Radical prostatectomy: value of prostate MRI in surgical planning

  title={Radical prostatectomy: value of prostate MRI in surgical planning},
  author={Nelly Tan and Daniel J. A. Margolis and Timothy D. McClure and Albert Thomas and David S. Finley and Robert E. Reiter and Jiaoti Huang and Steven S Raman},
  journal={Abdominal Imaging},
The introduction of serum prostate-specific antigen to the prostate cancer screening algorithm has led to an increase in prostate cancer diagnosis as well as a migration toward lower-stage cancer at the time of diagnosis. This stage migration has coincided with changes in treatment options; these include active surveillance, new therapies, and advances in surgical techniques. Use of robot-assisted radical prostatectomy (RARP) as a surgical technique has seen a significant increase over the past… 

3.0-T multiparametric magnetic resonance imaging modifies the template of endoscopic, conventional radical prostatectomy in all cancer risk categories

Preoperative mpMRI exerts a significant impact on decision making concerning the extent of resection during ERP irrespective of the PCa risk group.

The Role of Staging MRI in Predicting Apical Margin Positivity for Robot-Assisted Laparoscopic Radical Prostatectomy

The results demonstrate that preoperative MRI for cancer of the prostatic apex may provide substantial information and enable complete cancer clearance.

“In-Bore” MRI-Guided Prostate Biopsy for Prostate Cancer Diagnosis: Results from 140 Consecutive Patients

The study conducted on 142 patients confirmed the greater DR of csPCa by MRI-GB, with a very low number of cores needed and a negligible incidence of complications, especially in patients with a previous negative biopsy.

Clinical utility of MRI in the decision-making process before radical prostatectomy: Systematic review and meta-analysis

MRI has a considerable impact on the decision-making process regarding the extent of resection during radical prostatectomy, however its ability to decrease the positive surgical margin rates remains unconfirmed.

Ed it or ia l Role of magnetic resonance imaging in the diagnosis and treatment of prostate cancer

Prostate cancer is the second most common cause of oncological mortality in men. The screening based on digital rectal examination and determination of PSA level is still controversial because it has

Proposal of a post-prostatectomy clinical target volume based on pre-operative MRI: volumetric and dosimetric comparison to the RTOG guidelines

CTV contours based upon the patient’s co-registered pre-operative MRI in the post-prostatectomy setting may improve coverage of the individual's prostate bed without substantially increasing the PTV size or dose to bladder/ rectum compared to RTOG CTV guidelines.

A System for MR-Ultrasound Guidance during Robot-Assisted Laparoscopic Radical Prostatectomy

A new ultrasound and magnetic resonance image guidance system for robot assisted radical prostatectomy and its first use in patients is described and the approaches used and the experience with the system in the first two patients are presented.

The accuracy of prostate cancer diagnosis in biopsy-naive patients using combined magnetic resonance imaging and transrectal ultrasound fusion-targeted prostate biopsy

Following detection of suspicious tumor lesions on mpMRI, FUS-TB use detects a higher number of PCa cases compared with TRUS-GB, and the PCDRs in patients with PCa with PI-RADS v2 score of 4 or 5 were significantly higher than those in patients without score.

Elastic registration of prostate MR images based on estimation of deformation states



Robotic radical prostatectomy in the community setting--the learning curve and beyond: initial 200 cases.

With a structured methodical approach, the introduction of robotic assistance has the potential to improve surgical outcomes and reduce the steep learning curve associated with conventional laparoscopic radical prostatectomy with minimal patient morbidity, and good oncological and functional outcomes.

The role of endorectal coil MRI in preoperative staging and decision-making for the treatment of clinically localized prostate cancer

eMRI allows for more accurate local staging by complementing the existing clinical variables through improvements in spatial characterization of the prostatic zonal anatomy and molecular changes and enhances the ability to individualize treatment selection and tailor the approach to maximize cancer control while minimizing treatment related morbidity.

Vattikuti Institute Prostatectomy: a single-team experience of 100 cases.

The VIP is a safe operation with excellent operative parameters, low morbidity, and good surgical margins, and the early functional results are promising.

Robotic‐assisted radical prostatectomy: a review of current outcomes

The outcomes of the largest series of RALP published recently are reviewed, to identify articles describing intraoperative data, surgical complications, oncological outcomes, continence and potency rates after RalP.

Comparison of endorectal magnetic resonance imaging, guided prostate biopsy and digital rectal examination in the preoperative anatomical localization of prostate cancer.

Endorectal magnetic resonance imaging contributes significant incremental value to DRE or TRUS biopsy findings for prostate cancer localization and on mixed model analysis erMRI significantly increased the accuracy of prostate cancers localization.

Diagnostic utility of DTI in prostate cancer.

Prediction of seminal vesicle invasion in prostate cancer: incremental value of adding endorectal MR imaging to the Kattan nomogram.

The addition of endorectal MR imaging contributes significant incremental value to the Kattan nomogram for predicting SVI in patients with prostate cancer.