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Erschienen in: European Radiology 3/2011

01.03.2011 | Urogenital

Dynamic contrast-enhanced magnetic resonance imaging and pharmacokinetic models in prostate cancer

verfasst von: Tobias Franiel, Bernd Hamm, Hedvig Hricak

Erschienen in: European Radiology | Ausgabe 3/2011

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Abstract

Dynamic contrast-enhanced MRI enables noninvasive analysis of prostate vascularization as well as tumour angiogenesis and capillary permeability characteristics in prostate cancers. Pharmacokinetic models summarizing the complex information provided by signal intensity-time curves for a few quantitative pharmacokinetic parameters are increasingly being used in the routine clinical setting. This review consists of two parts. The first part discusses the advantages and disadvantages of the MR pulse sequences that can be used for performing DCE-MRI and also of the most widely used pharmacokinetic parameters and models and the parameters they describe. The second part outlines the range of current and potential future clinical applications of DCE-MRI and pharmacokinetic parametric maps in patients with prostate cancer, with reference to the current scientific literature on the topic. The potential clinical applications of DCE-MRI for prostate cancer include detection, localization, and staging, differentiation of recurrent cancer and estimation of the patient’s prognosis, as well as monitoring of treatment response.
Literatur
1.
Zurück zum Zitat Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun MJ (2009) Cancer statistics, 2009. CA Cancer J Clin 59:225–249CrossRefPubMed Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun MJ (2009) Cancer statistics, 2009. CA Cancer J Clin 59:225–249CrossRefPubMed
2.
Zurück zum Zitat Hricak H, Choyke PL, Eberhardt SC, Leibel SA, Scardino PT (2007) Imaging prostate cancer: a multidisciplinary perspective. Radiology 243:28–53CrossRefPubMed Hricak H, Choyke PL, Eberhardt SC, Leibel SA, Scardino PT (2007) Imaging prostate cancer: a multidisciplinary perspective. Radiology 243:28–53CrossRefPubMed
3.
Zurück zum Zitat Schiebler ML, Tomaszewski JE, Bezzi M et al (1989) Prostatic carcinoma and benign prostatic hyperplasia: correlation of high-resolution MR and histopathologic findings. Radiology 172:131–137PubMed Schiebler ML, Tomaszewski JE, Bezzi M et al (1989) Prostatic carcinoma and benign prostatic hyperplasia: correlation of high-resolution MR and histopathologic findings. Radiology 172:131–137PubMed
4.
Zurück zum Zitat Beyersdorff D, Taupitz M, Winkelmann B et al (2002) Patients with a history of elevated prostate-specific antigen levels and negative transrectal US-guided quadrant or sextant biopsy results: value of MR imaging. Radiology 224:701–706CrossRefPubMed Beyersdorff D, Taupitz M, Winkelmann B et al (2002) Patients with a history of elevated prostate-specific antigen levels and negative transrectal US-guided quadrant or sextant biopsy results: value of MR imaging. Radiology 224:701–706CrossRefPubMed
5.
Zurück zum Zitat Sala E, Eberhardt SC, Akin O et al (2006) Endorectal MR imaging before salvage prostatectomy: tumor localization and staging. Radiology 238:176–183CrossRefPubMed Sala E, Eberhardt SC, Akin O et al (2006) Endorectal MR imaging before salvage prostatectomy: tumor localization and staging. Radiology 238:176–183CrossRefPubMed
6.
Zurück zum Zitat Coakley FV, Teh HS, Qayyum A et al (2004) Endorectal MR imaging and MR spectroscopic imaging for locally recurrent prostate cancer after external beam radiation therapy: preliminary experience. Radiology 233:441–448CrossRefPubMed Coakley FV, Teh HS, Qayyum A et al (2004) Endorectal MR imaging and MR spectroscopic imaging for locally recurrent prostate cancer after external beam radiation therapy: preliminary experience. Radiology 233:441–448CrossRefPubMed
7.
Zurück zum Zitat Choi YJ, Kim JK, Kim N, Kim KW, Choi EK, Cho KS (2007) Functional MR imaging of prostate cancer. Radiographics 27:63–75, discussion 75–67CrossRefPubMed Choi YJ, Kim JK, Kim N, Kim KW, Choi EK, Cho KS (2007) Functional MR imaging of prostate cancer. Radiographics 27:63–75, discussion 75–67CrossRefPubMed
8.
Zurück zum Zitat Mirowitz SA, Brown JJ, Heiken JP (1993) Evaluation of the prostate and prostatic carcinoma with gadolinium-enhanced endorectal coil MR imaging. Radiology 186:153–157PubMed Mirowitz SA, Brown JJ, Heiken JP (1993) Evaluation of the prostate and prostatic carcinoma with gadolinium-enhanced endorectal coil MR imaging. Radiology 186:153–157PubMed
9.
Zurück zum Zitat Brown G, Macvicar DA, Ayton V, Husband JE (1995) The role of intravenous contrast enhancement in magnetic resonance imaging of prostatic carcinoma. Clin Radiol 50:601–606CrossRefPubMed Brown G, Macvicar DA, Ayton V, Husband JE (1995) The role of intravenous contrast enhancement in magnetic resonance imaging of prostatic carcinoma. Clin Radiol 50:601–606CrossRefPubMed
10.
Zurück zum Zitat Engelbrecht MR, Huisman HJ, Laheij RJ et al (2003) Discrimination of prostate cancer from normal peripheral zone and central gland tissue by using dynamic contrast-enhanced MR imaging. Radiology 229:248–254CrossRefPubMed Engelbrecht MR, Huisman HJ, Laheij RJ et al (2003) Discrimination of prostate cancer from normal peripheral zone and central gland tissue by using dynamic contrast-enhanced MR imaging. Radiology 229:248–254CrossRefPubMed
11.
Zurück zum Zitat Nicholson B, Schaefer G, Theodorescu D (2001) Angiogenesis in prostate cancer: biology and therapeutic opportunities. Cancer Metastasis Rev 20:297–319CrossRefPubMed Nicholson B, Schaefer G, Theodorescu D (2001) Angiogenesis in prostate cancer: biology and therapeutic opportunities. Cancer Metastasis Rev 20:297–319CrossRefPubMed
12.
Zurück zum Zitat Folkman J, Cole P, Zimmerman S (1996) Tumor behavior in isolated perfused organs: in vitro growth and metastases of biopsy material in rabbit thyroid and canine intestinal segment. Ann Surg 164:491–502CrossRef Folkman J, Cole P, Zimmerman S (1996) Tumor behavior in isolated perfused organs: in vitro growth and metastases of biopsy material in rabbit thyroid and canine intestinal segment. Ann Surg 164:491–502CrossRef
13.
Zurück zum Zitat Dewhirst MW, Tso CY, Oliver R, Gustafson CS, Secomb TW, Gross JF (1989) Morphologic and hemodynamic comparison of tumor and healing normal tissue microvasculature. Int J Radiat Oncol Biol Phys 17:91–99PubMed Dewhirst MW, Tso CY, Oliver R, Gustafson CS, Secomb TW, Gross JF (1989) Morphologic and hemodynamic comparison of tumor and healing normal tissue microvasculature. Int J Radiat Oncol Biol Phys 17:91–99PubMed
14.
Zurück zum Zitat Pallares J, Rojo F, Iriarte J, Morote J, Armadans LI, de Torres I (2006) Study of microvessel density and the expression of the angiogenic factors VEGF, bFGF and the receptors Flt-1 and FLK-1 in benign, premalignant and malignant prostate tissues. Histol Histopathol 21:857–865PubMed Pallares J, Rojo F, Iriarte J, Morote J, Armadans LI, de Torres I (2006) Study of microvessel density and the expression of the angiogenic factors VEGF, bFGF and the receptors Flt-1 and FLK-1 in benign, premalignant and malignant prostate tissues. Histol Histopathol 21:857–865PubMed
15.
Zurück zum Zitat Bigler SA, Deering RE, Brawer MK (1993) Comparison of microscopic vascularity in benign and malignant prostate tissue. Hum Pathol 24:220–226CrossRefPubMed Bigler SA, Deering RE, Brawer MK (1993) Comparison of microscopic vascularity in benign and malignant prostate tissue. Hum Pathol 24:220–226CrossRefPubMed
16.
Zurück zum Zitat Siegal JA, Yu E, Brawer MK (1995) Topography of neovascularity in human prostate carcinoma. Cancer 75:2545–2551CrossRefPubMed Siegal JA, Yu E, Brawer MK (1995) Topography of neovascularity in human prostate carcinoma. Cancer 75:2545–2551CrossRefPubMed
17.
Zurück zum Zitat Weidner N, Carroll PR, Flax J, Blumenfeld W, Folkman J (1993) Tumor angiogenesis correlates with metastasis in invasive prostate carcinoma. Am J Pathol 143:401–409PubMed Weidner N, Carroll PR, Flax J, Blumenfeld W, Folkman J (1993) Tumor angiogenesis correlates with metastasis in invasive prostate carcinoma. Am J Pathol 143:401–409PubMed
18.
Zurück zum Zitat Silberman MA, Partin AW, Veltri RW, Epstein JI (1997) Tumor angiogenesis correlates with progression after radical prostatectomy but not with pathologic stage in Gleason sum 5 to 7 adenocarcinoma of the prostate. Cancer 79:772–779CrossRefPubMed Silberman MA, Partin AW, Veltri RW, Epstein JI (1997) Tumor angiogenesis correlates with progression after radical prostatectomy but not with pathologic stage in Gleason sum 5 to 7 adenocarcinoma of the prostate. Cancer 79:772–779CrossRefPubMed
19.
Zurück zum Zitat Rubin MA, Buyyounouski M, Bagiella E et al (1999) Microvessel density in prostate cancer: lack of correlation with tumor grade, pathologic stage, and clinical outcome. Urology 53:542–547CrossRefPubMed Rubin MA, Buyyounouski M, Bagiella E et al (1999) Microvessel density in prostate cancer: lack of correlation with tumor grade, pathologic stage, and clinical outcome. Urology 53:542–547CrossRefPubMed
20.
Zurück zum Zitat Erbersdobler A, Isbarn H, Dix K et al (2010) Prognostic value of microvessel density in prostate cancer: a tissue microarray study. World J Urol 28:687–692CrossRefPubMed Erbersdobler A, Isbarn H, Dix K et al (2010) Prognostic value of microvessel density in prostate cancer: a tissue microarray study. World J Urol 28:687–692CrossRefPubMed
21.
Zurück zum Zitat Concato J, Jain D, Li WW, Risch HA, Uchio EM, Wells CK (2007) Molecular markers and mortality in prostate cancer. BJU Int 100:1259–1263CrossRefPubMed Concato J, Jain D, Li WW, Risch HA, Uchio EM, Wells CK (2007) Molecular markers and mortality in prostate cancer. BJU Int 100:1259–1263CrossRefPubMed
22.
Zurück zum Zitat Mucci LA, Powolny A, Giovannucci E et al (2009) Prospective study of prostate tumor angiogenesis and cancer-specific mortality in the health professionals follow-up study. J Clin Oncol 27:5627–5633CrossRefPubMed Mucci LA, Powolny A, Giovannucci E et al (2009) Prospective study of prostate tumor angiogenesis and cancer-specific mortality in the health professionals follow-up study. J Clin Oncol 27:5627–5633CrossRefPubMed
23.
Zurück zum Zitat Huisman HJ, Engelbrecht MR, Barentsz JO (2001) Accurate estimation of pharmacokinetic contrast-enhanced dynamic MRI parameters of the prostate. J Magn Reson Imaging 13:607–614CrossRefPubMed Huisman HJ, Engelbrecht MR, Barentsz JO (2001) Accurate estimation of pharmacokinetic contrast-enhanced dynamic MRI parameters of the prostate. J Magn Reson Imaging 13:607–614CrossRefPubMed
24.
Zurück zum Zitat Hoffmann U, Brix G, Knopp MV, Hess T, Lorenz WJ (1995) Pharmacokinetic mapping of the breast: a new method for dynamic MR mammography. Magn Reson Med 33:506–514CrossRefPubMed Hoffmann U, Brix G, Knopp MV, Hess T, Lorenz WJ (1995) Pharmacokinetic mapping of the breast: a new method for dynamic MR mammography. Magn Reson Med 33:506–514CrossRefPubMed
25.
Zurück zum Zitat Prochnow D, Beyersdorff D, Warmuth C, Taupitz M, Gemeinhardt O, Lüdemann L (2005) Implementation of a rapid inversion-prepared dual-contrast gradient echo sequence for quantitative dynamic contrast-enhanced magnetic resonance imaging of the human prostate. Magn Reson Imaging 23:983–990CrossRefPubMed Prochnow D, Beyersdorff D, Warmuth C, Taupitz M, Gemeinhardt O, Lüdemann L (2005) Implementation of a rapid inversion-prepared dual-contrast gradient echo sequence for quantitative dynamic contrast-enhanced magnetic resonance imaging of the human prostate. Magn Reson Imaging 23:983–990CrossRefPubMed
26.
Zurück zum Zitat Taillieu F, Salomon LJ, Siauve N et al (2006) Placental perfusion and permeability: simultaneous assessment with dual-echo contrast-enhanced MR imaging in mice. Radiology 241:737–745CrossRefPubMed Taillieu F, Salomon LJ, Siauve N et al (2006) Placental perfusion and permeability: simultaneous assessment with dual-echo contrast-enhanced MR imaging in mice. Radiology 241:737–745CrossRefPubMed
27.
Zurück zum Zitat de Bazelaire C, Rofsky NM, Duhamel G et al (2006) Combined T2* and T1 measurements for improved perfusion and permeability studies in high field using dynamic contrast enhancement. Eur Radiol 16:2083–2091CrossRefPubMed de Bazelaire C, Rofsky NM, Duhamel G et al (2006) Combined T2* and T1 measurements for improved perfusion and permeability studies in high field using dynamic contrast enhancement. Eur Radiol 16:2083–2091CrossRefPubMed
28.
Zurück zum Zitat Walker-Samuel S, Leach MO, Collins DJ (2007) Reference tissue quantification of DCE-MRI data without a contrast agent calibration. Phys Med Biol 52:589–601CrossRefPubMed Walker-Samuel S, Leach MO, Collins DJ (2007) Reference tissue quantification of DCE-MRI data without a contrast agent calibration. Phys Med Biol 52:589–601CrossRefPubMed
29.
Zurück zum Zitat Pintaske J, Martirosian P, Graf H et al (2006) Relaxivity of Gadopentetate Dimeglumine (Magnevist), Gadobutrol (Gadovist), and Gadobenate Dimeglumine (MultiHance) in human blood plasma at 0.2, 1.5, and 3 Tesla. Invest Radiol 41:213–221CrossRefPubMed Pintaske J, Martirosian P, Graf H et al (2006) Relaxivity of Gadopentetate Dimeglumine (Magnevist), Gadobutrol (Gadovist), and Gadobenate Dimeglumine (MultiHance) in human blood plasma at 0.2, 1.5, and 3 Tesla. Invest Radiol 41:213–221CrossRefPubMed
30.
Zurück zum Zitat Cheng HL, Wright GA (2006) Rapid high-resolution T(1) mapping by variable flip angles: accurate and precise measurements in the presence of radiofrequency field inhomogeneity. Magn Reson Med 55:566–574CrossRefPubMed Cheng HL, Wright GA (2006) Rapid high-resolution T(1) mapping by variable flip angles: accurate and precise measurements in the presence of radiofrequency field inhomogeneity. Magn Reson Med 55:566–574CrossRefPubMed
31.
Zurück zum Zitat Port RE, Knopp MV, Brix G (2001) Dynamic contrast-enhanced MRI using Gd-DTPA: interindividual variability of the arterial input function and consequences for the assessment of kinetics in tumors. Magn Reson Med 45:1030–1038CrossRefPubMed Port RE, Knopp MV, Brix G (2001) Dynamic contrast-enhanced MRI using Gd-DTPA: interindividual variability of the arterial input function and consequences for the assessment of kinetics in tumors. Magn Reson Med 45:1030–1038CrossRefPubMed
32.
Zurück zum Zitat Rijpkema M, Kaanders JH, Joosten FB, van der Kogel AJ, Heerschap A (2001) Method for quantitative mapping of dynamic MRI contrast agent uptake in human tumors. J Magn Reson Imaging 14:457–463CrossRefPubMed Rijpkema M, Kaanders JH, Joosten FB, van der Kogel AJ, Heerschap A (2001) Method for quantitative mapping of dynamic MRI contrast agent uptake in human tumors. J Magn Reson Imaging 14:457–463CrossRefPubMed
33.
Zurück zum Zitat Tofts PS, Brix G, Buckley DL et al (1999) Estimating kinetic parameters from dynamic contrast-enhanced T(1)-weighted MRI of a diffusable tracer: standardized quantities and symbols. J Magn Reson Imaging 10:223–232CrossRefPubMed Tofts PS, Brix G, Buckley DL et al (1999) Estimating kinetic parameters from dynamic contrast-enhanced T(1)-weighted MRI of a diffusable tracer: standardized quantities and symbols. J Magn Reson Imaging 10:223–232CrossRefPubMed
34.
Zurück zum Zitat Feldschuh J, Katz S (2007) The importance of correct norms in blood volume measurement. Am J Med Sci 334:41–46CrossRefPubMed Feldschuh J, Katz S (2007) The importance of correct norms in blood volume measurement. Am J Med Sci 334:41–46CrossRefPubMed
35.
Zurück zum Zitat Weinmann HJ, Laniado M, Mutzel W (1984) Pharmacokinetics of GdDTPA/dimeglumine after intravenous injection into healthy volunteers. Physiol Chem Phys Med NMR 16:167–172PubMed Weinmann HJ, Laniado M, Mutzel W (1984) Pharmacokinetics of GdDTPA/dimeglumine after intravenous injection into healthy volunteers. Physiol Chem Phys Med NMR 16:167–172PubMed
36.
Zurück zum Zitat Fritz-Hansen T, Rostrup E, Larsson HB, Sondergaard L, Ring P, Henriksen O (1996) Measurement of the arterial concentration of Gd-DTPA using MRI: a step toward quantitative perfusion imaging. Magn Reson Med 36:225–231CrossRefPubMed Fritz-Hansen T, Rostrup E, Larsson HB, Sondergaard L, Ring P, Henriksen O (1996) Measurement of the arterial concentration of Gd-DTPA using MRI: a step toward quantitative perfusion imaging. Magn Reson Med 36:225–231CrossRefPubMed
37.
Zurück zum Zitat Parker GJ, Roberts C, Macdonald A et al (2006) Experimentally-derived functional form for a population-averaged high-temporal-resolution arterial input function for dynamic contrast-enhanced MRI. Magn Reson Med 56:993–1000CrossRefPubMed Parker GJ, Roberts C, Macdonald A et al (2006) Experimentally-derived functional form for a population-averaged high-temporal-resolution arterial input function for dynamic contrast-enhanced MRI. Magn Reson Med 56:993–1000CrossRefPubMed
38.
Zurück zum Zitat Port RE, Knopp MV, Hoffmann U, Milker-Zabel S, Brix G (1999) Multicompartment analysis of gadolinium chelate kinetics: blood-tissue exchange in mammary tumors as monitored by dynamic MR imaging. J Magn Reson Imaging 10:233–241CrossRefPubMed Port RE, Knopp MV, Hoffmann U, Milker-Zabel S, Brix G (1999) Multicompartment analysis of gadolinium chelate kinetics: blood-tissue exchange in mammary tumors as monitored by dynamic MR imaging. J Magn Reson Imaging 10:233–241CrossRefPubMed
39.
Zurück zum Zitat Brix G, Semmler W, Port R, Schad LR, Layer G, Lorenz WJ (1991) Pharmacokinetic parameters in CNS Gd-DTPA enhanced MR imaging. J Comput Assist Tomogr 15:621–628CrossRefPubMed Brix G, Semmler W, Port R, Schad LR, Layer G, Lorenz WJ (1991) Pharmacokinetic parameters in CNS Gd-DTPA enhanced MR imaging. J Comput Assist Tomogr 15:621–628CrossRefPubMed
40.
Zurück zum Zitat Brix G, Schreiber W, Hoffmann U, Guckel F, Hawighorst H, Knopp MV (1997) Methodological approaches to quantitative evaluation of microcirculation in tissues with dynamic magnetic resonance tomography. Radiologe 37:470–480CrossRefPubMed Brix G, Schreiber W, Hoffmann U, Guckel F, Hawighorst H, Knopp MV (1997) Methodological approaches to quantitative evaluation of microcirculation in tissues with dynamic magnetic resonance tomography. Radiologe 37:470–480CrossRefPubMed
41.
Zurück zum Zitat Tofts PS, Kermode AG (1991) Measurement of the blood-brain barrier permeability and leakage space using dynamic MR imaging. 1. Fundamental concepts. Magn Reson Med 17:357–367CrossRefPubMed Tofts PS, Kermode AG (1991) Measurement of the blood-brain barrier permeability and leakage space using dynamic MR imaging. 1. Fundamental concepts. Magn Reson Med 17:357–367CrossRefPubMed
42.
Zurück zum Zitat Tofts PS, Berkowitz B, Schnall MD (1995) Quantitative analysis of dynamic Gd-DTPA enhancement in breast tumors using a permeability model. Magn Reson Med 33:564–568CrossRefPubMed Tofts PS, Berkowitz B, Schnall MD (1995) Quantitative analysis of dynamic Gd-DTPA enhancement in breast tumors using a permeability model. Magn Reson Med 33:564–568CrossRefPubMed
43.
Zurück zum Zitat Dvorak HF, Brown LF, Detmar M, Dvorak AM (1995) Vascular permeability factor/vascular endothelial growth factor, microvascular hyperpermeability, and angiogenesis. Am J Pathol 146:1029–1039PubMed Dvorak HF, Brown LF, Detmar M, Dvorak AM (1995) Vascular permeability factor/vascular endothelial growth factor, microvascular hyperpermeability, and angiogenesis. Am J Pathol 146:1029–1039PubMed
44.
Zurück zum Zitat Gerlowski LE, Jain RK (1986) Microvascular permeability of normal and neoplastic tissues. Microvasc Res 31:288–305CrossRefPubMed Gerlowski LE, Jain RK (1986) Microvascular permeability of normal and neoplastic tissues. Microvasc Res 31:288–305CrossRefPubMed
45.
Zurück zum Zitat St. Lawrence KS, Lee TY (1998) An adiabatic approximation to the tissue homogeneity model for water exchange in the brain: II. experimental validation. J Cereb Blood Flow Metab 18:1378–1385CrossRefPubMed St. Lawrence KS, Lee TY (1998) An adiabatic approximation to the tissue homogeneity model for water exchange in the brain: II. experimental validation. J Cereb Blood Flow Metab 18:1378–1385CrossRefPubMed
46.
Zurück zum Zitat Kershaw LE, Buckley DL (2006) Precision in measurements of perfusion and microvascular permeability with T1-weighted dynamic contrast-enhanced MRI. Magn Reson Med 56:986–992CrossRefPubMed Kershaw LE, Buckley DL (2006) Precision in measurements of perfusion and microvascular permeability with T1-weighted dynamic contrast-enhanced MRI. Magn Reson Med 56:986–992CrossRefPubMed
47.
Zurück zum Zitat Lüdemann L, Prochnow D, Rohlfing T et al (2009) Simultaneous quantification of perfusion and permeability in the prostate using dynamic contrast-enhanced magnetic resonance imaging with an inversion-prepared dual-contrast sequence. Ann Biomed Eng 37:749–762CrossRefPubMed Lüdemann L, Prochnow D, Rohlfing T et al (2009) Simultaneous quantification of perfusion and permeability in the prostate using dynamic contrast-enhanced magnetic resonance imaging with an inversion-prepared dual-contrast sequence. Ann Biomed Eng 37:749–762CrossRefPubMed
48.
Zurück zum Zitat Stephenson JL (1948) Theory of the measurement of blood flow by the dilution of an indicator. Bull Math Biophys 10:117–121CrossRefPubMed Stephenson JL (1948) Theory of the measurement of blood flow by the dilution of an indicator. Bull Math Biophys 10:117–121CrossRefPubMed
50.
Zurück zum Zitat Keetch DW, Catalona WJ, Smith DS (1994) Serial prostatic biopsies in men with persistently elevated serum prostate specific antigen values. J Urol 151:1571–1574PubMed Keetch DW, Catalona WJ, Smith DS (1994) Serial prostatic biopsies in men with persistently elevated serum prostate specific antigen values. J Urol 151:1571–1574PubMed
51.
Zurück zum Zitat Roehl KA, Antenor JA, Catalona WJ (2002) Serial biopsy results in prostate cancer screening study. J Urol 167:2435–2439CrossRefPubMed Roehl KA, Antenor JA, Catalona WJ (2002) Serial biopsy results in prostate cancer screening study. J Urol 167:2435–2439CrossRefPubMed
52.
Zurück zum Zitat Langer DL, van der Kwast TH, Evans AJ, Trachtenberg J, Wilson BC, Haider MA (2009) Prostate cancer detection with multi-parametric MRI: logistic regression analysis of quantitative T2, diffusion-weighted imaging, and dynamic contrast-enhanced MRI. J Magn Reson Imaging 30:327–334CrossRefPubMed Langer DL, van der Kwast TH, Evans AJ, Trachtenberg J, Wilson BC, Haider MA (2009) Prostate cancer detection with multi-parametric MRI: logistic regression analysis of quantitative T2, diffusion-weighted imaging, and dynamic contrast-enhanced MRI. J Magn Reson Imaging 30:327–334CrossRefPubMed
53.
Zurück zum Zitat Tanimoto A, Nakashima J, Kohno H, Shinmoto H, Kuribayashi S (2007) Prostate cancer screening: the clinical value of diffusion-weighted imaging and dynamic MR imaging in combination with T2-weighted imaging. J Magn Reson Imaging 25:146–152CrossRefPubMed Tanimoto A, Nakashima J, Kohno H, Shinmoto H, Kuribayashi S (2007) Prostate cancer screening: the clinical value of diffusion-weighted imaging and dynamic MR imaging in combination with T2-weighted imaging. J Magn Reson Imaging 25:146–152CrossRefPubMed
54.
Zurück zum Zitat * Franiel T, Lüdemann L, Rudolph B, et al (2009) Prostate MR imaging: tissue characterization with pharmacokinetic volume and blood flow parameters and correlation with histologic parameters. Radiology 252:101–108 * Franiel T, Lüdemann L, Rudolph B, et al (2009) Prostate MR imaging: tissue characterization with pharmacokinetic volume and blood flow parameters and correlation with histologic parameters. Radiology 252:101–108
55.
Zurück zum Zitat Cheikh AB, Girouin N, Colombel M et al (2009) Evaluation of T2-weighted and dynamic contrast-enhanced MRI in localizing prostate cancer before repeat biopsy. Eur Radiol 19:770–778CrossRefPubMed Cheikh AB, Girouin N, Colombel M et al (2009) Evaluation of T2-weighted and dynamic contrast-enhanced MRI in localizing prostate cancer before repeat biopsy. Eur Radiol 19:770–778CrossRefPubMed
56.
Zurück zum Zitat * Hambrock T, Futterer JJ, Huisman HJ et al (2008) Thirty-two-channel coil 3T magnetic resonance-guided biopsies of prostate tumor suspicious regions identified on multimodality 3T magnetic resonance imaging: technique and feasibility. Invest Radiol 43:686–694 * Hambrock T, Futterer JJ, Huisman HJ et al (2008) Thirty-two-channel coil 3T magnetic resonance-guided biopsies of prostate tumor suspicious regions identified on multimodality 3T magnetic resonance imaging: technique and feasibility. Invest Radiol 43:686–694
57.
Zurück zum Zitat Xu S, Kruecker J, Turkbey B et al (2008) Real-time MRI-TRUS fusion for guidance of targeted prostate biopsies. Comput Aided Surg 13:255–264PubMed Xu S, Kruecker J, Turkbey B et al (2008) Real-time MRI-TRUS fusion for guidance of targeted prostate biopsies. Comput Aided Surg 13:255–264PubMed
58.
Zurück zum Zitat Hricak H, Wang L, Wei DC et al (2004) The role of preoperative endorectal magnetic resonance imaging in the decision regarding whether to preserve or resect neurovascular bundles during radical retropubic prostatectomy. Cancer 100:2655–2663CrossRefPubMed Hricak H, Wang L, Wei DC et al (2004) The role of preoperative endorectal magnetic resonance imaging in the decision regarding whether to preserve or resect neurovascular bundles during radical retropubic prostatectomy. Cancer 100:2655–2663CrossRefPubMed
59.
Zurück zum Zitat * Jackson AS, Reinsberg SA, Sohaib SA, et al (2009) Dynamic contrast-enhanced MRI for prostate cancer localization. Br J Radiol 82:148–156 * Jackson AS, Reinsberg SA, Sohaib SA, et al (2009) Dynamic contrast-enhanced MRI for prostate cancer localization. Br J Radiol 82:148–156
60.
Zurück zum Zitat * Futterer JJ, Heijmink SW, Scheenen TW et al (2006) Prostate Cancer Localization with Dynamic Contrast-enhanced MR Imaging and Proton MR Spectroscopic Imaging. Radiology 241:449–458 * Futterer JJ, Heijmink SW, Scheenen TW et al (2006) Prostate Cancer Localization with Dynamic Contrast-enhanced MR Imaging and Proton MR Spectroscopic Imaging. Radiology 241:449–458
61.
Zurück zum Zitat * Ocak I, Bernardo M, Metzger G et al (2007) Dynamic contrast-enhanced MRI of prostate cancer at 3T: a study of pharmacokinetic parameters. AJR Am J Roentgenol 189:849 * Ocak I, Bernardo M, Metzger G et al (2007) Dynamic contrast-enhanced MRI of prostate cancer at 3T: a study of pharmacokinetic parameters. AJR Am J Roentgenol 189:849
62.
Zurück zum Zitat Beyersdorff D, Taymoorian K, Knosel T et al (2005) MRI of prostate cancer at 1.5 and 3.0T: comparison of image quality in tumor detection and staging. AJR Am J Roentgenol 185:1214–1220CrossRefPubMed Beyersdorff D, Taymoorian K, Knosel T et al (2005) MRI of prostate cancer at 1.5 and 3.0T: comparison of image quality in tumor detection and staging. AJR Am J Roentgenol 185:1214–1220CrossRefPubMed
63.
Zurück zum Zitat Heijmink SW, Futterer JJ, Hambrock T et al (2007) Prostate cancer: body-array versus endorectal coil MR imaging at 3T—comparison of image quality, localization, and staging performance. Radiology 244:184–195CrossRefPubMed Heijmink SW, Futterer JJ, Hambrock T et al (2007) Prostate cancer: body-array versus endorectal coil MR imaging at 3T—comparison of image quality, localization, and staging performance. Radiology 244:184–195CrossRefPubMed
64.
Zurück zum Zitat Bloch BN, Furman-Haran E, Helbich TH et al (2007) Prostate cancer: accurate determination of extracapsular extension with high-spatial-resolution dynamic contrast-enhanced and T2-weighted MR imaging–initial results. Radiology 245:176–185CrossRefPubMed Bloch BN, Furman-Haran E, Helbich TH et al (2007) Prostate cancer: accurate determination of extracapsular extension with high-spatial-resolution dynamic contrast-enhanced and T2-weighted MR imaging–initial results. Radiology 245:176–185CrossRefPubMed
65.
Zurück zum Zitat D’Amico AV, Whittington R, Malkowicz SB et al (2002) Biochemical outcome after radical prostatectomy or external beam radiation therapy for patients with clinically localized prostate carcinoma in the prostate specific antigen era. Cancer 95:281–286CrossRefPubMed D’Amico AV, Whittington R, Malkowicz SB et al (2002) Biochemical outcome after radical prostatectomy or external beam radiation therapy for patients with clinically localized prostate carcinoma in the prostate specific antigen era. Cancer 95:281–286CrossRefPubMed
66.
Zurück zum Zitat Kestin LL, Vicini FA, Ziaja EL, Stromberg JS, Frazier RC, Martinez AA (1999) Defining biochemical cure for prostate carcinoma patients treated with external beam radiation therapy. Cancer 86:1557–1566CrossRefPubMed Kestin LL, Vicini FA, Ziaja EL, Stromberg JS, Frazier RC, Martinez AA (1999) Defining biochemical cure for prostate carcinoma patients treated with external beam radiation therapy. Cancer 86:1557–1566CrossRefPubMed
67.
Zurück zum Zitat Pound CR, Brawer MK, Partin AW (2001) Evaluation and treatment of men with biochemical prostate-specific antigen recurrence following definitive therapy for clinically localized prostate cancer. Rev Urol 3:72–84PubMed Pound CR, Brawer MK, Partin AW (2001) Evaluation and treatment of men with biochemical prostate-specific antigen recurrence following definitive therapy for clinically localized prostate cancer. Rev Urol 3:72–84PubMed
68.
Zurück zum Zitat Nudell DM, Wefer AE, Hricak H, Carroll PR (2000) Imaging for recurrent prostate cancer. Radiol Clin North Am 38:213–229CrossRefPubMed Nudell DM, Wefer AE, Hricak H, Carroll PR (2000) Imaging for recurrent prostate cancer. Radiol Clin North Am 38:213–229CrossRefPubMed
69.
Zurück zum Zitat Sella T, Schwartz LH, Swindle PW et al (2004) Suspected local recurrence after radical prostatectomy: endorectal coil MR imaging. Radiology 231:379–385CrossRefPubMed Sella T, Schwartz LH, Swindle PW et al (2004) Suspected local recurrence after radical prostatectomy: endorectal coil MR imaging. Radiology 231:379–385CrossRefPubMed
70.
Zurück zum Zitat Cirillo S, Petracchini M, Scotti L et al (2009) Endorectal magnetic resonance imaging at 1.5 Tesla to assess local recurrence following radical prostatectomy using T2-weighted and contrast-enhanced imaging. Eur Radiol 19:761–769CrossRefPubMed Cirillo S, Petracchini M, Scotti L et al (2009) Endorectal magnetic resonance imaging at 1.5 Tesla to assess local recurrence following radical prostatectomy using T2-weighted and contrast-enhanced imaging. Eur Radiol 19:761–769CrossRefPubMed
71.
Zurück zum Zitat Haider MA, Chung P, Sweet J et al (2008) Dynamic contrast-enhanced magnetic resonance imaging for localization of recurrent prostate cancer after external beam radiotherapy. Int J Radiat Oncol Biol Phys 70:425–430CrossRefPubMed Haider MA, Chung P, Sweet J et al (2008) Dynamic contrast-enhanced magnetic resonance imaging for localization of recurrent prostate cancer after external beam radiotherapy. Int J Radiat Oncol Biol Phys 70:425–430CrossRefPubMed
72.
Zurück zum Zitat Rouviere O, Valette O, Grivolat S et al (2004) Recurrent prostate cancer after external beam radiotherapy: value of contrast-enhanced dynamic MRI in localizing intraprostatic tumor–correlation with biopsy findings. Urology 63:922–927CrossRefPubMed Rouviere O, Valette O, Grivolat S et al (2004) Recurrent prostate cancer after external beam radiotherapy: value of contrast-enhanced dynamic MRI in localizing intraprostatic tumor–correlation with biopsy findings. Urology 63:922–927CrossRefPubMed
73.
Zurück zum Zitat * Yakar D, Hambrock T, Huisman H et al (2010) Feasibility of 3T dynamic contrast-enhanced magnetic resonance-guided biopsy in localizing local recurrence of prostate cancer after external beam radiation therapy. Invest Radiol 45:121–125 * Yakar D, Hambrock T, Huisman H et al (2010) Feasibility of 3T dynamic contrast-enhanced magnetic resonance-guided biopsy in localizing local recurrence of prostate cancer after external beam radiation therapy. Invest Radiol 45:121–125
74.
Zurück zum Zitat * Moman MR, van den Berg CA, Boeken Kruger AE et al (2010) Focal salvage guided by T2-weighted and dynamic contrast-enhanced magnetic resonance imaging for prostate cancer recurrences. Int J Radiat Oncol Biol Phys 76:741–746 * Moman MR, van den Berg CA, Boeken Kruger AE et al (2010) Focal salvage guided by T2-weighted and dynamic contrast-enhanced magnetic resonance imaging for prostate cancer recurrences. Int J Radiat Oncol Biol Phys 76:741–746
75.
Zurück zum Zitat Casciani E, Polettini E, Carmenini E et al (2008) Endorectal and dynamic contrast-enhanced MRI for detection of local recurrence after radical prostatectomy. AJR Am J Roentgenol 190:1187–1192CrossRefPubMed Casciani E, Polettini E, Carmenini E et al (2008) Endorectal and dynamic contrast-enhanced MRI for detection of local recurrence after radical prostatectomy. AJR Am J Roentgenol 190:1187–1192CrossRefPubMed
76.
Zurück zum Zitat Zand KR, Reinhold C, Haider MA, Nakai A, Rohoman L, Maheshwari S (2007) Artifacts and pitfalls in MR imaging of the pelvis. J Magn Reson Imaging 26:480–497CrossRefPubMed Zand KR, Reinhold C, Haider MA, Nakai A, Rohoman L, Maheshwari S (2007) Artifacts and pitfalls in MR imaging of the pelvis. J Magn Reson Imaging 26:480–497CrossRefPubMed
77.
Zurück zum Zitat Rouviere O, Girouin N, Glas L et al (2010) Prostate cancer transrectal HIFU ablation: detection of local recurrences using T2-weighted and dynamic contrast-enhanced MRI. Eur Radiol 20:48–55CrossRefPubMed Rouviere O, Girouin N, Glas L et al (2010) Prostate cancer transrectal HIFU ablation: detection of local recurrences using T2-weighted and dynamic contrast-enhanced MRI. Eur Radiol 20:48–55CrossRefPubMed
78.
Zurück zum Zitat Schroder FH, Hugosson J, Roobol MJ et al (2009) Screening and prostate-cancer mortality in a randomized European study. N Engl J Med 360:1320–1328CrossRefPubMed Schroder FH, Hugosson J, Roobol MJ et al (2009) Screening and prostate-cancer mortality in a randomized European study. N Engl J Med 360:1320–1328CrossRefPubMed
79.
Zurück zum Zitat Choo R, Klotz L, Danjoux C et al (2002) Feasibility study: watchful waiting for localized low to intermediate grade prostate carcinoma with selective delayed intervention based on prostate specific antigen, histological and/or clinical progression. J Urol 167:1664–1669CrossRefPubMed Choo R, Klotz L, Danjoux C et al (2002) Feasibility study: watchful waiting for localized low to intermediate grade prostate carcinoma with selective delayed intervention based on prostate specific antigen, histological and/or clinical progression. J Urol 167:1664–1669CrossRefPubMed
80.
Zurück zum Zitat Dall’Era MA, Cooperberg MR, Chan JM et al (2008) Active surveillance for early-stage prostate cancer: review of the current literature. Cancer 112:1650–1659CrossRefPubMed Dall’Era MA, Cooperberg MR, Chan JM et al (2008) Active surveillance for early-stage prostate cancer: review of the current literature. Cancer 112:1650–1659CrossRefPubMed
81.
Zurück zum Zitat Coakley FV, Chen I, Qayyum A et al (2007) Validity of prostate-specific antigen as a tumour marker in men with prostate cancer managed by watchful-waiting: correlation with findings at serial endorectal magnetic resonance imaging and spectroscopic imaging. BJU Int 99:41–45CrossRefPubMed Coakley FV, Chen I, Qayyum A et al (2007) Validity of prostate-specific antigen as a tumour marker in men with prostate cancer managed by watchful-waiting: correlation with findings at serial endorectal magnetic resonance imaging and spectroscopic imaging. BJU Int 99:41–45CrossRefPubMed
82.
Zurück zum Zitat Kulkarni GS, Lockwood G, Evans A et al (2007) Clinical predictors of Gleason score upgrading: implications for patients considering watchful waiting, active surveillance, or brachytherapy. Cancer 109:2432–2438CrossRefPubMed Kulkarni GS, Lockwood G, Evans A et al (2007) Clinical predictors of Gleason score upgrading: implications for patients considering watchful waiting, active surveillance, or brachytherapy. Cancer 109:2432–2438CrossRefPubMed
83.
Zurück zum Zitat Poulos CK, Daggy JK, Cheng L (2004) Prostate needle biopsies: multiple variables are predictive of final tumor volume in radical prostatectomy specimens. Cancer 101:527–532CrossRefPubMed Poulos CK, Daggy JK, Cheng L (2004) Prostate needle biopsies: multiple variables are predictive of final tumor volume in radical prostatectomy specimens. Cancer 101:527–532CrossRefPubMed
84.
Zurück zum Zitat Wang L, Mazaheri Y, Zhang J, Ishill NM, Kuroiwa K, Hricak H (2008) Assessment of biologic aggressiveness of prostate cancer: correlation of MR signal intensity with Gleason grade after radical prostatectomy. Radiology 246:168–176CrossRefPubMed Wang L, Mazaheri Y, Zhang J, Ishill NM, Kuroiwa K, Hricak H (2008) Assessment of biologic aggressiveness of prostate cancer: correlation of MR signal intensity with Gleason grade after radical prostatectomy. Radiology 246:168–176CrossRefPubMed
85.
Zurück zum Zitat * Franiel T, Lüdemann L, Taupitz M, Rost J, Asbach P, Beyersdorff D (2009) Pharmacokinetic MRI of the prostate: parameters for differentiating low-grade and high-grade prostate cancer. Rofo 181:536–542 * Franiel T, Lüdemann L, Taupitz M, Rost J, Asbach P, Beyersdorff D (2009) Pharmacokinetic MRI of the prostate: parameters for differentiating low-grade and high-grade prostate cancer. Rofo 181:536–542
86.
Zurück zum Zitat * Schlemmer HP, Merkle J, Grobholz R et al (2004) Can pre-operative contrast-enhanced dynamic MR imaging for prostate cancer predict microvessel density in prostatectomy specimens? Eur Radiol 14:309–317 * Schlemmer HP, Merkle J, Grobholz R et al (2004) Can pre-operative contrast-enhanced dynamic MR imaging for prostate cancer predict microvessel density in prostatectomy specimens? Eur Radiol 14:309–317
87.
Zurück zum Zitat * Kiessling F, Lichy M, Grobholz R et al (2004) Simple models improve the discrimination of prostate cancers from the peripheral gland by T1-weighted dynamic MRI. Eur Radiol 14:1793–1801 * Kiessling F, Lichy M, Grobholz R et al (2004) Simple models improve the discrimination of prostate cancers from the peripheral gland by T1-weighted dynamic MRI. Eur Radiol 14:1793–1801
88.
Zurück zum Zitat Roach M 3rd (2003) Commentary on a multi-institutional analysis of external beam radiotherapy for T1-T2 prostate cancer: “love the one you’re with” and “do the right thing”. Int J Radiat Oncol Biol Phys 57:907–909CrossRefPubMed Roach M 3rd (2003) Commentary on a multi-institutional analysis of external beam radiotherapy for T1-T2 prostate cancer: “love the one you’re with” and “do the right thing”. Int J Radiat Oncol Biol Phys 57:907–909CrossRefPubMed
89.
Zurück zum Zitat Takamiya R, Weinberg V, Young CD, Sandler H, McLaughlin P, Roach M 3rd (2003) A zero PSA slope in posttreatment prostate-specific antigen supports cure of patients with long-term follow-up after external beam radiotherapy for localized prostate cancer. Int J Radiat Oncol Biol Phys 56:1073–1078CrossRefPubMed Takamiya R, Weinberg V, Young CD, Sandler H, McLaughlin P, Roach M 3rd (2003) A zero PSA slope in posttreatment prostate-specific antigen supports cure of patients with long-term follow-up after external beam radiotherapy for localized prostate cancer. Int J Radiat Oncol Biol Phys 56:1073–1078CrossRefPubMed
90.
Zurück zum Zitat Hanlon AL, Pinover WH, Horwitz EM, Hanks GE (2001) Patterns and fate of PSA bouncing following 3D-CRT. Int J Radiat Oncol Biol Phys 50:845–849CrossRefPubMed Hanlon AL, Pinover WH, Horwitz EM, Hanks GE (2001) Patterns and fate of PSA bouncing following 3D-CRT. Int J Radiat Oncol Biol Phys 50:845–849CrossRefPubMed
91.
Zurück zum Zitat Cavanagh W, Blasko JC, Grimm PD, Sylvester JE (2000) Transient elevation of serum prostate-specific antigen following (125)I/(103)Pd brachytherapy for localized prostate cancer. Semin Urol Oncol 18:160–165PubMed Cavanagh W, Blasko JC, Grimm PD, Sylvester JE (2000) Transient elevation of serum prostate-specific antigen following (125)I/(103)Pd brachytherapy for localized prostate cancer. Semin Urol Oncol 18:160–165PubMed
92.
Zurück zum Zitat Pickett B, Kurhanewicz J, Coakley F, Shinohara K, Fein B, Roach M 3rd (2004) Use of MRI and spectroscopy in evaluation of external beam radiotherapy for prostate cancer. Int J Radiat Oncol Biol Phys 60:1047–1055CrossRefPubMed Pickett B, Kurhanewicz J, Coakley F, Shinohara K, Fein B, Roach M 3rd (2004) Use of MRI and spectroscopy in evaluation of external beam radiotherapy for prostate cancer. Int J Radiat Oncol Biol Phys 60:1047–1055CrossRefPubMed
93.
Zurück zum Zitat * Franiel T, Lüdemann L, Taupitz M, Bohmer D, Beyersdorff D (2009) MRI before and after external beam intensity-modulated radiotherapy of patients with prostate cancer: the feasibility of monitoring of radiation-induced tissue changes using a dynamic contrast-enhanced inversion-prepared dual-contrast gradient echo sequence. Radiother Oncol 93:241–245 * Franiel T, Lüdemann L, Taupitz M, Bohmer D, Beyersdorff D (2009) MRI before and after external beam intensity-modulated radiotherapy of patients with prostate cancer: the feasibility of monitoring of radiation-induced tissue changes using a dynamic contrast-enhanced inversion-prepared dual-contrast gradient echo sequence. Radiother Oncol 93:241–245
94.
Zurück zum Zitat * Padhani AR, MacVicar AD, Gapinski CJ et al (2001) Effects of androgen deprivation on prostatic morphology and vascular permeability evaluated with MR imaging. Radiology 218:365–374 * Padhani AR, MacVicar AD, Gapinski CJ et al (2001) Effects of androgen deprivation on prostatic morphology and vascular permeability evaluated with MR imaging. Radiology 218:365–374
95.
Zurück zum Zitat * Jia G, Heverhagen JT, Henry H et al (2006) Pharmacokinetic parameters as a potential predictor of response to pharmacotherapy in benign prostatic hyperplasia: a preclinical trial using dynamic contrast-enhanced MRI. Magn Reson Imaging 24:721–725 * Jia G, Heverhagen JT, Henry H et al (2006) Pharmacokinetic parameters as a potential predictor of response to pharmacotherapy in benign prostatic hyperplasia: a preclinical trial using dynamic contrast-enhanced MRI. Magn Reson Imaging 24:721–725
96.
Zurück zum Zitat * Maxwell RJ, Wilson J, Prise VE et al (2002) Evaluation of the anti-vascular effects of combretastatin in rodent tumours by dynamic contrast enhanced MRI. NMR Biomed 15:89–98 * Maxwell RJ, Wilson J, Prise VE et al (2002) Evaluation of the anti-vascular effects of combretastatin in rodent tumours by dynamic contrast enhanced MRI. NMR Biomed 15:89–98
97.
Zurück zum Zitat * Franiel T, Lüdemann L, Rudolph B et al (2008) Evaluation of normal prostate tissue, chronic prostatitis, and prostate cancer by quantitative perfusion analysis using a dynamic contrast-enhanced inversion-prepared dual-contrast gradient echo sequence. Invest Radiol 43:481–487 * Franiel T, Lüdemann L, Rudolph B et al (2008) Evaluation of normal prostate tissue, chronic prostatitis, and prostate cancer by quantitative perfusion analysis using a dynamic contrast-enhanced inversion-prepared dual-contrast gradient echo sequence. Invest Radiol 43:481–487
98.
99.
Zurück zum Zitat Kluetz PG, Figg WD, Dahut WL (2010) Angiogenesis inhibitors in the treatment of prostate cancer. Expert Opin Pharmacother 11:233–247CrossRefPubMed Kluetz PG, Figg WD, Dahut WL (2010) Angiogenesis inhibitors in the treatment of prostate cancer. Expert Opin Pharmacother 11:233–247CrossRefPubMed
100.
Zurück zum Zitat Tsao J, Hansen MS, Kozerke S (2006) Accelerated parallel imaging by transform coding data compression with k-t SENSE. Conf Proc IEEE Eng Med Biol Soc 1:372CrossRefPubMed Tsao J, Hansen MS, Kozerke S (2006) Accelerated parallel imaging by transform coding data compression with k-t SENSE. Conf Proc IEEE Eng Med Biol Soc 1:372CrossRefPubMed
Metadaten
Titel
Dynamic contrast-enhanced magnetic resonance imaging and pharmacokinetic models in prostate cancer
verfasst von
Tobias Franiel
Bernd Hamm
Hedvig Hricak
Publikationsdatum
01.03.2011
Verlag
Springer-Verlag
Erschienen in
European Radiology / Ausgabe 3/2011
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-010-2037-7

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