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Prostheses, Technical aspects, Diagnostic procedure, Computer Applications-Virtual imaging, Ultrasound, PET-CT, MR, Pelvis, Oncology, Genital / Reproductive system male
L. Cevasco, F. Paparo, L. Bacigalupo, R. Piccazzo, C. Puppo, E. Aleo, G. A. Rollandi; Genoa/IT
The performance of pelvic mpMRI is superior to that of choline-PET in depicting local relapse after RP and RT,
whereas choline PET/CT is more accurate than mpMRI in detecting metastatic disease in pelvic lymph nodes.
Both modalities are excellent in the assessment of skeletal metastases.
The combination of mpMRI and choline-PET/CT provides a comprehensive assessment for the restaging of patients with biochemical recurrence after RP and RT,
thus allowing local recurrence to be distinguished from metastatic disease.
Bimodal 18F-choline-PET/mpMRI fusion imaging provides simultaneous reading and interpretation of the two different modalities; this enables morphological,
functional and metabolic information to be combined,
hence overcoming the limitations of each separate imaging modality.
trimodal 18F-choline-PET/mpMRI/TRUS fusion imaging may be useful for planning and guiding biopsy procedures in order to obtain histological confirmation of the local recurrence.