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