• Abdom Radiol (NY) · Dec 2020

    Review

    Arguments against using an abbreviated or biparametric prostate MRI protocol.

    • Felipe B Franco and Fiona M Fennessy.
    • Department of Radiology, Harvard Medical School, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02215, USA.
    • Abdom Radiol (NY). 2020 Dec 1; 45 (12): 3982-3989.

    AbstractCurrently there is a lot of interest in the use of a "biparametric" or "abbreviated" prostate MR protocol, which usually refers to removal of the dynamic contrast-enhanced (DCE) MRI, in the detection of clinically significant prostate cancer. In this article we describe the benefits of DCE as part of the PI-RADS lexicon, with particular reference to its role in PI-RADS V2 category 3 peripheral zone lesions. We also discuss the benefits of triplanar T2-weighted images, and finally discuss how a mpMRI protocol is of benefit in prostate cancer staging, in evaluating for local disease recurrence, and as a biomarker for neoadjuvant therapy response.

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