Multiparametric prostate MRI: technical conduct, standardized report and clinical use

Minerva Urol Nefrol. 2018 Feb;70(1):9-21. doi: 10.23736/S0393-2249.17.02846-6. Epub 2017 May 11.

Abstract

Multiparametric prostate MRI (mp-MRI) is an emerging imaging modality for diagnosis, characterization, staging, and treatment planning of prostate cancer (PCa). The technique, results reporting, and its role in clinical practice have been the subject of significant development over the last decade. Although mp-MRI is not yet routinely used in the diagnostic pathway, almost all urological guidelines have emphasized the potential role of mp-MRI in several aspects of PCa management. Moreover, new MRI sequences and scanning techniques are currently under evaluation to improve the diagnostic accuracy of mp-MRI. This review presents an overview of mp-MRI, summarizing the technical applications, the standardized reporting systems used, and their current roles in various stages of PCa management. Finally, this critical review also reports the main limitations and future perspectives of the technique.

Publication types

  • Review

MeSH terms

  • Humans
  • Magnetic Resonance Imaging / methods*
  • Magnetic Resonance Imaging / standards
  • Magnetic Resonance Imaging / statistics & numerical data
  • Male
  • Prostate / diagnostic imaging*
  • Prostate-Specific Antigen
  • Prostatic Neoplasms / diagnostic imaging*

Substances

  • Prostate-Specific Antigen