Department of Radiological Sciences, University of California, Irvine, Orange, CA, 92868-3201, USA.
Joint Department of Medical Imaging, Sinai Health System, University Health Network, University of Toronto, Toronto, ON, Canada.
Abdom Radiol (NY). 2021 Sep;46(9):4388-4400. doi: 10.1007/s00261-021-03097-6. Epub 2021 May 11.
Minimally invasive alternatives to traditional prostate surgery are increasingly utilized to treat benign prostatic hyperplasia and localized prostate cancer in select patients. Advantages of these treatments over prostatectomy include lower risk of complication, shorter length of hospital stay, and a more favorable safety profile. Multiparametric magnetic resonance imaging (mpMRI) has become a widely accepted imaging modality for evaluation of the prostate gland and provides both anatomical and functional information. As prostate mpMRI and minimally invasive prostate procedure volumes increase, it is important for radiologists to be familiar with normal post-procedure imaging findings and potential complications. This paper reviews the indications, procedural concepts, common post-procedure imaging findings, and potential complications of prostatic artery embolization, prostatic urethral lift, irreversible electroporation, photodynamic therapy, high-intensity focused ultrasound, focal cryotherapy, and focal laser ablation.
微创替代传统前列腺手术,越来越多地被用于治疗特定患者的良性前列腺增生和局限性前列腺癌。与前列腺切除术相比,这些治疗方法的优势包括并发症风险较低、住院时间较短、安全性更好。多参数磁共振成像(mpMRI)已成为评估前列腺的广泛接受的成像方式,提供解剖和功能信息。随着前列腺 mpMRI 和微创前列腺手术量的增加,放射科医生熟悉术后正常成像表现和潜在并发症非常重要。本文回顾了前列腺动脉栓塞、前列腺尿道悬吊、不可逆电穿孔、光动力疗法、高强度聚焦超声、局灶性冷冻治疗和局灶性激光消融的适应证、手术概念、常见术后影像学表现和潜在并发症。