Abstract
Prostate cancer is the most common solid-organ malignancy among American men. It is currently most commonly diagnosed on random systematic biopsies prompted by elevated serum PSA levels. Multi-parametric MRI (MP-MRI) of the prostate has emerged as an anatomic and functional imaging modality, which offers accurate detection, localization and staging of prostate cancer. Recently, MP-MRI has gained an increasing role in guiding biopsies to sites of abnormality and in monitoring patients on active surveillance. Here, we discuss the historical development, current role, and potential future directions of MP-MRI in the diagnosis of prostate cancer.
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Abbreviations
- (bGS):
-
Biopsy Gleason Score
- (B-MRI):
-
Biparametric MRI
- (DWI):
-
Diffusion Weighted Imaging
- (DRE):
-
Digital Rectal Examination
- (MRI):
-
Magnetic Resonance Imaging
- (MR/US):
-
Magnetic Resonance/Ultrasound
- (MP-MRI):
-
Multiparametric MRI
- (NPV):
-
Negative Predictive Value
- (PPV):
-
Positive Predictive Value
- (PCa):
-
Prostate Cancer
- (PSA):
-
Prostate Specific Antigen
- (PSAD):
-
PSA Density
- (SPL):
-
Screen Positive Lesions
- (T2W):
-
T2 Weighted
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Acknowledgments
This research was supported by the Intramural Research Program of the National Institutes of Health, National Cancer Institute, Center for Cancer Research, and the Center for Interventional Oncology. NIH and Philips Healthcare have a cooperative research and development agreement. NIH and Philips share intellectual property in the field.
We also thank the administrative support staff of the Urologic Oncology Branch, Center for Cancer Research for assisting with the manuscript review and submission process.
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Dr. Soroush Rais-Bahrami, Dr. Baris Turkbey, Dr. Kinzya B. Grant, Dr. Peter A. Pinto, and Dr. Peter L. Choyke each declare no potential conflicts of interest relevant to this article.
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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Rais-Bahrami, S., Turkbey, B., Grant, K.B. et al. Role of Multiparametric Magnetic Resonance Imaging in the Diagnosis of Prostate Cancer. Curr Urol Rep 15, 387 (2014). https://doi.org/10.1007/s11934-013-0387-9
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DOI: https://doi.org/10.1007/s11934-013-0387-9