Prostate MRI for the detection of clinically significant prostate cancer: Update and future directions

Producción científica: Chapter

Resumen

Purpose of review: In recent decades, there has been an increasing role for magnetic resonance imaging (MRI) in the detection of clinically significant prostate cancer (csPC). The purpose of this review is to provide an update and outline future directions for the role of MRI in the detection of csPC. Recent findings: In diagnosing clinically significant prostate cancer pre-biopsy, advances include our understanding of MRI-targeted biopsy, the role of biparametric MRI (non-contrast) and changing indications, for example the role of MRI in screening for prostate cancer. Furthermore, the role of MRI in identifying csPC is maturing, with emphasis on standardization of MRI reporting in active surveillance (PRECISE), clinical staging (EPE grading, MET-RADS-P) and recurrent disease (PI-RR, PI-FAB). Future directions of prostate MRI in detecting csPC include quality improvement, artificial intelligence and radiomics, positron emission tomography (PET)/MRI and MRI-directed therapy. Summary: The utility of MRI in detecting csPC has been demonstrated in many clinical scenarios, initially from simply diagnosing csPC pre-biopsy, now to screening, active surveillance, clinical staging, and detection of recurrent disease. Continued efforts should be undertaken not only to emphasize the reporting of prostate MRI quality, but to standardize reporting according to the appropriate clinical setting.

Idioma originalEnglish (US)
Título de la publicación alojadaAdvances in Cancer Research
EditorialAcademic Press Inc.
DOI
EstadoAccepted/In press - 2024

Serie de la publicación

NombreAdvances in Cancer Research
ISSN (versión impresa)0065-230X
ISSN (versión digital)2162-5557

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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