Biparametric MRI with simplified PI-RADS (S-PI-RADS) for prostate cancer detection and management: what do radiologist need to know

Scialpi, Michele; Scialpi, Pietro; Martorana, Eugenio; Torre, Riccardo; Mancioli, Francesco; D’Andrea, Alfredo; Blasi, Aldo Di

doi:10.1007/s11547-021-01343-x

Cited by 5 publications

(7 citation statements)

References 4 publications

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“…Granata et al, always in the setting of gastrointestinal neoplasms, analyzed 88 patients and tried to outline peculiar MRI features which could allow the differentiation between intrahepatic cholangiocarcinoma and other forming-mass benign mimickers [ 3 ]. El-Shater Bosaily, Turkbey, Scialpi and Morote exploited the potential role of MRI diagnostic assessment in prostatic disease: they showed that the PI-RADS v2 scoring system could limit the detection of equivocal lesions, thus leading to the avoidance of unnecessary biopsies and to the accurate selection of patients who really deserve such an invasive diagnostic approach [ 5 , 6 , 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…For example, Prostate Imaging Reporting and Data System (PI-RADS) represents one of the most important efforts performed in recent years to standardize mpMRI reporting [ 6 ]. However, despite the improvements in terms of implementation of this imaging method in clinical practice, it is well known that some issues still exist, like the management of Prostate Imaging Reporting and Data System (PI-RADS) score 3 lesions or the inter-reader variability among clinicians with different levels of expertise [ 7 ]. Moreover, various essays have been tested to improve the accuracy of mpMRI in this setting [ 8 ].…”

Section: Diagnostic Imaging and Its Predictive Value Before Treatment...mentioning

confidence: 99%

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Integration between Novel Imaging Technologies and Modern Radiotherapy Techniques: How the Eye Drove the Chisel

Morelli

Carnevale

Grassi

et al. 2022

Cancers

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Introduction: Targeted dose-escalation and reduction of dose to adjacent organs at risk have been the main goal of radiotherapy in the last decade. Prostate cancer benefited the most from this process. In recent years, the development of Intensity Modulated Radiation Therapy (IMRT) and Stereotactic Body Radiotherapy (SBRT) radically changed clinical practice, also thanks to the availability of modern imaging techniques. The aim of this paper is to explore the relationship between diagnostic imaging and prostate cancer radiotherapy techniques. Materials and Methods: Aiming to provide an overview of the integration between modern imaging and radiotherapy techniques, we performed a non-systematic search of papers exploring the predictive value of imaging before treatment, the role of radiomics in predicting treatment outcomes, implementation of novel imaging in RT planning and influence of imaging integration on use of RT in current clinical practice. Three independent authors (GF, IM and ID) performed an independent review focusing on these issues. Key references were derived from a PubMed query. Hand searching and clinicaltrials.gov were also used, and grey literature was searched for further papers of interest. The final choice of papers included was discussed between all co-authors. Results: This paper contains a narrative report and a critical discussion of the role of new modern techniques in predicting outcomes before treatment, in radiotherapy planning and in the integration with systemic therapy in the management of prostate cancer. Also, the role of radiomics in a tailored treatment approach is explored. Conclusions: Integration between diagnostic imaging and radiotherapy is of great importance for the modern treatment of prostate cancer. Future clinical trials should be aimed at exploring the real clinical benefit of complex workflows in clinical practice.

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Section: Discussionmentioning

confidence: 99%

Section: Diagnostic Imaging and Its Predictive Value Before Treatment...mentioning

confidence: 99%

Integration between Novel Imaging Technologies and Modern Radiotherapy Techniques: How the Eye Drove the Chisel

Morelli

Carnevale

Grassi

et al. 2022

Cancers

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“…Different diagnostic tools may be employed, alone or in association [ 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 ]. Computed tomography (CT) and magnetic resonance imaging (MRI) represent the traditional imaging tools employed during the pre-treatment phase in order to identify and assess the target area [ 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 ], and in surveillance of the patient to evaluate treatment efficacy and post-procedural complications [ 87 , 88 , 89 , 90 , 91 , 92 , 93 ]. Ultrasound examination (US), without or with contrast medium (CEUS), is an innovative tool, utilized for problem solving during pre- and post-treatment phases [ 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 ], although the main use of interest is the possibility of assessing immediate effects during the procedure [ 60 , 61 ].…”

Section: Imaging and Ablation Treatmentmentioning

confidence: 99%

Complications Risk Assessment and Imaging Findings of Thermal Ablation Treatment in Liver Cancers: What the Radiologist Should Expect

Granata

Fusco

Muzio

et al. 2022

JCM

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One of the major fields of application of ablation treatment is liver tumors. With respect to HCC, ablation treatments are considered as upfront treatments in patients with early-stage disease, while in colorectal liver metastases (CLM), they can be employed as an upfront treatment or in association with surgical resection. The main prognostic feature of ablation is the tumor size, since the goal of the treatment is the necrosis of all viable tumor tissue with an adequate tumor-free margin. Radiofrequency ablation (RFA) and microwave ablation (MWA) are the most employed ablation techniques. Ablation therapies in HCC and liver metastases have presented a challenge to radiologists, who need to assess response to determine complication-related treatment. Complications, defined as any unexpected variation from a procedural course, and adverse events, defined as any actual or potential injury related to the treatment, could occur either during the procedure or afterwards. To date, RFA and MWA have shown no statistically significant differences in mortality rates or major or minor complications. To reduce the rate of major complications, patient selection and risk assessment are essential. To determine the right cost-benefit ratio for the ablation method to be used, it is necessary to identify patients at high risk of infections, coagulation disorders and previous abdominal surgery interventions. Based on risk assessment, during the procedure as part of surveillance, the radiologists should pay attention to several complications, such as vascular, biliary, mechanical and infectious. Multiphase CT is an imaging tool chosen in emergency settings. The radiologist should report technical success, treatment efficacy, and complications. The complications should be assessed according to well-defined classification systems, and these complications should be categorized consistently according to severity and time of occurrence.

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“…MRI has now become a fundamental tool in oncology research and in the clinical management of cancer patients. Among imaging modalities, MRI provides unique and multiparametric access to anatomic, physiologic, biochemical, and molecular details of tumors with excellent spatial and temporal resolution [ 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 ].…”

Section: Introductionmentioning

confidence: 99%

Advanced Magnetic Resonance Imaging (MRI) Techniques: Technical Principles and Applications in Nanomedicine

Bruno

Granata

Bellisari

et al. 2022

Cancers

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In the last decades, nanotechnology has been used in a wide range of biomedical applications, both diagnostic and therapeutic. In this scenario, imaging techniques represent a fundamental tool to obtain information about the properties of nanoconstructs and their interactions with the biological environment in preclinical and clinical settings. This paper reviews the state of the art of the application of magnetic resonance imaging in the field of nanomedicine, as well as the use of nanoparticles as diagnostic and therapeutic tools, especially in cancer, including the characteristics that hinder the use of nanoparticles in clinical practice.

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Biparametric MRI with simplified PI-RADS (S-PI-RADS) for prostate cancer detection and management: what do radiologist need to know

Cited by 5 publications

References 4 publications

Integration between Novel Imaging Technologies and Modern Radiotherapy Techniques: How the Eye Drove the Chisel

Integration between Novel Imaging Technologies and Modern Radiotherapy Techniques: How the Eye Drove the Chisel

Complications Risk Assessment and Imaging Findings of Thermal Ablation Treatment in Liver Cancers: What the Radiologist Should Expect

Advanced Magnetic Resonance Imaging (MRI) Techniques: Technical Principles and Applications in Nanomedicine

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