Abstract
Magnetic resonance imaging has opened up a new horizon in the evaluation of the male pelvis. Its direct multiplanar imaging and display of the unique tissue contrast allows for the demonstration of prostate anatomy. Prostatic disease, even when confined to the gland, is easily depicted. However, one cannot distinguish benign from malignant processes. In a patient with a known prostatic neoplasm, magnetic resonance is useful as a staging modality. Accuracy in the staging of prostatic malignancies by MRI surpasses that of ultrasound or CT. In the evaluation of the urinary bladder, the greatest advantage of magnetic resonance is its ability to differentiate between a normal bladder, and other pathologic conditions affecting the bladder, including inflammatory, congestive and neoplastic processes. In the evaluation of bladder carcinoma, magnetic resonance is useful as a staging modality.
Clinical application of magnetic resonance is just beginning and therefore, the full potential of the modality has yet to be explored.
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References
Morgan CL, Calkins RF, Cavalcanti EJ: Computed tomography in the evaluation, staging and therapy of carcinoma of the bladder and prostate.Radiology 140:751–761, 1982
Price JM, Davidson AJ: Computed tomography in the evaluation of the suspected carcinomatous prostate.Urol Radiol 1:38–42, 1979
Sukov RJ, Scardino PT, Sample WF, Winter J, Confer DJ: Computed tomography and transabdominal ultrasound in the evaluation of the prostate.J Comput Assist Tomogr 1:281–289, 1977
Van Engelshaven JMA, Kreel L: Computed tomography of the prostate.J Comput Assist Tomogr 3:45–51, 1979
Denkhaus H, Dierpkof W, Grabbe E, Donn F: Comparative study of suprapubic sonography and computed tomography for staging of prostatic carcinoma.Urol Radiol 5:1–9, 1983
Abu-Yousef MM, Narayama AS, Franken EA Jr, Brown EC: Urinary bladder tumors studied by cystosonography. I. Detection.Radiology 153:223–226, 1984
Abu-Yousef MM, Narayama AS, Brown RC, Franken EA Jr: Urinary bladder tumors studied by cystosonography. II. Staging.Radiology 153:227–231, 1984
Hricak H, Williams RD, Spring DB, Moon KL Jr, Moss AA, Alpers C, Crooks LE, Kaufman L: Anatomy and pathology of the male pelvis by magnetic resonance imaging.AJR 141:1101–1110, 1983
Bryan PJ, Butler HE, Lipuma JP, Haaga JR, El Yousef SJ, Resnick MI, Cohen AM, Malviya VK, Nelson AD, Clampitt M, Alfidi RJ, Cohen J, Morrison SC: NMR scanning of the pelvis: initial experience with a 0.3T system.AJR 141:1111–1118, 1983
Steyn JH, Smith FW: Nuclear magnetic resonance imaging of the prostate.Br J Urol 54:726–728, 1982
Steyn JH, Smith FW: Nuclear magnetic resonance (NMR) imaging of the prostate.Br J Urol 56:679–681, 1984
Buonoconore E, Hesemann C, Pavlicek W, Montie JE: Clinical and in vitro magnetic resonance imaging of prostatic carcinoma.AJR 143:1267–1272, 1984
Poon PY, McCallum RW, Henkelmann MM, Bronskill MJ, Sutcliff SB, Jewett MAS, Rider WD, Bruce AW: Magnetic resonance imaging of the prostate.Radiology 154:143–149, 1985
Fisher MR, Hricak H, Crooks LE: Urinary bladder MR imaging. Part I. Normal and benign conditions.Radiology 157:467–470, 1985
Fisher MR, Hricak H, Tanagho EA: Urinary bladder MR imaging. Part II. Neoplasm.Radiology 157:471–477, 1985
McNeal JE: The prostate gland. Morphology and pathobiology.Monogr Urol 4:1983
Harrison RG: The urogenital system. In Romanes GJ (ed):Cunningham’s Textbook of Anatomy. London: Oxford University Press, 1972, pp 514–520
Crooks L, Arakawa M, Hoenninger J, Watts J, McRee R, Kaufman L, Davis PL, Margulis AR, DeGroot J: Nuclear magnetic resonance whole-body imager operating at 3.5 KGauss.Radiology 143:169–174, 1982
Babcock EE, Brateman L, Weinreb JC, Horner SD, Nunnally RL: Edge artifacts in MR images. Chemical shift effect.J Comput Assist Tomogr 9:252–257, 1985
Robbins SL:Pathologic Basis of Disease. Philadelphia: WB Saunders 1974
Ney C, Friedenberg R:Radiographic Atlas of the Genitourinary System. Philadelphia: J.B. Lippincott, 1981
Whitmore WJ Jr: Natural history and staging of prostatic cancer.Urol Clin North Am 11(2):209–220, 1984
Hricak H, Dooms GC, Jeffrey RB, Fisher MR, Tanagho E, Higgins CB: MR imaging and CT in the evaluation of carcinoma of the prostate. Abstract, presented at the 71st Scientific Assembly and Annual Meeting, Chicago, November, 1985
Lee JKT, Heiken JP, Ling D, Glazer HS, Balfe DM, Levitt RJ, Dixon WT, Murphy WA: Magnetic resonance imaging of abdominal and pelvic lymphadenopathy.Radiology 153:181–186, 1984
Dooms GC, Hricak H, Crooks LE, Higgins CB: Magnetic resonance imaging of the lymph nodes: comparison with CT.Radiology 153:719–728, 1984
American Joint Committee on Staging and End-Results Reporting:Manual for Staging of Cancer. Chicago: American Joint Committee, 1978
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Dooms, G.C., Hricak, H. Magnetic resonance imaging of the pelvis: Prostate and urinary bladder. Urol Radiol 8, 156–165 (1986). https://doi.org/10.1007/BF02924099
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DOI: https://doi.org/10.1007/BF02924099