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Optimising TNM Staging of Patients with Prostate Cancer Using WB-MRI

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Pasoglou, Vasiliki [UCL] Michoux, Nicolas [UCL] Tombal, Bertrand [UCL] Lecouvet, Frédéric [UCL]

Multiparametric Magnetic Resonance Imaging (mp-MRI) is the current standard of reference for the local staging of prostate cancer (PCa). On the other hand, despite the low sensitivity and specificity of Technetium Bone Scanning (BS) for the detection of bone metastases (BM) and of Body Computed Tomography CT for the detection of lymph node metastases (LNM), these techniques are routinely used, in the current clinical practice. Nevertheless, whole Body MRI (WB-MRI) and Positron Emission Tomography Computed Tomography (PET-CT) are emerging as robust tools for the staging of oncologic patients, including those with (PCa). The available techniques (BS, WB-MRI, PET, CT) for the detection of BM in oncologic patients were compared and showed striking center differences in terms of anatomic sequences and planes used. This heterogeneity and the long acquisition time of WB-MRI protocols - due to the addition of multiple anatomic sequences in different planes - questioned whether a single three dimensional (3D) sequence could replace the multiple anatomic sequences used for node and bone staging of PCa. We demonstrated that WB-MRI is a credible tool for the detection of bone and node metastasis. The second question addressed the possibility to obtain a complete TNM staging of PCa in a single MRI session. A WB-MRI protocol was developed to enable complete, T (local), N (regional) and M (distant) staging of PCa in a single session, in less than an hour. This 'all-in-one' protocol proved to be as efficient as the sum of exams currently in use for the staging of PCa (ie: mp-MRI of the prostate for 'T' staging, Thoraco-abdominal CT for 'N' staging and bone scintigraphy for 'M' staging).

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès libre
Publication date 2016
Language Anglais
Journal information "Journal of the Belgian Society of Radiology" - Vol. 100, no.1, p. 101 [1-11] (2016)
Peer reviewed yes
Publisher Ubiquity Press ((United Kingdom) London)
e-issn 2514-8281
Publication status Publié
Affiliations UCL - SSS/IREC/IMAG - Pôle d'imagerie médicale
UCL - (SLuc) Service de radiologie
UCL - (SLuc) Service d'urologie
UCL - SSS/IREC/CHEX - Pôle de chirgurgie expérimentale et transplantation
UCL - SSS/IONS/NEUR - Clinical Neuroscience
Keywords Bone Metastasis ; Diffusion Weighted Imaging ; Node Metastasis ; Prostate Cancer ; Three Dimensional ; TNM Staging ; Whole Body MRI
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Bibliographic reference Pasoglou, Vasiliki ; Michoux, Nicolas ; Tombal, Bertrand ; Lecouvet, Frédéric. Optimising TNM Staging of Patients with Prostate Cancer Using WB-MRI. In: Journal of the Belgian Society of Radiology, Vol. 100, no.1, p. 101 [1-11] (2016)
Permanent URL http://hdl.handle.net/2078.1/186652