MR-guided interventions for prostate cancer

Ergin Atalar, Cynthia Ménard

Research output: Contribution to journalArticlepeer-review

Abstract

MR imaging is currently the most effective diagnostic imaging tool for visualizing the anatomy and pathology of the prostate gland. Currently, the practicality and cost effectiveness of transrectal ultrasound dominates image guidance for needle-based prostate interventions. Challenges to the integration of diagnostic and interventional MR imaging have included the lack of real-time feedback, the complexity of the imaging technique, and limited access to the perineum within the geometric constraints of the MR imaging scanner. Two basic strategies have been explored and clinically demonstrated in the literature: (1) coregistration of previously acquired diagnostic MR imaging to interventional TRUS or open scanner MR images, and (2) stereotactic needle interventions within conventional diagnostic scanners using careful patient positioning or the aid of simple manipulators. Currently, researchers are developing techniques that render MR imaging the method of choice for the direct guidance of many procedures. This article focuses on needle-based interventions for prostate cancer, including biopsy, brachytherapy, and thermal therapy. With rapid progress in biologic imaging of the prostate gland, the authors believe that MR imaging guidance will play an increasing role in the diagnosis and treatment of prostate cancer.

Original languageEnglish (US)
Pages (from-to)491-504
Number of pages14
JournalMagnetic Resonance Imaging Clinics of North America
Volume13
Issue number3
DOIs
StatePublished - Aug 2005

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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