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Imaging of the Prostate

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Prostatic Artery Embolization

Abstract

Diagnostic imaging of the prostate with various modalities and techniques as well as their applications are discussed in this chapter. The appearance of the prostate on ultrasound, CT and MRI in its normal and diseased states are outlined. Pros and cons of each are also delineated.

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Abbreviations

ADC:

Attenuation diffusion coefficient images

AFS:

Anterior fibromuscular stroma

BPH:

Benign prostatic hyperplasia

CT:

Computed tomography

CZ:

Central zone

DCE:

Dynamic contrast-enhanced images

DWI:

Diffusion-weighted imaging

MRI:

Magnetic resonance imaging

MRSI:

Magnetic resonance spectroscopic imaging

PI-RADS:

Prostate Imaging Reporting and Data System

PZ:

Peripheral zone

SPUS:

Suprapubic ultrasound

TRUS:

Transrectal ultrasound

TZ:

Transition zone

US:

Ultrasound

References

  1. Lee JS, Chung BH. Transrectal ultrasound versus magnetic resonance imaging in the estimation of prostate volume as compared with radical prostatectomy specimens. Urol Int. 2007;78(4):323–7.

    Article  Google Scholar 

  2. Bezinque A, Moriarity A, Farrell C, Peabody H, Noyes SL, Lane BR. Determination of prostate volume. Acad Radiol. 2018;25(12):1582–7.

    Article  Google Scholar 

  3. McNeal JE. The zonal anatomy of the prostate. Prostate. 1981;2(1):35–49.

    Article  CAS  Google Scholar 

  4. Feng KK, Chiang IN, Huang CY, Pu YS. Analysis of transrectal and suprapubic ultrasonography for prostate size evaluation. Urol Sci. 2017;28(3):166–8.

    Article  Google Scholar 

  5. Greene DR, Egawa S, Hellerstein DK, Scardino PT. Sonographic measurements of transition zone of prostate in men with and without benign prostatc hyperplasia. Urology. 1990;36(4):293–9.

    Article  CAS  Google Scholar 

  6. Prassopoulos P, Charoulakis N, Anezinis P, Daskalopoulos G, Cranidis A, Gourtsoyiannis N. Suprapubic versus transrectal ultrasonography in assessing the volume of the prostate and the transition zone in patients with benign prostatic hyperplasia. Abdom Imaging. 1996;21(1):75–7.

    Article  CAS  Google Scholar 

  7. Stravodimos KG, Petrolekas A, Kapetanakis T, Vourekas S, Koritsiadis G, Adamakis I, et al. TRUS versus transabdominal ultrasound as a predictor of enucleated adenoma weight in patients with BPH: a tool for standard preoperative work-up? Int Urol Nephrol. 2009;41(4):767–71.

    Article  Google Scholar 

  8. Yuen JSP, Ngiap JTK, Cheng CWS, Foo KT. Effects of bladder volume on transabdominal ultrasound measurements of intravesical prostatic protrusion and volume. Int J Urol. 2002;9(4):225–9.

    Article  Google Scholar 

  9. Abu-Yousef MM. Benign prostatic hyperplasia: tissue characterization using suprapubic ultrasound. Radiology. 1985;156(1):169–73.

    Article  CAS  Google Scholar 

  10. Costa DN, Yuan Q, Xi Y, Rofsky NM, Lenkinski RE, Lotan Y, et al. Comparison of prostate cancer detection at 3-T MRI with and without an endorectal coil: a prospective, paired-patient study. Urol Oncol. 2016;34(6):255.e7–255.e13.

    Article  Google Scholar 

  11. Lim C, Quon J, McInnes M, Shabana WM, El-Khodary M, Schieda N. Does a cleansing enema improve image quality of 3T surface coil multiparametric prostate MRI? Enema in multiparametric prostate MRI. J Magn Reson Imaging. 2015;42(3):689–97.

    Article  Google Scholar 

  12. Hedgire SS, Eberhardt SC, Borczuk R, McDermott S, Harisinghani MG. Interpretation and reporting multiparametric prostate MRI: a primer for residents and novices. Abdom Imaging. 2014;39(5):1036–51.

    Article  Google Scholar 

  13. Weinreb JC, Barentsz JO, Choyke PL, Cornud F, Haider MA, Macura KJ, et al. PI-RADS prostate imaging – reporting and data system: 2015, version 2. Eur Urol. 2016;69(1):16–40.

    Article  Google Scholar 

  14. Gaur S, Harmon S, Gupta RT, Margolis DJ, Lay N, Mehralivand S, et al. A multireader exploratory evaluation of individual pulse sequence cancer detection on prostate multiparametric Magnetic Resonance Imaging (MRI). Acad Radiol. 2019;26(1):5–14.

    Article  Google Scholar 

  15. Guneyli S, Ward E, Thomas S, Yousuf AN, Trilisky I, Peng Y, et al. Magnetic resonance imaging of benign prostatic hyperplasia. Diagn Interv Radiol. 2016;22(3):215–9.

    Article  Google Scholar 

  16. Wasserman NF, Spilseth B, Golzarian J, Metzger GJ. Use of MRI for Lobar classification of benign prostatic hyperplasia: potential phenotypic biomarkers for research on treatment strategies. Am J Roentgenol. 2015;205(3):564–71.

    Article  Google Scholar 

  17. Randall A. Surgical pathology of prostatic obstructions. London: Baillière Tindall and Cox; 1931.

    Google Scholar 

  18. Paterson NR, Lavallée LT, Nguyen LN, Witiuk K, Ross J, Mallick R, et al. Prostate volume estimations using magnetic resonance imaging and transrectal ultrasound compared to radical prostatectomy specimens. Can Urol Assoc J. 2016;10(7–8):264.

    Article  Google Scholar 

  19. Kisilevzky N, Faintuch S. MRI assessment of prostatic ischaemia: best predictor of clinical success after prostatic artery embolisation for benign prostatic hyperplasia. Clin Radiol. 2016;71(9):876–82.

    Article  CAS  Google Scholar 

  20. Frenk NE, Baroni RH, Carnevale FC, Gonçalves OMG, Antunes AA, Srougi M, et al. MRI findings after prostatic artery embolization for treatment of benign hyperplasia. Am J Roentgenol. 2014;203(4):813–21.

    Article  Google Scholar 

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Correspondence to George Raymond Wong .

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Wong, G.R., Burke, L.M.B. (2020). Imaging of the Prostate. In: Isaacson, A., Bagla, S., Raynor, M., Yu, H. (eds) Prostatic Artery Embolization. Springer, Cham. https://doi.org/10.1007/978-3-030-23471-3_5

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  • DOI: https://doi.org/10.1007/978-3-030-23471-3_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23470-6

  • Online ISBN: 978-3-030-23471-3

  • eBook Packages: MedicineMedicine (R0)

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