroscopic imaging and is preferably performed and reported according to the uniform quality standards of the Prostate Imaging Reporting and Data System (PIRADS). International guidelines currently recommend mpMRI in patients with persistently rising PSA and previous negative biopsies, but mpMRI may also be used before first biopsy to improve the biopsy yield by targeting suspicious lesions or to assist in the selection of low-risk patients in whom consideration could be given for surveillance. TEACHING POINTS• MpMRI may be used to detect or exclude significant prostate cancer. • MpMRI can guide targeted rebiopsy in patients with previous negative biopsies. • In patients with negative mpMRI consideration could be given for surveillance. • MpMRI may add valuable information for the optimal treatment selection.
Most prostate cancers (PC) are currently found on the basis of an elevated PSA, although this biomarker has only moderate accuracy. Histological confirmation is traditionally obtained by random transrectal ultrasound guided biopsy, but this approach may underestimate PC. It is generally accepted that a clinically significant PC requires treatment, but in case of an non-significant PC, deferment of treatment and inclusion in an active surveillance program is a valid option. The implementation of multiparametric magnetic resonance imaging (mpMRI) into a screening program may reduce the risk of overdetection of non-significant PC and improve the early detection of clinically significant PC. A mpMRI consists of T2-weighted images supplemented with diffusion-weighted imaging, dynamic contrast enhanced imaging, and/or magnetic resonance spectroscopic imaging and is preferably performed and reported according to the uniform quality standards of the Prostate Imaging Reporting and Data System (PIRADS). International guidelines currently recommend mpMRI in patients with persistently rising PSA and previous negative biopsies, but mpMRI may also be used before first biopsy to improve the biopsy yield by targeting suspicious lesions or to assist in the selection of low-risk patients in whom consideration could be given for surveillance. Teaching Points • MpMRI may be used to detect or exclude significant prostate cancer . • MpMRI can guide targeted rebiopsy in patients with previous negative biopsies . • In patients with negative mpMRI consideration could be given for surveillance . • MpMRI may add valuable information for the optimal treatment selection .
Author Briganti, Alberto
Fütterer, Jurgen J.
Ghadjar, Pirus
De Visschere, Pieter J. L.
Giannarini, Gianluca
Villeirs, Geert M.
Valerio, Massimo
van den Bergh, Roderick C. N.
Ploussard, Guillaume
Massard, Christophe
Sooriakumaran, Prasanna
Surcel, Cristian I.
Isbarn, Hendrik
Ost, Piet
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  organization: Department of Radiology and Nuclear Medicine, Radboud UMC
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  organization: Department of Radiation Oncology and Experimental Cancer Research, Ghent University Hospital
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  surname: Sooriakumaran
  fullname: Sooriakumaran, Prasanna
  organization: Surgical Intervention Trials Unit, Nuffield Department of Surgical Sciences, University of Oxford, Department of Molecular Medicine & Surgery, Karolinska Institutet
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  surname: Surcel
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  surname: van den Bergh
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  organization: Department of Radiology, Ghent University Hospital
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IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 2
Keywords Magnetic resonance spectroscopy
Prostatic neoplasms
Magnetic resonance imaging
Diffusion magnetic resonance imaging
Prostate
Language English
License Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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PublicationTitle Insights into Imaging
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SecondaryResourceType review_article
Snippet Most prostate cancers (PC) are currently found on the basis of an elevated PSA, although this biomarker has only moderate accuracy. Histological confirmation...
Abstract Most prostate cancers (PC) are currently found on the basis of an elevated PSA, although this biomarker has only moderate accuracy. Histological...
UNLABELLEDMost prostate cancers (PC) are currently found on the basis of an elevated PSA, although this biomarker has only moderate accuracy. Histological...
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StartPage 205
SubjectTerms Diagnostic Radiology
Imaging
Internal Medicine
Interventional Radiology
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Neuroradiology
Radiology
Review
Ultrasound
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Title Role of multiparametric magnetic resonance imaging in early detection of prostate cancer
URI https://link.springer.com/article/10.1007/s13244-016-0466-9
https://www.ncbi.nlm.nih.gov/pubmed/26847758
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Volume 7
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