Stručni rad
https://doi.org/10.20471/acc.2022.61.s3.14
Current Role of Magnetic Resonance Imaging in the Screening, Diagnosis, and Treatment of Prostate Cancer
Sven Nikles
orcid.org/0000-0001-6496-5061
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ivan Pezelj
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Miroslav Tomić
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Matej Knežević
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Borna Vrhovec
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Leo Dumbović
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Matea Pirša
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ivana Kavelj
; Department of Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Igor Tomašković
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Faculty of Medicine, J.J. Strossmayer University of Osijek, Osijek, Croatia
Sažetak
Prostate cancer is the most common cancer in men. Diagnosis of prostate cancer
poses a significant challenge, due to several different key parameters that need to be evaluated, such as
age, history of prostate specific antigen (PSA), clinical examination and more recently magnetic resonance
imaging (MRI). The current diagnostic pathway for prostate cancer has resulted in overdiagnosis
and overtreatment as well as underdiagnosis and missed diagnoses in many men. Multiparametric
MRI (mp-MRI) of the prostate has been identified as a test that could alleviate these diagnostic
errors. Before prostate cancer treatment pathological confirmation is mandatory. Prostate biopsy is
an invasive procedure with rare but not negligible potential complications. There are several methods
of prostate biopsy of which most common are systemic or planar prostate biopsy and cognitive
or targeted MRI-guided prostate biopsy. Multiparametric MRI has demonstrated better accuracy
and reproducibility in detecting, locating and evaluating prostate cancer and also sparing some men
unnecessary biopsies. Recent studies have shown a mpMRI benefit for better procedure planning
regarding prostate cancer location, extent of disease and length of the urethra. There are still some
challenges ahead, such as ensuring high-quality execution and reporting of mpMRI and ensuring that
this diagnostic pathway is cost-effective. According to the latest urological clinical guidelines mpMRI
became fundamental tool in management of prostate cancer. The aim of this study is to give a brief
insight in use of mpMRI in prostate cancer diagnosis and treatment.
Ključne riječi
Prostate Cancer; MpMRI; Prostate Biopsy; Prostate Cancer Diagnosis and Treatment
Hrčak ID:
286381
URI
Datum izdavanja:
1.10.2022.
Posjeta: 1.890 *