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Magnetic Resonance Imaging in Prostate Cancer

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Robot-Assisted Radical Prostatectomy

Abstract

Multiparametric MRI of the prostate has become the standard imaging modality in the work-up of men with suspected or proven prostate cancer. Multiparametric MRI has gained a prominent role in the novel image-based diagnostic pathway, allowing the avoidance of unnecessary prostate biopsy, reducing the detection of clinically insignificant and increasing that of clinically significant disease, and enabling a targeted image-directed prostate sampling. Moreover, multiparametric MRI has also shown utility as a tool for local staging in adjunct to conventional clinical parameters and nomograms, for treatment planning in men scheduled for radical prostatectomy, radiation therapy and focal therapy, and for disease monitoring in those men on active surveillance or with biochemical recurrence after radical treatment with curative intent. This chapter will cover the basics of multiparametric prostate MRI scoring and reporting, and its main clinical applications.

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Pecoraro, M. et al. (2022). Magnetic Resonance Imaging in Prostate Cancer. In: Ren, S., Nathan, S., Pavan, N., Gu, D., Sridhar, A., Autorino, R. (eds) Robot-Assisted Radical Prostatectomy. Springer, Cham. https://doi.org/10.1007/978-3-031-05855-4_4

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