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Abdominal Radiology

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05.03.2020 | Special Section: Prostate cancer update

Round table: arguments against using multiparametric prostate MRI protocols

verfasst von: Ryan Ward, Andrei S. Purysko

Erschienen in: Abdominal Radiology | Ausgabe 12/2020

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Abstract

Biparametric MRI (bpMRI), which uses only T2-weighted imaging and diffusion-weighted imaging, continues to gain support for the detection of prostate cancer, as this imaging technique offers many benefits over traditional mpMRI. However, the Prostate Imaging Reporting and Data System (PI-RADS) v2.1 document released in 2019 emphasized that mpMRI is still preferred over bpMRI in most clinical scenarios. As one article in a series of four providing arguments for and against using mpMRI and bpMRI protocols, this paper provides arguments against using mpMRI. Within this article, we discuss recent data suggesting equivalent performance between bpMRI and mpMRI in the detection of prostate cancer. The limited utility of dynamic contrast enhancement in the evaluation of prostate cancer according to the PI-RADS v2.1 document is also reviewed. Finally, we detail the large financial and time costs, legal and logistical issues, and potential for patient harm that must be considered with the administration of contrast.

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Titel: Round table: arguments against using multiparametric prostate MRI protocols
verfasst von: Ryan Ward
Andrei S. Purysko
Publikationsdatum: 05.03.2020
Verlag: Springer US
Erschienen in: Abdominal Radiology / Ausgabe 12/2020
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-020-02456-z

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