Recurrent prostatic adenocarcinoma with perineural spread to the lumbosacral plexus and sciatic nerve: Comparing high resolution MRI with torso and endorectal coils and F-18 FDG and C-11 choline PET/CT

Maya A. Babu; Robert J. Spinner; P. James B. Dyck; Kimberly K. Amrami; Mark A. Nathan; Akira Kawashima; Benjamin M. Howe

doi:10.1007/s00261-013-9991-x

Recurrent prostatic adenocarcinoma with perineural spread to the lumbosacral plexus and sciatic nerve: Comparing high resolution MRI with torso and endorectal coils and F-18 FDG and C-11 choline PET/CT

Maya A. Babu, Robert J. Spinner, P. James B. Dyck, Kimberly K. Amrami, Mark A. Nathan, Akira Kawashima, Benjamin M. Howe

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

We present a patient with unexplained sciatica (radiating pain down the leg) found to have recurrent prostate adenocarcinoma within the sciatic nerve. High resolution MRI, especially use of an endorectal coil, improved visualization of the perineural spread of the disease. We believe that perineural spread resulting in sciatic symptoms in patients with known prostate adenocarcinoma may be an under-recognized phenomenon. The use of non-invasive modalities, high resolution endorectal coil MRI, and C-11 choline PET/CT can assist in the diagnosis of these patients.

Original language	English (US)
Pages (from-to)	1155-1160
Number of pages	6
Journal	Abdominal Imaging
Volume	38
Issue number	5
DOIs	https://doi.org/10.1007/s00261-013-9991-x
State	Published - Oct 2013

Keywords

C-11 choline
Carcinomatous neuropathy
Lumbosacral plexopathy
Perineural spread
Prostate MRI
Prostate cancer

ASJC Scopus subject areas

Radiological and Ultrasound Technology
Radiology Nuclear Medicine and imaging
Gastroenterology
Urology

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10.1007/s00261-013-9991-x

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Babu, M. A., Spinner, R. J., Dyck, P. J. B., Amrami, K. K., Nathan, M. A., Kawashima, A., & Howe, B. M. (2013). Recurrent prostatic adenocarcinoma with perineural spread to the lumbosacral plexus and sciatic nerve: Comparing high resolution MRI with torso and endorectal coils and F-18 FDG and C-11 choline PET/CT. Abdominal Imaging, 38(5), 1155-1160. https://doi.org/10.1007/s00261-013-9991-x

Recurrent prostatic adenocarcinoma with perineural spread to the lumbosacral plexus and sciatic nerve: Comparing high resolution MRI with torso and endorectal coils and F-18 FDG and C-11 choline PET/CT. / Babu, Maya A.; Spinner, Robert J.; Dyck, P. James B. et al.
In: Abdominal Imaging, Vol. 38, No. 5, 10.2013, p. 1155-1160.

Research output: Contribution to journal › Article › peer-review

Babu, MA, Spinner, RJ, Dyck, PJB, Amrami, KK, Nathan, MA, Kawashima, A & Howe, BM 2013, 'Recurrent prostatic adenocarcinoma with perineural spread to the lumbosacral plexus and sciatic nerve: Comparing high resolution MRI with torso and endorectal coils and F-18 FDG and C-11 choline PET/CT', Abdominal Imaging, vol. 38, no. 5, pp. 1155-1160. https://doi.org/10.1007/s00261-013-9991-x

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abstract = "We present a patient with unexplained sciatica (radiating pain down the leg) found to have recurrent prostate adenocarcinoma within the sciatic nerve. High resolution MRI, especially use of an endorectal coil, improved visualization of the perineural spread of the disease. We believe that perineural spread resulting in sciatic symptoms in patients with known prostate adenocarcinoma may be an under-recognized phenomenon. The use of non-invasive modalities, high resolution endorectal coil MRI, and C-11 choline PET/CT can assist in the diagnosis of these patients.",

keywords = "C-11 choline, Carcinomatous neuropathy, Lumbosacral plexopathy, Perineural spread, Prostate MRI, Prostate cancer",

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Recurrent prostatic adenocarcinoma with perineural spread to the lumbosacral plexus and sciatic nerve: Comparing high resolution MRI with torso and endorectal coils and F-18 FDG and C-11 choline PET/CT

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