Manfredi Matteo, Mele Fabrizio, Garrou Diletta, Walz Jochen, Fütterer Jurgen J, Russo Filippo, Vassallo Lorenzo, Villers Arnauld, Emberton Mark, Valerio Massimo
Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy -
Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy.
Minerva Urol Nefrol. 2018 Feb;70(1):9-21. doi: 10.23736/S0393-2249.17.02846-6. Epub 2017 May 11.
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.
多参数前列腺磁共振成像(mp-MRI)是一种用于前列腺癌(PCa)诊断、特征描述、分期及治疗规划的新兴成像方式。在过去十年中,该技术、结果报告及其在临床实践中的作用都有了显著发展。尽管mp-MRI尚未常规应用于诊断流程,但几乎所有泌尿外科指南都强调了mp-MRI在PCa管理多个方面的潜在作用。此外,目前正在评估新的MRI序列和扫描技术,以提高mp-MRI的诊断准确性。本综述概述了mp-MRI,总结了其技术应用、所使用的标准化报告系统及其在PCa管理各阶段的当前作用。最后,这篇批判性综述还报告了该技术的主要局限性和未来展望。