Abstract
Purpose of reviewTo discuss contemporary data on the value of multiparametric MRI (mpMRI) for guiding the decision to biopsy men at risk for prostate cancer, as well as its utility in active surveillance programs.Recent findingsAlthough a systematic 12-core biopsy is the current standard of care for men with increased suspicion for prostate cancer, MRI with or without targeted biopsy has been shown to reliably improve the detection of clinically significant disease following a prior negative biopsy. At the same time, there is a growing body of evidence to support the use of MRI for diagnostic purposes in biopsy-naive patients, as well for enrolling and monitoring men on active surveillance programs.SummarympMRI is an evolving technology with great promise for altering our approach to prostate cancer diagnosis and surveillance. In conjunction with targeted biopsies, MRI offers greater specificity for the detection of clinically significant cancer and therefore may help to reduce overdetection of indolent disease while minimizing the risks and limitations of systematic biopsies.
Original language | English (US) |
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Pages (from-to) | 522-528 |
Number of pages | 7 |
Journal | Current opinion in urology |
Volume | 28 |
Issue number | 6 |
DOIs | |
State | Published - Nov 1 2018 |
Externally published | Yes |
Keywords
- active surveillance
- multiparametric MRI
- prostate biopsy
- prostate cancer
- prostate cancer screening
ASJC Scopus subject areas
- Urology