Korean J Radiol.  2021 Jul;22(7):1087-1099. 10.3348/kjr.2020.1224.

Multiparametric MRI in Active Surveillance of Prostate Cancer: An Overview and a Practical Approach

Affiliations
  • 1Departments of Radiology, Tan Tock Seng Hospital, Singapore
  • 2Departments of Urology, Tan Tock Seng Hospital, Singapore
  • 3Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore

Abstract

MRI has become important for the detection of prostate cancer. MRI-guided biopsy is superior to conventional systematic biopsy in patients suspected with prostate cancer. MRI is also increasingly used for monitoring patients with low-risk prostate cancer during active surveillance. It improves patient selection for active surveillance at diagnosis, although its role during follow-up is unclear. We aim to review existing evidence and propose a practical approach for incorporating MRI into active surveillance protocols.

Keyword

Review; Prostate cancer; Magnetic resonance imaging; Active surveillance; Image-guided biopsy
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