This book is a basic, practical guide to performing and
interpreting state-of-the-art prostate MRI, utilizing the latest
guidelines in the field. Prostate MRI has become one of the fastest
growing examinations in the radiology practice, and this demand has
continuously increased within the past decade. Since it is
relatively new, MRI of the prostate is predominantly being
performed at academic institutions, however there is a growing
demand within the lower-tier health care institutions to offer this
examination to their patients. This is an ideal guide for
radiologists who want to enhance or initiate prostate MRI service
for their referring clinicians and as a manual for technologists
and those who are in training. Prostate cancer is the second
leading cause of cancer death in men, exceeded only by lung cancer.
The best predictor of disease outcome lies with correct diagnosis,
which requires precise imaging and diagnostic procedures aided by
prostate MRI. Urologists, medical oncologists and radiation
oncologists all agree that multi-parametric prostate MRI is
essential for evaluation of prostate cancer. However, the technical
aspects of prostate MR imaging are not as straightforward as for
the other imaging modalities and constantly evolving. Its small
size presents a real challenge to the radiologist, who needs to do
the T2 and diffusion weighted images and perform a dynamic contrast
enhanced sequence correctly. These images may also need to be
analyzed on an independent workstation. Due to the absence of a
current reference manual, when a radiologist wants to establish a
prostate imaging service, he/she needs to attend dedicated prostate
MR workshops or dive into the literature search alone, only to get
more confused about what to do and how to do it. With this book,
expert authors were asked to give clear guidance to those who want
to enhance or initiate their prostate imaging service. With this
much-needed, concise, practical guidance, radiologists can perform
and interpret multi-parametric prostate MRI in a standardized
fashion, in concordance with PI-RADS v2.1 that can be applicable to
all available hardware platforms (GE, Philips, Siemens, Toshiba).
Additionally, they can perform post-processing for possible
targeted biopsy and interpret post-therapy and PET studies. The
book discusses imaging protocols (planning and prescription) and
sequence parameters with representative images for each MRI
sequence. This handbook-style practical manual can be used in the
radiology reading room by those interpreting the MR exam as a
reference as well as at the MRI scanner by the technologists as a
guide. Coverage of basic prostate anatomy, pathology, Urologists'
point of view, MRI guided radiation treatment planning and
molecular imaging is also included. Throughout the book, authors
will discuss basics, pitfalls, and provide tips in image
acquisition and interpretation, alongside several case examples.
General
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