Druskin Sasha C, Macura Katarzyna J
James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Marburg 134, Baltimore, MD 21287, USA.
James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Marburg 134, Baltimore, MD 21287, USA; Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Sheikh Zayed Tower, Baltimore, MD 21287, USA.
Radiol Clin North Am. 2018 Mar;56(2):251-261. doi: 10.1016/j.rcl.2017.10.006. Epub 2017 Dec 6.
The current prostate cancer management paradigm has been criticized in recent years for contributing to the overdiagnosis and overtreatment of the disease. Active surveillance is an avenue by which to reduce overtreatment, but patient selection and monitoring remain a challenge. The use of prostate MR imaging has been growing in recent years and has been incorporated into prostate cancer screening and patient selection and monitoring for active surveillance. This review article discusses the current evidence for the use of MR imaging in each of those settings.
近年来，当前的前列腺癌管理模式因导致该疾病的过度诊断和过度治疗而受到批评。主动监测是减少过度治疗的一种途径，但患者选择和监测仍然是一个挑战。近年来，前列腺磁共振成像的应用不断增加，并已被纳入前列腺癌筛查、主动监测的患者选择和监测中。这篇综述文章讨论了在上述每种情况下使用磁共振成像的现有证据。
