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https://www.readbyqxmd.com/read/28803622/effect-of-hyoscine-butylbromide-on-prostate-multiparametric-mri-anatomical-and-functional-image-quality
#1
R A Slough, I Caglic, N L Hansen, A J Patterson, T Barrett
AIM: To evaluate the effect of the spasmolytic agent hyoscine butylbromide (HBB) on the quality of anatomical and functional imaging of the prostate. MATERIALS AND METHODS: One hundred and seventy-three patients were included in this retrospective study. Eighty-seven patients received intravenous HBB prior to scanning (HBB group) and 86 patients did not (non-HBB group). Multiparametric (mp) 3 T magnetic resonance imaging (MRI) was performed using a 32-channel body coil...
August 10, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28799090/prostate-cancer-detection-among-readers-with-different-degree-of-experience-using-ultra-high-b-value-diffusion-weighted-imaging-is-a-non-contrast-protocol-sufficient-to-detect-significant-cancer
#2
D Hausmann, N Aksöz, J von Hardenberg, T Martini, N Westhoff, S Buettner, S O Schoenberg, P Riffel
AIM: To evaluate the accuracy of a T2-weighted (T2w) - and a parallel transmit zoomed b = 2000 s/mm2 (b2000) - diffusion-weighted imaging sequence among three readers with different degrees of experience for prostate cancer (Pca) detection. METHODS: Ninety-three patients with suspected Pca were enrolled. For b2000 a two-dimensional spatially-selective RF pulse using an echo-planar transmit trajectory was applied, and the field of view (FOV) was reduced to one-third...
August 10, 2017: European Radiology
https://www.readbyqxmd.com/read/28792144/comparison-of-multiparametric-and-biparametric-mri-in-first-round-cognitive-targeted-prostate-biopsy-in-patients-with-psa-levels-under-10-ng-ml
#3
Dong Hoon Lee, Jong Kil Nam, Seung Soo Lee, Ji Yeon Han, Joon Woo Lee, Moon Kee Chung, Sung Woo Park
PURPOSE: To determine the efficacy of cognitive targeted prostate biopsy using biparametric magnetic resonance imaging (b-MRI) for patients with prostate-specific antigen levels under 10 ng/mL. MATERIALS AND METHODS: We reviewed data from 123 consecutive patients who underwent cognitive targeted prostate biopsy using prostate MRI. Of these patients, the first 55 underwent prostate biopsy using multiparametric MRI (mp-MRI), and the remaining 68 underwent prostate biopsy using b-MRI...
September 2017: Yonsei Medical Journal
https://www.readbyqxmd.com/read/28753883/management-of-radiologically-indeterminate-magnetic-resonance-imaging-signals-in-men-at-risk-of-prostate-cancer
#4
Esmée C A van der Sar, Veeru Kasivisvanathan, Mrishta Brizmohun, Alex Freeman, Shonit Punwani, Rifat Hamoudi, Mark Emberton
BACKGROUND: Multiparametric magnetic resonance imaging (mp-MRI) is becoming an increasingly important diagnostic tool for prostate cancer. So far there has been little focus on management for indeterminate mp-MRI results. OBJECTIVE: To describe outcomes for a cohort of men rated as having an indeterminate mp-MRI result. DESIGN, SETTING, AND PARTICIPANTS: Patients were identified retrospectively from a single UK centre between October 2010 and January 2015...
April 19, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28749167/diagnostic-value-of-semiquantitative-and-quantitative-analysis-of-functional-parameters-in-multiparametric-mri-of-the-prostate
#5
Elke Hauth, Daniela Halbritter, Horst Jaeger, Horst Hohmuth, Meinrad Beer
OBJECTIVES: To determine the diagnostic value of semiquantitative and quantitative parameters of three functional techniques in multiparametric (mp)-MRI of the prostate. METHODS: Mp-MRI was performed in 110 patients with suspicion of prostate cancer (PCA) before TRUS-guided core biopsy. Peak-enhancement, initial and post-initial enhancement, iAUGC (initial area under gadolinium curve), Ktrans (forward rate constant), Kep (efflux rate constant), Ve (extracellular volume), ADC (apparent diffusion coefficient), and MR spectroscopy ratio were obtained for malignant and benign lesions...
July 27, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28740904/disparities-in-staging-prostate-magnetic-resonance-imaging-utilization-for-nonmetastatic-prostate-cancer-patients-undergoing-definitive-radiation-therapy
#6
Ayobami Ajayi, Wei-Ting Hwang, Neha Vapiwala, Mark Rosen, Christina H Chapman, Stefan Both, Meera Shah, Xingmei Wang, Atu Agawu, Peter Gabriel, John Christodouleas, Zelig Tochner, Curtiland Deville
PURPOSE: There is growing evidence supporting incorporating multiparametric (mp) magnetic resonance imaging (MRI) scans into risk stratification, active surveillance, and treatment paradigms for prostate cancer. The purpose of our study was to determine whether demographic disparities exist in staging MRI utilization for prostate cancer patients. METHODS AND MATERIALS: An institutional database of 705 nonmetastatic prostate cancer patients treated with radiation therapy from 2005 through 2013 was used to identify patients undergoing versus not undergoing pretreatment diagnostic prostate mpMRI...
October 2016: Advances in Radiation Oncology
https://www.readbyqxmd.com/read/28725582/co-registration-of-mri-and-ultrasound-accuracy-of-targeting-based-on-radiology-pathology-correlation
#7
REVIEW
Win Shun Lai, Jessica G Zarzour, Jennifer B Gordetsky, Soroush Rais-Bahrami
We reviewed the role of multiparametric magnetic resonance imaging (MP-MRI) and methods of MRI guided biopsy including in-bore, cognitive fusion, and software-based fusion. MP-MRI has been developed, optimized, and studied as a means of improving prostate cancer detection beyond the standard evaluation that utilizes digital rectal examinations and serum prostate specific antigen (PSA). MP-MRI has been proven to be an excellent diagnostic imaging modality that improves prostate cancer detection and risk stratification by guiding biopsy samples...
June 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28719629/multiparametric-11c-acetate-positron-emission-tomography-magnetic-resonance-imaging-in-the-assessment-and-staging-of-prostate-cancer
#8
Stephan H Polanec, Piotr Andrzejewski, Pascal A T Baltzer, Thomas H Helbich, Alexander Stiglbauer, Dietmar Georg, Georgios Karanikas, Martin Susani, Wolfgang Wadsak, Markus Margreiter, Markus Mitterhauser, Peter Brader, Katja Pinker
BACKGROUND: The aim of this study was to evaluate whether MP [11C]Acetate PET-MRI enables an accurate differentiation of benign and malignant prostate tumors as well as local and distant staging. MATERIALS AND METHODS: Fifty-six consecutive patients fulfilling the following criteria were included in this IRB-approved prospective study: elevated PSA levels or suspicious findings at digital rectal examination or TRUS; and histopathological verification. All patients underwent MP [11C]Acetate PET-MRI of the prostate performed on separate scanners with PET/CT using [11C]Acetate and 3T MP MR imaging...
2017: PloS One
https://www.readbyqxmd.com/read/28687912/hyoscine-butylbromide-significantly-decreases-motion-artefacts-and-allows-better-delineation-of-anatomic-structures-in-mp-mri-of-the-prostate
#9
T Ullrich, M Quentin, A K Schmaltz, C Arsov, C Rubbert, D Blondin, R Rabenalt, P Albers, G Antoch, L Schimmöller
OBJECTIVES: To prospectively evaluate the effect of hyoscine butylbromide (HBB) on visualisation of anatomical details and motion-related artefacts in mp-MRI of the prostate at 3.0 Tesla. METHODS: One hundred and three consecutive patients (65 ± 10 years) were included in this trial, powered to demonstrate an improvement of image quality after HBB administration, assessed on a 5-point scale by two blinded readers. All patients received high-spatial resolution axial T2-weighted TSE sequences at 3...
July 7, 2017: European Radiology
https://www.readbyqxmd.com/read/28687911/incremental-diagnostic-value-of-targeted-biopsy-using-mpmri-trus-fusion-versus-14-fragments-prostatic-biopsy-a-prospective-controlled-study
#10
Guilherme C Mariotti, Priscila M Falsarella, Rodrigo G Garcia, Marcos R G Queiroz, Gustavo C Lemos, Ronaldo H Baroni
OBJECTIVES: To compare the incremental diagnostic value of targeted biopsy using real-time multiparametric magnetic resonance imaging and transrectal ultrasound (mpMRI-TRUS) fusion to conventional 14-cores biopsy. PATIENTS AND METHODS: Uni-institutional, institutional review board (IRB) approved prospective blinded study comparing TRUS-guided random and targeted biopsy using mpMRI-TRUS fusion, in 100 consecutive men. We included men with clinical-laboratorial suspicious for prostate cancer and Likert score ≥ 3 mp-MRI...
July 7, 2017: European Radiology
https://www.readbyqxmd.com/read/28677001/incidental-findings-on-multiparametric-mri-performed-for-evaluation-of-prostate-cancer
#11
Rachael L Sherrer, Win Shun Lai, John V Thomas, Jeffrey W Nix, Soroush Rais-Bahrami
PURPOSE: Multiparametric magnetic resonance imaging (mp-MRI) and MRI/Ultrasound (US) fusion-guided biopsy are relatively new techniques for improved detection, staging, and active surveillance of prostate cancer (PCa). As with all imaging modalities, MRI reveals incidental findings (IFs) which carry the risk of increased cost, patient anxiety, and iatrogenic morbidity due to workup of IFs. Herein, we report the IFs from 684 MRIs for evaluation of PCa and consider their characteristics and clinical significance...
July 4, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28658871/accuracy-of-diffusion-weighted-images-and-mr-spectroscopy-in-prostate-lesions-our-experience-with-endorectal-coil-on-1-5-t-mri
#12
Devimeenal Jagannathan, Venkatraman Indiran
INTRODUCTION: Prostatic cancer is most commonly seen in individuals greater than 65 years of age. The incidence rates are constantly increasing. AIM: To assess the accuracy of the non-contrast sequences {Diffusion Weighted Imaging (DWI) and Magnetic Resonance Spectroscopy (MRS)} in the multiparametric Magnetic Resonance Imaging (mp-MRI) in identifying and differentiating benign and malignant prostate lesions using endorectal coil on 1.5 T MRI. MATERIALS AND METHODS: Twenty-six patients with clinical indications for prostate lesions were evaluated using endorectal coil on 1...
May 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28656462/a-meta-analysis-of-use-of-prostate-imaging-reporting-and-data-system-version-2-pi-rads-v2-with-multiparametric-mr-imaging-for-the-detection-of-prostate-cancer
#13
Li Zhang, Min Tang, Sipan Chen, Xiaoyan Lei, Xiaoling Zhang, Yi Huan
OBJECTIVES: This meta-analysis was undertaken to review the diagnostic accuracy of PI-RADS V2 for prostate cancer (PCa) detection with multiparametric MR (mp-MR). METHODS: A comprehensive literature search of electronic databases was performed by two observers independently. Inclusion criteria were original research using the PI-RADS V2 system in reporting prostate MRI. The methodological quality was assessed using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool...
June 27, 2017: European Radiology
https://www.readbyqxmd.com/read/28651247/a-prospective-comparison-of-selective-multiparametric-magnetic-resonance-imaging-fusion-targeted-and-systematic-transrectal-ultrasound-guided-biopsies-for-detecting-prostate-cancer-in-men-undergoing-repeated-biopsies
#14
Lars Boesen, Nis Nørgaard, Vibeke Løgager, Ingegerd Balslev, Henrik S Thomsen
INTRODUCTION: The aim of the study was to compare the prostate cancer (PCa) detection rate of systematic transrectal ultrasound-guided biopsies (TRUS-bx) and multiparametric-MRI targeted biopsies (mp-MRI-bx) in a repeat biopsy setting and evaluate the clinical significance following an "MRI-targeted-only" approach. MATERIALS AND METHODS: Patients with prior negative biopsies underwent prostatic multiparametric-MRI that was scored using the Prostate Imaging Reporting and Data System (PI-RADS) classification...
June 27, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28583630/evaluating-the-effect-of-rectal-distension-on-prostate-multiparametric-mri-image-quality
#15
Iztok Caglic, Nienke L Hansen, Rhys A Slough, Andrew J Patterson, Tristan Barrett
PURPOSE: To evaluate the effect of rectal distension on the quality of anatomical and functional prostate multiparametric (mp) MRI. MATERIALS AND METHODS: Multiparametric (mp) 3T-MRI images of 173 patients were independently evaluated by two radiologists in this retrospective study. Planimetry rectal volumes were derived and a subjective assessment of rectal distension was made using a 5-point Likert scale (1=no stool/gas, 5=large amount of stool/gas). Image quality of diffusion-weighted imaging (DWI) was evaluated using a 5-point Likert scale...
May 2017: European Journal of Radiology
https://www.readbyqxmd.com/read/28582269/automated-diagnosis-of-prostate-cancer-in-multi-parametric-mri-based-on-multimodal-convolutional-neural-networks
#16
Minh Hung Le, Jingyu Chen, Liang Wang, Zhiwei Wang, Wenyu Liu, Kwang-Ting Tim Cheng, Xin Yang
Automated methods for prostate cancer (PCa) diagnosis in multi-parametric magnetic resonance images (MP-MRI) are critical for increasing the survival rate of patients and alleviating requirements in radiology reading and reducing risk of over-/under-treatment. This paper presents an automated method based on multimodal convolutional neural networks (CNNs) for two PCa diagnosis tasks: 1) distinguishing between cancer and noncancerous tissues, 2) distinguishing between clinically significant (CS) and indolent PCa...
June 5, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28553585/dosimetric-and-radiobiological-evaluation-of-multiparametric-mri-guided-dose-painting-in-radiotherapy-of-prostate-cancer
#17
Iraj Abedi, Mohammad B Tavakkoli, Keyvan Jabbari, Alireza Amouheidari, Ghasem Yadegarfard
Radiotherapy is one of the treatment options for locally advanced prostate cancer; however, with standard radiation doses, it is not always very effective. One of the strategies to improve the efficiency of radiotherapy is increasing the dose. In this study, to increase tumor local control rates, a new radiotherapy method, known as dose painting (DP), was investigated. To compare 3-dimensional conformal radiotherapy (3D-CRT) and intensity modulated radiotherapy (IMRT) plans with DP for prostate cancer. Twenty-four consecutive patients with locally advanced prostate cancer who underwent an multiparametric-magnetic resonance imaging (MP-MRI) (T2w, diffusion weighted image, dynamic contrast enhancement, and MRS) scan before a diagnostic biopsy from September 2015 to April 2016 were invited to take part in this study...
April 2017: Journal of Medical Signals and Sensors
https://www.readbyqxmd.com/read/28502474/-role-of-prostate-mri-trus-fusion-biopsies-and-new-markers-in-the-diagnostic-strategy-of-prostate-cancer
#18
Raphaële Renard-Penna, Pierre Mozer, Luca Lunelli, Olivier Cussenot
Multiparametric MRI prostate (mp-MRI) is a powerful tool to locate lesions>0.5cm(3) (below this threshold tumor volume, prostate cancers are classified as "insignificant"). The detection rate of the mp-MRI for significant cancers of small volume (0.5-1cm(3)) with a Gleason score≥7 is>85 %. The prostate mp-MRI optimizes the management of cancers classified as low risk of progression by providing aggressive criteria for misclassified lesions, which require an active treatment and enhance the clinicopathological criteria of indolence for subclinical lesions, which can justify of surveillance...
May 11, 2017: La Presse Médicale
https://www.readbyqxmd.com/read/28494579/multiparametric-prostate-mri-technical-conduct-standardized-report-and-clinical-use-a-narrative-review
#19
Matteo Manfredi, Fabrizio Mele, Diletta Garrou, Jochen Walz, Jurgen J Fütterer, Filippo Russo, Lorenzo Vassallo, Arnauld Villers, Mark Emberton, Massimo Valerio
Multiparametric prostate MRI (mp-MRI) is an emerging imaging modality for diagnosis, characterization, staging, and treatment planning of prostate cancer (PCa). The technique, results reporting, and its role in clinical practice have been the subject of significant development over the last decade. Although mp-MRI is not yet routinely used in the diagnostic pathway, almost all urological guidelines have emphasized the potential role of mp-MRI in several aspects of PCa management. Moreover, new MRI sequences and scanning techniques are currently under evaluation to improve the diagnostic accuracy of mp-MRI...
May 11, 2017: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/28476042/the-combination-of-prostate-imaging-reporting-and-data-system-version-2-pi-rads-v2-and-periprostatic-fat-thickness-on-multi-parametric-mri-to-predict-the-presence-of-prostate-cancer
#20
Yudong Cao, Min Cao, Yuke Chen, Wei Yu, Yu Fan, Qing Liu, Ge Gao, Zheng Zhao, Xiaoying Wang, Jie Jin
PURPOSE: To evaluate the auxiliary effectiveness of periprostatic fat thickness (PPFT) on multi-parametric magnetic resonance imaging (mp-MRI) to Prostate Imaging Reporting and Data System version 2 (PI-RADS v2) in predicting the presence of prostate cancer (PCa) and high-grade prostate cancer (HGPCa, Gleason Score ≥ 7). RESULTS: Overall, there were 371 patients (54.3%) with PCa and 292 patients (42.8%) with HGPCa. The mean value of PPFT was 4.04 mm. Multivariate analysis revealed that age, prostatic specific antigen (PSA), volume, PI-RADS score, and PPFT were independent predictors of PCa...
July 4, 2017: Oncotarget
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