Scheenen Tom W J, Rosenkrantz Andrew B, Haider Masoom A, Fütterer Jurgen J
From the *Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands; †Department of Radiology, NYU Langone Medical Center, New York, NY; and ‡Department of Medical Imaging, Sunnybrook Health Sciences Centre; and University of Toronto, Toronto, Canada.
Invest Radiol. 2015 Sep;50(9):594-600. doi: 10.1097/RLI.0000000000000163.
This article reviews recent and ongoing developments in multiparametric magnetic resonance imaging (mpMRI) of the prostate. Advances in T2-weighted imaging, diffusion-weighted imaging, dynamic contrast-enhanced imaging, and spectroscopic imaging are described along with advances related to radiofrequency coils and imaging at high magnetic field. As mpMRI is increasingly becoming routine in various aspects of clinical prostate cancer management, its role in detection, localization, staging, assessment of aggressiveness, and active surveillance is discussed. Combined with growing clinical adoption of the techniques already at hand, continual optimization of acquisition techniques and image interpretation schemes will further strengthen the role of mpMRI as an important diagnostic test in prostate cancer management.
本文综述了前列腺多参数磁共振成像(mpMRI)的近期及正在进行的进展。描述了T2加权成像、扩散加权成像、动态对比增强成像和波谱成像的进展,以及与射频线圈和高磁场成像相关的进展。随着mpMRI在临床前列腺癌管理的各个方面日益成为常规手段,本文讨论了其在检测、定位、分期、侵袭性评估和主动监测中的作用。结合现有技术在临床应用的不断增加,采集技术和图像解读方案的持续优化将进一步强化mpMRI作为前列腺癌管理中重要诊断检查的作用。