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Evolution of prostate MRI: from multiparametric standard to less-is-better and different-is better strategies.
European Radiology Experimental Pub Date : 2019-01-28 , DOI: 10.1186/s41747-019-0088-3 Rossano Girometti 1 , Lorenzo Cereser 1 , Filippo Bonato 1 , Chiara Zuiani 1
European Radiology Experimental Pub Date : 2019-01-28 , DOI: 10.1186/s41747-019-0088-3 Rossano Girometti 1 , Lorenzo Cereser 1 , Filippo Bonato 1 , Chiara Zuiani 1
Affiliation
Multiparametric magnetic resonance imaging (mpMRI) has become the standard of care to achieve accurate and reproducible diagnosis of prostate cancer. However, mpMRI is quite demanding in terms of technical rigour, patient’s tolerability and safety, expertise in interpretation, and costs. This paper reviews the main technical strategies proposed as less-is-better solutions for clinical practice (non-contrast biparametric MRI, reduction of acquisition time, abbreviated protocols, computer-aided diagnosis systems), discussing them in the light of the available evidence and of the concurrent evolution of Prostate Imaging Reporting and Data System (PI-RADS). We also summarised research results on those advanced techniques representing an alternative different-is-better line of the still ongoing evolution of prostate MRI (quantitative diffusion-weighted imaging, quantitative dynamic contrast enhancement, intravoxel incoherent motion, diffusion tensor imaging, diffusional kurtosis imaging, restriction spectrum imaging, radiomics analysis, hybrid positron emission tomography/MRI).
中文翻译:
前列腺MRI的演变:从多参数标准到更好,更少更好的策略。
多参数磁共振成像(mpMRI)已成为实现准确和可再现的前列腺癌诊断的护理标准。但是,mpMRI在技术严谨性,患者的耐受性和安全性,解释的专业知识和成本方面要求很高。本文回顾了作为较少临床实践建议的主要技术策略(非对比双参数MRI,减少采集时间,简化协议,计算机辅助诊断系统),并根据现有证据和方法进行了讨论。前列腺成像报告和数据系统(PI-RADS)的同步发展。我们还总结了代表替代性更好的那些先进技术的研究结果 前列腺MRI仍在继续发展的系列(定量扩散加权成像,定量动态对比度增强,体素不相干运动,扩散张量成像,扩散峰度成像,限制谱成像,放射组学分析,混合正电子发射断层扫描/ MRI)。
更新日期:2019-01-28
中文翻译:
前列腺MRI的演变:从多参数标准到更好,更少更好的策略。
多参数磁共振成像(mpMRI)已成为实现准确和可再现的前列腺癌诊断的护理标准。但是,mpMRI在技术严谨性,患者的耐受性和安全性,解释的专业知识和成本方面要求很高。本文回顾了作为较少临床实践建议的主要技术策略(非对比双参数MRI,减少采集时间,简化协议,计算机辅助诊断系统),并根据现有证据和方法进行了讨论。前列腺成像报告和数据系统(PI-RADS)的同步发展。我们还总结了代表替代性更好的那些先进技术的研究结果 前列腺MRI仍在继续发展的系列(定量扩散加权成像,定量动态对比度增强,体素不相干运动,扩散张量成像,扩散峰度成像,限制谱成像,放射组学分析,混合正电子发射断层扫描/ MRI)。