2004
DOI: 10.1016/j.urology.2004.02.036
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Endorectal MRI for prediction of tumor site, tumor size, and local extension of prostate cancer

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Cited by 145 publications
(110 citation statements)
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“…These findings of our study suggest that MRI, with its highresolution, cannot be replaced, especially for T-staging, and thus continues to have a role in the diagnostic assessment of prostate cancer -either when used alone or when used in combination with another modality in fusion imaging. In recent years, prostate cancer MRI has developed from the use of endorectal coil techniques with accuracies, sensitivities, and positive predictive values (PPV) of 79.8%, 85.3%, and 92.6% for cancers larger than 1 cm and of 24.2%, 26.2%, and 75.9% for cancers less than 1 cm in diameter and an accuracy of 68% for the differentiation of T2 and T3 prostate cancer to the use of body coils and multiparametric pulse sequences [14,15]. Multiparametric imaging offers the advantage of providing valid additive information on cancer extent outside the prostate, as for instance shown in a prospective study of Lista et al [16].…”
Section: Discussionmentioning
confidence: 99%
“…These findings of our study suggest that MRI, with its highresolution, cannot be replaced, especially for T-staging, and thus continues to have a role in the diagnostic assessment of prostate cancer -either when used alone or when used in combination with another modality in fusion imaging. In recent years, prostate cancer MRI has developed from the use of endorectal coil techniques with accuracies, sensitivities, and positive predictive values (PPV) of 79.8%, 85.3%, and 92.6% for cancers larger than 1 cm and of 24.2%, 26.2%, and 75.9% for cancers less than 1 cm in diameter and an accuracy of 68% for the differentiation of T2 and T3 prostate cancer to the use of body coils and multiparametric pulse sequences [14,15]. Multiparametric imaging offers the advantage of providing valid additive information on cancer extent outside the prostate, as for instance shown in a prospective study of Lista et al [16].…”
Section: Discussionmentioning
confidence: 99%
“…Combining different imaging techniques has been shown to significantly increase the accuracy of MRIcalculated tumor volume 15,16 . A safety margin of 5mm is considered in prostate cancer.…”
Section: Tumor Volumementioning
confidence: 99%
“…The results of the Radiology Diagnostic Oncology Group-sponsored prospective randomized trial (1) found no benefit for pelvic magnetic resonance imaging (MRI) performed with a body coil over transrectal ultrasound (TRUS) for staging men with clinically localized prostate cancer. Single-institution studies (2)(3)(4) performing MRI with an endorectal (e) coil have shown promise in men with palpable and intermediate-or high-risk disease where the overall accuracy of these modalities approximate 80% for the identification of occult extraprostatic disease. However, for the majority of men who present based on serial prostate-specific antigen (PSA) screening with nonpalpable disease, which imaging modality, if any, provides reliable information about the local extent of the disease remains an open question.…”
Section: Introductionmentioning
confidence: 99%