Background
Prostate cancer is one of the most common new cancer diagnosed in the USA every year,
and is the cause of around 10% of cancer-related mortality in American men.
In our country,
Colombia,
prostate cancer is considered the second cause of cancer-related deaths in men,
and takes the first place on incidence (Fig. 2).
There has been a high evidence of over diagnosis and over treatment throughout decades,
even more in low risk patients.
There is also a great variability in its detection,
including different...
Findings and procedure details
NORMAL ANATOMIC STRUCTURES
Central zone
Surgical capsule thickening
Periprostatic venous plexus
Neurovascular bundle
Anterior fibromuscular stroma (AFS) hypertrophy
Central zone (CZ)
The CZ is a symmetric band localized between the PZ and TZ at the base of the prostate,
which surrounds the ejaculatory ducts and goes from below the seminal vesicles to the verumontanum.
MR Findings: homogeneous low signal on T2WI with decreased ADC value in relation to the PZ.
On DCE,
the CZ can show a progressive (type 1) or an early enhancement and...
Conclusion
Prostate MRI has among its objectives to reduce the number of biopsies and unnecessary treatments in patients with suspected prostate cancer and to guide the diagnosis in case of suspicion of infectious causes.
Discriminating the normal and abnormal findings in MRI of the prostate is fundamental for an accurate management of the wide spectrum of clinical scenarios that radiologists encounter during daily practice.
Prostate cancer mimickers identification is important for adequate MR interpretation.
Normal anatomical structures
Non-neoplastic conditions
Technical related entities