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Advanced Imaging for Localized Prostate Cancer.
- Source :
-
Cancers . Oct2024, Vol. 16 Issue 20, p3490. 18p. - Publication Year :
- 2024
-
Abstract
- Simple Summary: This review paper explores advanced imaging technologies for prostate cancer because traditional methods often miss or misclassify cancers. The aim of this study is to provide a comprehensive overview of three key technologies, MRI, micro-ultrasound, and prostate-specific membrane antigen (PSMA) PET scans, and how they can improve prostate cancer detection and management. The findings showed that these techniques have improved our ability to detect prostate cancer; however, further studies are needed to determine each imaging technique's specific role in the diagnosis of prostate cancer. Background/Objectives: Prostate cancer is a prevalent malignancy often presenting without early symptoms. Advanced imaging technologies have revolutionized its diagnosis and management. This review discusses the principles, benefits, and clinical applications of multiparametric magnetic resonance imaging (mpMRI), micro-ultrasound (microUS), and prostate-specific membrane antigen positron emission tomography–computed tomography (PSMA PET/CT) in localized prostate cancer. Methods: We conducted a comprehensive literature review of recent studies and guidelines on mpMRI, microUS, and PSMA PET/CT in prostate cancer diagnosis, focusing on their applications in biopsy-naïve patients, those with previous negative biopsies, and patients under active surveillance. Results: MpMRI has demonstrated high sensitivity and negative predictive value in detecting clinically significant prostate cancer (csPCa). MicroUS, a newer technology, has shown promising results in early studies, with sensitivity and specificity comparable to mpMRI. PSMA PET/CT has emerged as a highly sensitive and specific imaging modality, particularly valuable for staging and detecting metastatic disease. All three technologies have been incorporated into urologic practice for prostate cancer diagnosis and management, with each offering unique advantages in different clinical scenarios. Conclusions: Advanced imaging techniques, including mpMRI, microUS, and PSMA PET/CT, have significantly improved the accuracy of prostate cancer diagnosis, staging, and management. These technologies enable more precise targeting of suspicious lesions during biopsy and therapy planning. However, further research, especially randomized controlled trials, is needed to fully establish the optimal use and inclusion of these imaging modalities in various stages of prostate cancer care. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PROSTATE tumors treatment
*MEDICAL protocols
*BIOPSY
*PUBLIC health surveillance
*PREDICTIVE tests
*UROLOGY
*COMPUTED tomography
*MAGNETIC resonance imaging
*ULTRASONIC imaging
*POSITRON emission tomography
*PROSTATE tumors
*METASTASIS
*TUMOR classification
*SENSITIVITY & specificity (Statistics)
*MEDICAL practice
RESEARCH evaluation
Subjects
Details
- Language :
- English
- ISSN :
- 20726694
- Volume :
- 16
- Issue :
- 20
- Database :
- Academic Search Index
- Journal :
- Cancers
- Publication Type :
- Academic Journal
- Accession number :
- 180558605
- Full Text :
- https://doi.org/10.3390/cancers16203490