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Roundtable: arguments in support of using multi-parametric prostate MRI protocol

  • Special Section: Prostate cancer update
  • Published:
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Abstract

There is increasing evidence to suggest the value of bi-parametric prostate MRI to replace multi-parametric MRI, which includes the dynamic contrast enhancement (DCE) sequence. In this review, we discuss the value of DCE in select scenarios, specifically in resolving equivocal cases, improving the diagnostic accuracy in the inexperienced reader, rescuing exams in the settings of failed T2W and DWI, detecting biochemical recurrence, while imposing minimal to no risk to the patient with respect to IV gadolinium use, specifically group II agents.

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References

  1. Bjurlin, M.A., et al., Update of the Standard Operating Procedure on the Use of Multiparametric Magnetic Resonance Imaging for the Diagnosis, Staging and Management of Prostate Cancer. J Urol, 2019: p. 10.1097JU0000000000000617.

  2. Prostate Imaging – Reporting and Data System 2019 v2.1. 2019 [cited 2019 8/31/2019]; Available from: https://www.acr.org/Clinical-Resources/Reporting-and-Data-Systems/PI-RADS.

  3. Xu, L., et al., Comparison of biparametric and multiparametric MRI in the diagnosis of prostate cancer. Cancer Imaging, 2019. 19(1): p. 90.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Woo, S., et al., Head-to-Head Comparison Between Biparametric and Multiparametric MRI for the Diagnosis of Prostate Cancer: A Systematic Review and Meta-Analysis. AJR Am J Roentgenol, 2018. 211(5): p. W226-W241.

    Article  PubMed  Google Scholar 

  5. Kang, Z., et al., Abbreviated Biparametric Versus Standard Multiparametric MRI for Diagnosis of Prostate Cancer: A Systematic Review and Meta-Analysis. AJR Am J Roentgenol, 2019. 212(2): p. 357-365.

    Article  PubMed  Google Scholar 

  6. Porter, K.K., et al., Financial implications of biparametric prostate MRI. Prostate Cancer Prostatic Dis, 2020. 23(1): p. 88-93..

    Article  CAS  PubMed  Google Scholar 

  7. Media, A.C.o.D.a.C. ACR Manual On Contrast Media Version 10.3. 2018 2018 [cited 2019 8/1/2019]; Available from: https://www.acr.org/Clinical-Resources/Contrast-Manual.

  8. Afifi, A.H., et al., Multi-parametric MRI and PI-RADS (V1) scoring system: New inception in cancer prostate diagnosis to evaluate diagnostic performance of different score combinations. 2016: The Egyptian Journal of Radiology and Nuclear Medicine. p. 1083–1094.

  9. Greer , M.D., et al., Validation of the Dominant Sequence Paradigm and Role of Dynamic Contrast-enhanced Imaging in PI-RADS Version 2. 2017, Radiology Society of North America: Radiology.

  10. Taghipour, M., et al., Investigating the role of DCE-MRI, over T2 and DWI, in accurate PI-RADS v2 assessment of clinically significant peripheral zone prostate lesions as defined at radical prostatectomy. Abdom Radiol (NY), 2019. 44(4): p. 1520-1527.

    Article  Google Scholar 

  11. Azadikhah, A., et al., Role of Diffusion Weighted Imaging (DWI) Using Dynamic Contrast Enhancement (DCE) for Assessment of Prostate Cancer (PCa) Aggressiveness in Peripheral Zone. 2018.

  12. Zawaideh, J.P., et al., Diagnostic accuracy of biparametric versus multiparametric prostateMRI: assessment of contrast benefit in clinical practice. 2020: European Radiology.

  13. Ullrich, T., et al., Value of Dynamic Contrast-Enhanced (DCE) MR Imaging in Peripheral Lesions in PI-RADS-4 Patients. Rofo, 2019.

  14. Gatti, M., et al., Prostate cancer detection with biparametric magnetic resonance imaging (bpMRI) by readers with different experience: performance and comparison with multiparametric (mpMRI). 2019, Springer US: Abdominal Radiology. p. 1883-1893.

  15. Kitajima, K., et al., Detection of Local Recurrence of Prostate Cancer After Radical Prostatectomy Using Endorectal Coil MRI at 3 T: Addition of DWI and Dynamic Contrast Enhancement to T2-Weighted MRI. 2015: American Journal of Roentgenology.

  16. Shaish, H., S.S. Taneja, and A.B. Rosenkrantz, Prostate MR Imaging: An Update. Radiol Clin North Am, 2017. 55(2): p. 303-320.

    Article  PubMed  Google Scholar 

  17. Berman, R.M., et al., DCE MRI of prostate cancer. Abdom Radiol (NY), 2016. 41(5): p. 844-53.

    Article  Google Scholar 

  18. Yu, T., et al., Diagnostic Value of Dynamic Contrast-Enhanced Magnetic Resonance Imaging in Detecting Residual or Recurrent Prostate Cancer After Radical Prostatectomy: A Pooled Analysis of 12 Individual Studies. 2015: Cell Biochemistry and Biophysics. p. 687–694.

  19. Roy, C., et al., Comparative Sensitivities of Functional MRI Sequences in Detection of Local Recurrence of Prostate Carcinoma After Radical Prostatectomy or External-Beam Radiotherapy. 2013: American Journal of Roentgen.

  20. Moman, M.R., et al., Focal salvage guided by T2-weighted and dynamic contrast-enhanced magnetic resonance imaging for prostate cancer recurrences. Int J Radiat Oncol Biol Phys, 2010. 76(3): p. 741-6.

    Article  PubMed  Google Scholar 

  21. Kim, C.K., et al., Prostate MR imaging at 3T using a phased-arrayed coil in predicting locally recurrent prostate cancer after radiation therapy: preliminary experience. Abdom Imaging, 2010. 35(2): p. 246-52.

    Article  PubMed  Google Scholar 

  22. Kim, C.K., et al., MRI techniques for prediction of local tumor progression after high-intensity focused ultrasonic ablation of prostate cancer. AJR Am J Roentgenol, 2008. 190(5): p. 1180-6.

    Article  PubMed  Google Scholar 

  23. Kalbhen, C.L., et al., Prostate carcinoma: MR imaging findings after cryosurgery. Radiology, 1996. 198(3): p. 807-11.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Nelly Tan.

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Kamsut, S., Reid, K. & Tan, N. Roundtable: arguments in support of using multi-parametric prostate MRI protocol. Abdom Radiol 45, 3990–3996 (2020). https://doi.org/10.1007/s00261-020-02543-1

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  • DOI: https://doi.org/10.1007/s00261-020-02543-1

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