Role and significance of multiparametric magnetic resonance imaging in prostate cancer diagnostics

• Main Authors: Ph. A. Kossov, V. A. Chernyaev, G. I. Akhverdieva, B. Sh. Kamolov, I. I. Abdullin, V. O. Panov, Yu. V. Buydenok, V. B. Matveev, I. E. Turin
• Format: Article
• Language: Russian
• Published: ABV-press 2017-04-01
• Series: Onkourologiâ
• Subjects: рак предстательной железы; мультипараметрическая магнитно-резонансная томография; биопсия предстательной железы; fusion-биопсия; прицельная биопсия под магнитно-резонансным наведением; комплексная магнитно-резонансная томография; фокальная терапия; активное наблюдение; магнитно-резонансная томография всего тела
• Online Access: https://oncourology.abvpress.ru/oncur/article/view/638

The problem of timely diagnosis and malignancy grade evaluation of prostate cancer is especially urgent considering continuous and progredient increase in morbidity and mortality caused by this nosology, as well as difficulty of diagnostics. The conducted literature review shows that currently magnetic resonance imaging (MRI) is the leading method for diagnostics and grading of primary prostate cancer, as well as evaluation of local metastases, diagnostics of distant metastases, and identification of recurrences in the prostatic fossa after radical prostatectomy. Sensitivity and specificity of MRI are higher than in any of the other safe methods of diagnostic radiology. Active and wide-scale introduction of MRI into routine urological practice provided an impetus for development of complementary modalities and methods including fusion biopsy, targeted prostate biopsy under control of MRI, active observation, focal therapy, and other methods, significance and effectiveness of which will be determined in the future.