New York/Stuttgart – The clinical inception of prostate-specific antigen (PSA) testing in the late 1980s resulted in incremental reduction in prostate cancer mortality and improved oncologic outcomes. These screenings also led to massive overdiagnosis of low grade lesions while missing potentially significant cancers. In 2012, routine PSA screenings were determined to be of questionable value by a U.S. task force, casting a pall on early prostate cancer diagnosis and intervention efforts. Prostate cancer remains the third leading cause of cancer-related death in men in the U.S., with a projected 161,130 cases and 26,730 deaths in 2017.
Cessation of routine PSA screenings left a critical need for a more exacting methodology for assessing risks, performing targeted biopsies, and devising treatment strategies. MRI of the Prostate: A Practical Approach is written by Andrew B. Rosenkrantz and a cadre of esteemed experts who have championed the use of prostate MRI as a primary diagnostic and prognostic tool. The book lays a solid foundation for enhanced understanding of the clinical and histologic aspects of prostate cancer and explains how MRI can be optimally performed and interpreted in daily practice. Masterfully orchestrated chapters outline key applications of contemporary prostate imaging – from protocols to cancer recurrence – fulfilling an urgent gap in available resources.
- Leading authorities share a wide range of perspectives and knowledge gleaned from years of hands-on expertise
- The development and dissemination of the Prostate Imaging Reporting and Data System (PI-RADS) for prostate MRI interpretation and cancer risk scoring
- Clinical pearls on the optimization and application of prostate MRI for risk assessment, disease staging, image-targeted biopsy, recurrent disease, and active surveillance
- The emerging utilization of highly specific positron emission tomography (PET) combined with MRI or CT for primary prostate cancer evaluation
- An entirely image-based chapter presents a collection of annotated cases, a spectrum of classic findings, and pearls on diagnostic pitfalls and challenges
Introduced in the mid-2000s, MRI has emerged as the most precise, state-of-the-art modality for prostate cancer diagnosis and management. Initially conceived as a method of disease localization for biopsy and staging, MRI has empowered changed thinking at every level of the disease management paradigm. Findings from a major U.K. MRI prostate trial published in January 2017* showed that prostate MRI detected 93% of aggressive cancers compared to 48% detected through biopsies, further reinforcing its groundbreaking nature.
MRI of the Prostate: A Practical Approach enables clinicians to optimally perform and interpret prostate MRI and integrate it into day-to-day practice. It is an essential resource for radiologists and radiology residents, urologists, oncologists, MRI technicians, and other medical practitioners who treat patients with genitourinary disorders.
MRI of the Prostate: A Practical Approach
Thieme Publishers, New York, Stuttgart. 2017
224 pp, 656 illustrations
eBook – Available from ebookstore.thieme.com, Amazon, Barnes & Noble, and iTunes
Source: *Ahmed et al: Diagnostic accuracy of multi-parametric MRI and TRUS biopsy in prostate cancer (PROMIS): a paired validating confirmatory study; The Lancet, January 19, 2017
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