Purpose
This paper provides a review on molecular imaging with positron emission
tomography (PET) and magnetic resonance imaging (MRI) for prostate cancer detection and
its applications in fusion targeted biopsy of the prostate.
Methods
Literature search was performed through the PubMed database using the keywords
“prostate cancer”, “MRI/ultrasound fusion”,
“molecular imaging”, and “targeted biopsy”. Estimates in
autopsy studies indicate that 50% of men older than 50 years of age have
prostate cancer. Systematic transrectal ultrasound (TRUS) guided prostate biopsy is
considered the standard method for prostate cancer detection and has a significant
sampling error and a low sensitivity. Molecular imaging technology and new biopsy
approaches are emerging to improve the detection of prostate cancer.
Results
Molecular imaging with PET and MRI shows promising results in the early
detection of prostate cancer. MRI/TRUS fusion targeted biopsy has become a new clinical
standard for the diagnosis of prostate cancer. PET molecular image-directed,
three-dimensional ultrasound-guided biopsy is a new technology that has great potential
for improving prostate cancer detection rate and for distinguishing aggressive prostate
cancer from indolent disease.
Conclusion
Molecular imaging and fusion targeted biopsy are active research areas in
prostate cancer research.