Preoperative Prostate MRI: A Road Map for Surgery

AJR Am J Roentgenol. 2018 Aug;211(2):383-391. doi: 10.2214/AJR.17.18757. Epub 2018 Jun 12.

Abstract

Objective: MRI of the prostate is widely used in prostate cancer for local staging. The purpose of this article is to show how preoperative prostate MRI findings may be used as a road map for surgery to preserve the neurovascular bundle, identify risk factors associated with positive surgical margins, and evaluate findings associated with intraoperative complications and functional recovery after surgery.

Conclusion: Knowledge of surgically relevant imaging findings can increase radiologists' confidence in reporting them to our colleagues.

Keywords: MRI; intraoperative complications; postoperative complications; prostatectomy; prostatic neoplasms; recurrence; risk factors.

Publication types

  • Review

MeSH terms

  • Humans
  • Intraoperative Complications / prevention & control
  • Magnetic Resonance Imaging / methods*
  • Male
  • Margins of Excision
  • Neoplasm Staging
  • Postoperative Complications / prevention & control
  • Preoperative Care*
  • Prostatectomy
  • Prostatic Neoplasms / diagnostic imaging*
  • Prostatic Neoplasms / pathology
  • Prostatic Neoplasms / surgery
  • Risk Factors