Prostate Magnetic Resonance Imaging: Lesion Detection and Local Staging.

Prostate Magnetic Resonance Imaging: Lesion Detection and Local Staging.
Annu Rev Med. 2019 Jan 27;70:451-459
Authors: Turkbey B, Choyke PL
Abstract
Dramatic changes in the use of prostate magnetic resonance imaging (MRI) have occurred in the last decade. The recognition that MRI detects and localizes cancers with reasonable accuracy led to the development of directed biopsies. These image-guided biopsies have a higher sensitivity for clinically significant cancers and a lower sensitivity for indolent disease. Prospective trials provide level 1 evidence supporting the use of prostate MRI. For local staging, while the specificity of prostate MRI is high, its sensitivity is lacking for microscopic extraprostatic extension. Computer-aided diagnosis of prostate MRI promises to bring the diagnostic power of MRI to nonexpert readers and thus further integrate MRI into the diagnostic workup.
PMID: 30691375 [PubMed - in process]

Source: Annual Review of Medicine - January 27, 2019 Category: General Medicine Authors: Turkbey B, Choyke PL Tags: Annu Rev Med Source Type: research