Type:
Educational Exhibit
Keywords:
Education and training, Structured reporting, MR-Functional imaging, MR, Pelvis, Oncology, Genital / Reproductive system male
Authors:
E. C. Nganga, D. Kazzaz, D. ap Dafydd; London/UK
DOI:
10.1594/ecr2018/C-0437
Background
Prostate cancer is the most common cancer in males in the UK (13% of new cancer diagnosis).
The 10 year survival is approximately 84%(1).
Clinical behaviour varies from indolent disease to aggressive tumors,
potentially leading to over diagnosis and overtreatment of the indolent tumors (2,
3).
Conversely,
tumor in some sites of the prostate especially the anterior aspect may be potentially underestimated with systematic ultrasound-guided biopsies(2). Patients are either managed expectantly or actively and followed up with PSA,
digital rectal examination and multi-parametric MRI.
Patients with clinically significant organ confined tumors are offered radical prostatectomy aiming at total cure(4).
Careful selection of good surgical candidates would be achieved by use of preoperative imaging with multi-parametric MRI.