Round table: arguments in supporting abbreviated or biparametric MRI of the prostata protocol. - UroToday

Prostate Imaging Reporting and Data System (PI-RADS) version 2.1 update, in the attempt to improve clinical guidelines for multiparametric magnetic resonance imaging (mpMRI) of the prostate, has clear limitations. The role of dynamic contrast-enhanced sequences is not defined, precise guidance on the clinical management (biopsy or clinical surveillance) for score 3 lesions [equivocal for clinical significant prostate cancer (sPCa)] is not offered and criteria for lesions interpretation remain difficult and subjective. We report criteria and arguments in supporting the use of abbreviated or biparametric prostate MRI protocol in clinical practice for detection and management of PCa.

Abdominal radiology (New York). 2020 Apr 18 [Epub ahead of print]

Michele Scialpi, Eugenio Martorana, Pietro Scialpi, Alfredo D'Andrea, Riccardo Torre, Aldo Di Blasi, Stefano Signore

Section of Diagnostic Imaging, Department of Surgical and Biomedical Sciences, Santa Maria della Misericordia Hospital, University of Perugia, S. Andrea delle Fratte, 06156, Perugia, Italy. ., Department of Urology, New Civilian Hospital of Sassuolo, Modena, Italy., Division of Urology, Portogruaro Hospital, Portogruaro, Venice, Italy., Division of Radiology, Caserta Hospital, Caserta, Italy., Division of Radiology, Tivoli Hospital, Rome, Italy., Division of Urology, S. Eugenio Hospital, ASL Rome 2, Rome, Italy.



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