MR-Guided Prostate Interventions

David A Woodrum, Krzysztof R. Gorny, Lance A. Mynderse

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Prostate cancer is the most commonly diagnosed noncutaneous cancer and second leading cause of death in men. Many patients with clinically organ-confined prostate cancer undergo definitive treatment of the whole gland, including radical prostatectomy, radiation therapy, and cryosurgery. Active surveillance is a growing alternative option for patients with documented low-volume and low-grade prostate cancer. However, many patients are wanting a less morbid focal treatment alternative. With recent advances in software and hardware of magnetic resonance imaging (MRI), multiparametric MRI of the prostate has been shown to improve the accuracy in detecting and characterizing clinically significant prostate cancer. Targeted biopsy is increasingly utilized to improve the yield of MR detected, clinically significant prostate cancer and to decrease in detection of indolent prostate cancer. MR-guided targeted biopsy techniques include cognitive MR fusion transrectal ultrasound (TRUS) biopsy, in-bore transrectal targeted biopsy using robotic transrectal device, and in-bore direct MR-guided transperineal biopsy with a software based transperineal grid template. In addition, advances in MR-compatible thermal ablation technology allow accurate focal or regional delivery of thermal ablative energy to the biopsy-proved, MRI-detected tumor. MR-guided ablative treatment options include cryoablation, laser ablation, and high-intensity focused ultrasound with real-time or near simultaneous monitoring of the ablation zone. We present a contemporary review of MR-guided techniques for prostatic interventions.

Original languageEnglish (US)
Pages (from-to)141-151
Number of pages11
JournalTopics in magnetic resonance imaging : TMRI
Volume27
Issue number3
DOIs
StatePublished - Jun 1 2018

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Prostate
Prostatic Neoplasms
Biopsy
Cryosurgery
Magnetic Resonance Imaging
Software
Hot Temperature
Second Primary Neoplasms
Robotics
Laser Therapy
Prostatectomy
Cause of Death
Radiotherapy
Therapeutics
Technology
Equipment and Supplies
Neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

MR-Guided Prostate Interventions. / Woodrum, David A; Gorny, Krzysztof R.; Mynderse, Lance A.

In: Topics in magnetic resonance imaging : TMRI, Vol. 27, No. 3, 01.06.2018, p. 141-151.

Research output: Contribution to journalReview article

Woodrum, David A ; Gorny, Krzysztof R. ; Mynderse, Lance A. / MR-Guided Prostate Interventions. In: Topics in magnetic resonance imaging : TMRI. 2018 ; Vol. 27, No. 3. pp. 141-151.
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