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Imaging Assessment of Prostate Cancer Extra-prostatic Extension: From Histology to Controversies. 前列腺癌前列腺外延伸的影像评估：从组织学到争议。
IF 1.5 4区 医学
Seminars in Ultrasound Ct and Mri Pub Date : 2024-11-23 DOI: 10.1053/j.sult.2024.11.003
Cecília Vidal de Souza Torres, Gabriel de Lion Gouvea, André de Freitas Secaf, David Freire Maia Vieira, Alexandre Souto de Moraes Morgado, Matheus de Moraes Palma, Gabriel Andrade Ramos, Jorge Elias, Valdair F Muglia
{"title":"Imaging Assessment of Prostate Cancer Extra-prostatic Extension: From Histology to Controversies.","authors":"Cecília Vidal de Souza Torres, Gabriel de Lion Gouvea, André de Freitas Secaf, David Freire Maia Vieira, Alexandre Souto de Moraes Morgado, Matheus de Moraes Palma, Gabriel Andrade Ramos, Jorge Elias, Valdair F Muglia","doi":"10.1053/j.sult.2024.11.003","DOIUrl":"10.1053/j.sult.2024.11.003","url":null,"abstract":"<p><p>Prostate cancer (PCa) is the most common non-skin malignancy among men and the fourth leading cause of cancer-related deaths globally. Accurate staging of PCa, particularly the assessment of extra-prostatic extension (EPE), is critical for prognosis and treatment planning. EPE, typically evaluated using magnetic resonance imaging (MRI), is associated with higher risks of positive surgical margins, biochemical recurrence, metastasis, and reduced overall survival. Despite the widespread use of MRI, there is no consensus on diagnosing EPE via imaging. There are 2 main scores assessing EPE by MRI: the European Society of Urogenital Radiology score and an MRI-based EPE grading system from an American group. While both are widely recognized, their differences can lead to varying interpretations in specific cases. This paper clarifies the anatomical considerations in diagnosing locally advanced PCa, explores EPE's impact on treatment and prognosis, and evaluates the relevance of MRI findings according to different criteria. Accurate EPE diagnosis remains challenging due to MRI limitations and inconsistencies in interpretation. Understanding these variations is crucial for optimal patient management.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter From the Guest Editor. 特邀编辑的来信
IF 1.5 4区 医学
Seminars in Ultrasound Ct and Mri Pub Date : 2024-11-23 DOI: 10.1053/j.sult.2024.11.007
Andrei S Purysko
{"title":"Letter From the Guest Editor.","authors":"Andrei S Purysko","doi":"10.1053/j.sult.2024.11.007","DOIUrl":"10.1053/j.sult.2024.11.007","url":null,"abstract":"","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prostate Imaging Quality System Version 2 - A Practical Guide. 前列腺图像质量系统 (PI-QUAL) 第 2 版 - 实用指南。
IF 1.5 4区 医学
Seminars in Ultrasound Ct and Mri Pub Date : 2024-11-22 DOI: 10.1053/j.sult.2024.11.006
Emily A Knott, Ryan D Ward, Daniel N Costa, Francesco Giganti, Andrei S Purysko
{"title":"Prostate Imaging Quality System Version 2 - A Practical Guide.","authors":"Emily A Knott, Ryan D Ward, Daniel N Costa, Francesco Giganti, Andrei S Purysko","doi":"10.1053/j.sult.2024.11.006","DOIUrl":"10.1053/j.sult.2024.11.006","url":null,"abstract":"<p><p>High-quality prostate magnetic resonance imaging (MRI) is required for accurate prostate cancer detection, localization, and staging. Variability in image quality exists in practice, influenced by inconsistent adherence to technical standards, lack of patient preparation, variability in scanner performance, patient characteristics, and knowledge gaps in personnel scheduling and performing prostate MRI exams. The Prostate Imaging Quality (PI-QUAL) scoring system is a well-established tool for assessing the diagnostic quality of prostate MRI. An updated PI-QUAL version 2 was published in 2024 by a group of experts to address the limitations of the original system. This pictorial review highlights the key changes introduced in PI-QUAL version 2 and provides illustrative examples of each assessment category.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interpreting Prostate Multiparametric Magnetic Resonance Imaging: Beyond Adenocarcinoma-Anatomical Variations, Mimickers, and Post-intervention Changes. 解读前列腺多参数磁共振成像：腺癌之外--解剖变异、模仿者和干预后的变化。
IF 1.5 4区 医学
Seminars in Ultrasound Ct and Mri Pub Date : 2024-11-22 DOI: 10.1053/j.sult.2024.11.001
Enis C Yilmaz, Omer Tarik Esengur, David G Gelikman, Baris Turkbey
{"title":"Interpreting Prostate Multiparametric Magnetic Resonance Imaging: Beyond Adenocarcinoma-Anatomical Variations, Mimickers, and Post-intervention Changes.","authors":"Enis C Yilmaz, Omer Tarik Esengur, David G Gelikman, Baris Turkbey","doi":"10.1053/j.sult.2024.11.001","DOIUrl":"10.1053/j.sult.2024.11.001","url":null,"abstract":"<p><p>Prostate magnetic resonance imaging (MRI) is an essential tool in the diagnostic pathway for prostate cancer. However, its accuracy can be confounded by a spectrum of noncancerous entities with similar radiological features, posing a challenge for definitive diagnosis. This review synthesizes current knowledge on the MRI phenotypes of both common and rare benign prostate conditions that may be mistaken for malignancy. The narrative encompasses anatomical variants, other neoplastic processes, inflammatory conditions, and alterations secondary to medical interventions. Furthermore, this review underscores the critical role of MRI quality in diagnostic accuracy and explores the emerging contributions of artificial intelligence in enhancing image interpretation.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prostate Imaging for Recurrence Reporting System Made Easy: A Case-Based Review of Prostate Cancer Local Recurrence on Magnetic Resonance Imaging. 前列腺成像复发报告系统变得简单：基于病例的磁共振成像前列腺癌局部复发回顾。
IF 1.5 4区 医学
Seminars in Ultrasound Ct and Mri Pub Date : 2024-11-22 DOI: 10.1053/j.sult.2024.11.004
Paulo de Moraes Antunes, Natalia Sabaneeff, Eduardo Thadeu de Oliveira Correia, Leonardo Kayat Bittencourt
{"title":"Prostate Imaging for Recurrence Reporting System Made Easy: A Case-Based Review of Prostate Cancer Local Recurrence on Magnetic Resonance Imaging.","authors":"Paulo de Moraes Antunes, Natalia Sabaneeff, Eduardo Thadeu de Oliveira Correia, Leonardo Kayat Bittencourt","doi":"10.1053/j.sult.2024.11.004","DOIUrl":"10.1053/j.sult.2024.11.004","url":null,"abstract":"<p><p>Prostate cancer (PCa) is one of the most prevalent cancers worldwide. Even following appropriate initial treatments, a subset of the patients develops tumor recurrence. Magnetic resonance imaging (MRI) is pivotal in investigating local recurrence, but its performance is limited in detecting recurrence at other sites (especially in subcentimeter lymph nodes). Recently, an expert consensus proposed a scoring system for MRI-based assessment of local recurrence, called prostate imaging for recurrence reporting system (PI-RR). This case-based review describes the expected post-treatment changes and MRI findings of local PCa recurrence after RP and RT.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Prostate-Specific Membrane Antigen-Radioligand and Magnetic Resonance Imaging in Patients with Prostate Cancer Biochemical Recurrence. PSMA 抗原和磁共振成像在前列腺癌生化复发患者中的作用
IF 1.5 4区 医学
Seminars in Ultrasound Ct and Mri Pub Date : 2024-11-22 DOI: 10.1053/j.sult.2024.11.005
Emily Abramczyk, Muhammad Umer Nisar, Jane K Nguyen, Nicholas Austin, Ryan D Ward, Christopher Weight, Andrei S Purysko
{"title":"The Role of Prostate-Specific Membrane Antigen-Radioligand and Magnetic Resonance Imaging in Patients with Prostate Cancer Biochemical Recurrence.","authors":"Emily Abramczyk, Muhammad Umer Nisar, Jane K Nguyen, Nicholas Austin, Ryan D Ward, Christopher Weight, Andrei S Purysko","doi":"10.1053/j.sult.2024.11.005","DOIUrl":"10.1053/j.sult.2024.11.005","url":null,"abstract":"<p><p>A significant proportion of men with prostate cancer will experience biochemical recurrence (BCR), which is characterized by an elevation in prostate-specific antigen (PSA) levels after receiving treatment with curative intent. Imaging plays an important role in the management of patients with BCR. It can help identify sites of recurrence to determine the most appropriate management strategies, ranging from salvage treatment for local recurrences to systemic treatments for those with advanced, distant disease. PET/CT with prostate-specific membrane antigen (PSMA)-radioligands is the most sensitive method for the detection of prostate cancer recurrence, with significantly higher cancer detection rates compared to conventional imaging techniques such as bone scan and computed tomography, even at lower PSA levels. Nevertheless, interpretation of PSMA PET/CT images can be challenging, particularly for the evaluation of local recurrence due to urinary activity that can mimic or mask the presence of cancer. Furthermore, some prostate cancers may not express PSMA and have false negative results. Multiparametric prostate MRI is an excellent method for the evaluation of local recurrence and can overcome some of the limitations of PSMA PET/CT. In this review, we discuss the role of imaging in managing patients with prostate cancer BCR and describe the potential benefits of MRI in the PSMA-radioligand imaging era, emphasizing the assessment of local recurrence.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Aspects of Vertigo and Dizziness: What Should the Radiologist Know? 眩晕和头晕的临床表现：放射科医生应该知道什么？
IF 1.5 4区 医学
Seminars in Ultrasound Ct and Mri Pub Date : 2024-10-01 DOI: 10.1053/j.sult.2024.09.001
Paulo Diego Santos Silva MD , Isabela S. Alves MD , Italo Roberto Torres de Medeiros MD, PhD
{"title":"Clinical Aspects of Vertigo and Dizziness: What Should the Radiologist Know?","authors":"Paulo Diego Santos Silva MD ,&nbsp;Isabela S. Alves MD ,&nbsp;Italo Roberto Torres de Medeiros MD, PhD","doi":"10.1053/j.sult.2024.09.001","DOIUrl":"10.1053/j.sult.2024.09.001","url":null,"abstract":"<div><div>Dizziness and vertigo are common complaints in both emergency and outpatient settings, requiring careful evaluation to determine appropriate diagnosis and treatment. Differentiating between peripheral and central causes of dizziness is crucial for effective management. Peripheral causes, such as vestibular neuritis, benign paroxysmal positional vertigo, and Ménière's disease, are contrasted with central causes such as stroke, demyelinating diseases, and posterior fossa tumors. Diagnostic approaches include assessing nystagmus patterns, the vestibulo-ocular reflex, and the HINTS Plus test. Vestibular disorders are classified as acute, episodic, or chronic based on duration and symptom presentation. Imaging plays a significant role in identifying central causes when clinical findings are inconclusive. This paper provides a comprehensive overview of the clinical evaluation and diagnostic methods for dizziness and vertigo, with emphasis on distinguishing peripheral from central etiologies.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 5","pages":"Pages 346-352"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging of Vertigo and Dizziness: A Site-based Approach, Part 1 (Middle Ear, Bony Labyrinth, and Temporomandibular Joint) 眩晕和头晕的成像：基于部位的方法，第一部分（中耳、骨性迷宫和颞下颌关节）。
IF 1.5 4区 医学
Seminars in Ultrasound Ct and Mri Pub Date : 2024-10-01 DOI: 10.1053/j.sult.2024.09.003
Isabela S. Alves MD , Eloisa M.S. Gebrim MD, PhD , Ula L. Passos MD, PhD
{"title":"Imaging of Vertigo and Dizziness: A Site-based Approach, Part 1 (Middle Ear, Bony Labyrinth, and Temporomandibular Joint)","authors":"Isabela S. Alves MD ,&nbsp;Eloisa M.S. Gebrim MD, PhD ,&nbsp;Ula L. Passos MD, PhD","doi":"10.1053/j.sult.2024.09.003","DOIUrl":"10.1053/j.sult.2024.09.003","url":null,"abstract":"<div><div>The broad differential diagnosis of vertigo and dizziness passes through peripheral and central causes. Peripheral vestibular disorders, such as Ménière's disease and benign paroxysmal positional vertigo, are commonly diagnosed clinically, with imaging serving to exclude other conditions. Temporal bone trauma, cholesteatoma, third window syndrome, otospongiosis, jugular bulb variants, and temporomandibular disorders are identified as significant causes of dizziness and vertigo, each with specific diagnostic and management considerations. Advanced imaging techniques, including high-resolution computed tomography and magnetic resonance imaging, play crucial roles in diagnosing and differentiating these conditions. The management strategies vary depending on the underlying cause and often involve surgical or medical interventions tailored to the specific pathology.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 5","pages":"Pages 360-371"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter From the Guest Editor 特邀编辑的来信
IF 1.5 4区 医学
Seminars in Ultrasound Ct and Mri Pub Date : 2024-10-01 DOI: 10.1053/j.sult.2024.09.007
Ula Lindoso Passos, Eloisa Santiago Gebrim
{"title":"Letter From the Guest Editor","authors":"Ula Lindoso Passos,&nbsp;Eloisa Santiago Gebrim","doi":"10.1053/j.sult.2024.09.007","DOIUrl":"10.1053/j.sult.2024.09.007","url":null,"abstract":"","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 5","pages":"Page 345"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging of Vertigo and Dizziness: A Site-based Approach Part 3 (Brainstem, Cerebellum, and Miscellaneous) 眩晕和头晕的成像：基于部位的方法第 3 部分（脑干、小脑和其他）。
IF 1.5 4区 医学
Seminars in Ultrasound Ct and Mri Pub Date : 2024-10-01 DOI: 10.1053/j.sult.2024.09.005
Luiz Ricardo Araújo Uchôa MD , Julia Martins Brunelli MD , Isabela S. Alves MD , Claudia da Costa Leite MD, PhD , Maria da Graça Morais Martin MD, PhD , Jorge Tomio Takahashi MD
{"title":"Imaging of Vertigo and Dizziness: A Site-based Approach Part 3 (Brainstem, Cerebellum, and Miscellaneous)","authors":"Luiz Ricardo Araújo Uchôa MD ,&nbsp;Julia Martins Brunelli MD ,&nbsp;Isabela S. Alves MD ,&nbsp;Claudia da Costa Leite MD, PhD ,&nbsp;Maria da Graça Morais Martin MD, PhD ,&nbsp;Jorge Tomio Takahashi MD","doi":"10.1053/j.sult.2024.09.005","DOIUrl":"10.1053/j.sult.2024.09.005","url":null,"abstract":"<div><div>Dizziness and vertigo, frequently associated with cerebrovascular origins, pose a substantial challenge in emergency medical settings due to their potential to be associated with severe underlying conditions. Sudden-onset dizziness, in particular, may be an early indicator of critical events such as stroke or transient ischemic attack. This comprehensive review encompasses the differential diagnosis of central causes of dizziness and vertigo, emphasizing the crucial role of imaging modalities in the accurate detection and assessment, including cerebrovascular diseases, inflammatory disorders, infections, and other conditions such as vestibular migraine and cervical spondylosis. It highlights the significance of advanced imaging techniques, particularly magnetic resonance imaging and computed tomography in identifying and distinguishing these conditions.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 5","pages":"Pages 383-394"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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