FieldStrength. Multi-parametric 3.0T MRI provides excellent prostate imaging
|
|
- Gyles Nash
- 5 years ago
- Views:
Transcription
1 FieldStrength Publication for the Philips MRI Community Issue 35 September / October 2008 Multi-parametric 3.0T MRI provides excellent prostate imaging Three different centers show that advances in imaging facilitate diagnosis, localization, staging and treatment of prostate lesions This article is part of Field Strength issue 35, Sept./Oct. 2008
2 Multi-parametric 3.0T MRI provides excellent prostate imaging Three different centers show that advances in imaging facilitate diagnosis, localization, staging and treatment of prostate lesions The combination of the Achieva 3.0T MRI scanner and the 3.0T Endo coil is facilitating diagnosis, staging, pre-surgical or pre-radiation planning and follow up for patients who have had suspicious findings on PSA tests or biopsies. With more signal and more power, 3.0T MR imaging can help delineate areas of abnormality that can be used for targeted biopsies in men who have had standard sextant biopsies without conclusive findings. And MR spectroscopy at 3.0T provides unique functional data on molecular biomarkers in the prostate that typically indicate the presence of cancer. MR prostate imaging is becoming more widely used, and Philips is ahead of the curve with the development of a 3.0T solution for high quality, robust imaging of the prostate. The 3.0T Endo coil a co-development of Philips and Medrad for use with Achieva 3.0T X-series conforms to the shape and size of the prostate for reliable contact. The coil provides optimum signal-tonoise ratio, especially when combined with a multi-element coil such as the Philips 6-channel SENSE Cardiac coil. lesion recurrence. Spectroscopy is a signal-to-noise limited technique, so at 3.0T, clinicians have access to smaller voxels than at 1.5T, which creates higher resolution spectroscopic images. After acquiring these images, Philips SpectroView provides simple, efficient processing and analysis of 3D spectroscopic datasets for improved workflow. SpectroView automatically delivers quantification of metabolites, with a clear display of the choline-to-citrate ratio. Advanced imaging techniques such as 3D MR spectroscopy add to the specificity of prostate MR imaging. MR spectroscopy provides information about the chemical balance within the prostate by showing levels of certain indicative metabolites such as choline, polyamines and citrate. In healthy prostate tissue, citrate and polyamine levels are high and choline levels are low. In tumors, the ratio is inverted. Spectroscopy thus helps to distinguish between healthy and abnormal prostate tissue by virtue of its ability to determine these metabolite levels, and can support that a low signal intensity on a T2-weighted MR image is actually an abnormal lesion. These metabolite levels can also be tested after treatment, to check for a possible Philips MR clinical scientist Harry Friel worked with several sites during development and integration of the Endo coil on the Achieva 3.0T. The extraordinary signal of the 3.0T Endo coil enables high resolution T2-weighted, diffusion weighted, DCE and spectroscopic imaging. 14 FieldStrength Issue 35 September / October 2008
3 University of Texas appreciates large field of view The University of Texas Health Science Center (UTHSCSA, San Antonio, Texas, USA) was the first 3.0T prostate imaging center in Texas. The center takes referral patients from all over the U.S. and performs up to five prostate MR exams every week on the Achieva 3.0T. Adam Jung, M.D., P.I., Prostate Imaging Group at UTHSCSA, says, Going from 1.5T to 3.0T, there is a theoretical two-fold increase in the SNR, so we get increased signal from the prostate. That SNR increase can be utilized in several ways. Of course, we get much greater detail and better resolution. We can decrease acquisition time, which is much more comfortable for the patient. We can also improve dynamic temporal resolution and diffusion weighted image quality. The increased SNR also shows apparent improvements in MR spectroscopy with smaller voxel resolution and metabolite dispersion. The center s current protocol starts with taking multiplanar survey images to assess for coil placement, explains Dr. Jung. We then get a large-fov T1- weighted scan that extends from the pubic symphysis all the way to the aortic bifurcation, primarily to image the lymph nodes and bones. We also use the T1-weighted images to evaluate for post-biopsy hemorrhage. We then acquire multiplanar T2-weighted images and diffusion weighted imaging to assess for macroscopic and microscopic structural changes respectively. Lastly, we acquire dynamic contrast-enhanced (DCE) images, which are great for looking at the neovascular and angiogenesis changes of the prostate lesion. Dr. Jung uses both the 3.0T Endo coil and the SENSE Cardiac coil for signal acquisition. We simply plug both coils into the scanner interface and set the machine to acquire the signal in dual-coil mode, he says. Fig. 1 Prostate cancer 58-year-old male with minimal disease on ultrasound guided biopsy two years ago and recent PSA rise. Axial T2-weighted image shows discrete focal region of decreased signal (left circle), which shows early contrast uptake on DCE and diffusion restriction on DWI/ADC imaging. The right circle indicates a relatively uncommonly localized benign prostatic hyperplastic nodule. This exam illustrates that 3.0T MRI with combined Endo coil and SENSE Cardiac coil provides higher resolution than 1.5T, allows use of SENSE and diminished overall scan time, as well as improved DWI image quality and DCE temporal resolution. Contributed by Dr. Jung. T2-weighted ADC DCE When imaging lower risk patients, the so-called watchful waiting or active surveillance patients, Dr. Jung often performs an MRI scan and advises the urologist to re-biopsy specific locations. Using this method in about 22 patients, he has seen sensitivity and specificity greater than 80 percent in his preliminary findings. This has never been documented before in a group of these lower risk patients and the preliminary results are very encouraging. FieldStrength 15
4 3.0T spectroscopy offers more signal and better spectral dispersion of the peaks. UTHSCSA Prostate MR team: Gilbert Cortez, Steve Ware, R.N., Adam J. Jung, M.D., Rulon Hardman, M.D., Abelardo Gonzalez, Chris Peng, Ph.D. Using a 3.0T system for MR spectroscopy provides the proper peaks, says Dr. Jung. 3.0T spectroscopy offers more signal and better spectral dispersion of the peaks. At 1.5T, the peaks were overlapping, but at 3.0T these are dispersed further, because of the improved spectral resolution. The increased SNR also provides for smaller voxel sizes (i.e., better spatial resolution) and hence, less volume averaging. MR spectroscopy combined with diffusion weighted, dynamic and anatomic T2-weighted imaging provides a multi-parametric MR approach and a much more complete picture of the prostate lesion. Dr. Jung notes, While the learning curve for prostate imaging at 3.0T is still in place, the images that we get are superbly detailed. We are still gaining a lot of experience in interpreting these high resolution images and there are things we see now that we just did not see at 1.5T, especially post-biopsy related morphologic changes. Symbion Research Clinical Imaging Center values more homogeneous image Ron Shnier, M.D. Ron Shnier, M.D, is using 3.0T prostate MR to image several patients a week at Symbion Research Clinical Imaging Center (Prince of Wales Research Imaging Center, Randwick, Sydney, Australia). There is a definite role for prostate MR in patients with a slowly rising PSA, whose Gleason score and clinical evaluation and/or PSA do not match, says Dr. Shnier. After doing endorectal MRI for years at 1.5T, we find that 3.0T provides better imaging and spectroscopy to help us diagnose suspicious prostate lesions, says Dr. Shnier. And the 3.0T endorectal coil has given us superb image quality. Using a combination of the Endo coil and the SENSE Torso coil, Dr. Shnier is getting a much more homogenous signal around the prostate, as well as better visualization of the anterior prostatic tissue. The combination enables us to comment on the degree, if any, of macroscopic spread beyond the prostatic capsule and peri-prostatic lymph nodes, he explains. Dr. Shnier says MR imaging and MR spectroscopy are always used in tandem for prostate patients. With the added benefit of MR spectroscopy, we have had the occasional case where the anatomical MR image was normal but the spectroscopy was abnormal. 16 FieldStrength Issue 35 September / October 2008
5 After doing endorectal MRI for years at 1.5T, we find that at 3.0T the examination using the Endo coil has given us superb image quality. T2-weighted T2-weighted DWI ADC map Spectroscopy left side Spectroscopy right side Fig. 2 Prostate carcinoma A 65-year-old male with positive prostate biopsy underwent 3.0T MRI with SENSE Torso and Endo coil. This exam helped to localize the area of neoplastic change in the left side of prostate and confined to the gland. On high resolution T2-weighted TSE the lesion shows low signal. On DWI and the corresponding ADC image the lesion is seen as an area of restricted diffusion. 3D CSI showed decreased citrate peak in area of disease. The patient was therefore a candidate for radical prostatectomy. Contributed by Dr. Shnier. FieldStrength 17
6 National Cancer Institute uses Endo coil with Achieva for higher matrix size, better resolution Peter L. Choyke, M.D. Peter L. Choyke, M.D., Chief of Molecular Imaging at the National Cancer Institute (NCI, Bethesda, Maryland, USA), is a leading U.S. expert in the field of prostate imaging and associated research. He says that in addition to assisting diagnosis and staging, prostate MR is changing the way prostate lesion treatment is planned. Until now, lesions were treated by different modalities depending upon whether they went beyond the prostate or not. For instance, if there were lesions outside the prostate gland, that patient wouldn t be a surgical candidate. But with more accurate techniques such as MR, surgeons can plan to take a wider margin of tissue at the site where extracapsular extension is suspected. Many times the margin at the time of pathological evaluation is negative, indicating that the lesion has escaped from the gland but not from the surgical specimen. Similarly, radiation oncologists are able to deliver radiation to the tumor site but avoid the surrounding healthy tissue and nerves. These precise margins are the key to aggressively treating the lesion while sparing the nerves that determine erectile and urinary function after treatment. Dr. Choyke uses the Endo coil with his Achieva 3.0T for higher matrix size and better resolution. I believe there is a common misconception about how uncomfortable the endorectal coil is, he says. But having done hundreds of these exams, very few men have had significant discomfort during an exam. It s not something that men should be fearful of, or radiologists should be reluctant to do because of patient discomfort. Fig. 3 Prostate adenocarcinoma A 73-year-old male with a PSA value of 45 ng/ml and negative sextant transrectal ultrasound guided prostate biopsy underwent an MR examination on Achieva 3.0T using the Endo coil 3.0T and the SENSE Cardiac coil. The T2-weighted images show a round shaped suspicious lesion of low signal intensity in the right mid peripheral zone (arrows). The apparent diffusion coefficient (ADC) map reconstructed from diffusion weighted images confirms the right mid peripheral zone lesion (lower arrow). Moreover, it demonstrates an additional lesion in the right transitional zone (upper arrow). The green DCE curve corresponding to the ROI on the lesion (left) shows faster wash-in and wash-out than to the normal side (right). The blue curve corresponds to the arterial signal in the left femoral artery. MR Spectroscopy demonstrates elevated choline (Cho) compared to Citrate (Cit) in the lesion (left), while the opposite side of the prostate shows normal spectral signal. Images on top of spectra show (left to right) the low signal lesion on the sagittal T2-weighted image, the spectral grid with voxels of displayed spectra highlighted and the Choline to Citrate ratio map superimposed on the axial T2-weighted image. Contributed by Peter Choyke, Baris Turkbey, M.D., National Cancer Institute. Axial T2-weighted Sagittal T2-weighted Coronal T2-weighted ADC map 18 FieldStrength Issue 35 September / October 2008
7 Net Forum Extended cases and ExamCards are in preparation for Better prostate care with MR imaging and MR spectroscopy Because of the increased resolution of 3.0T imaging, MR is expected to become a more routine part of the diagnostic armamentarium for prostate lesions. We continue to see improvement in MR imaging, and there will be even better technologies looking forward, says Dr. Choyke. For instance, if we can identify the location of the lesion more accurately, we can potentially focally treat patients, to reduce the disability that comes from a radical prostatectomy. MR imaging is definitely a part of that possibility. Having done hundreds of Endo coil exams, very few men have had significant discomfort during an exam. DCE lesion DCE normal MR Spectroscopy abnormal MR Spectroscopy normal FieldStrength 19
8 2008 Koninklijke Philips Electronics N.V. All rights are reserved. Philips Healthcare reserves the right to make changes in specifications and/ or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. Philips Healthcare is part of Royal Philips Electronics fax: Printed in The Netherlands Sept 2008 Philips Healthcare Global Information Center P.O. Box BG Eindhoven The Netherlands
11/10/2015. Prostate cancer in the U.S. Multi-parametric MRI of Prostate Diagnosis and Treatment Planning. NIH estimates for 2015.
Multi-parametric MRI of Prostate Diagnosis and Treatment Planning Temel Tirkes, M.D. Associate Professor of Radiology Director, Genitourinary Radiology Indiana University School of Medicine Department
More informationprostate cancer diagnosis and patient management
Isabelle oulay-oletta, M Groupe hospitalier Paris Saint-Joseph (St. Joseph Hospital) in Paris, France Synthetic diffusion: a robust sequence for prostate cancer diagnosis and patient management Located
More informationProstate MRI. Overview. Introduction 2/20/2015. Prostate cancer is most frequently diagnosed noncutaneous cancer in males (25%)
Prostate MRI John Bell, MD Introduction Prostate Cancer Screening Staging Anatomy Prostate MRI overview Functional MRI Multiparametric Approach Indications Example Cases Overview Introduction Prostate
More informationThe first MR with IQ. Philips Intera 1.5T With SmartExam
The first MR with IQ Philips Intera 1.5T With SmartExam Smart Exam reproducibility 2 consistency, and efficiency Philips Intera 1.5T gives you the image quality, patient comfort and range of clinical applications
More informationProstate MRI: Not So Difficult. Neil M. Rofsky, MD, FACR, FSCBTMR, FISMRM Dallas, TX
Prostate MRI: Not So Difficult Neil M. Rofsky, MD, FACR, FSCBTMR, FISMRM Dallas, TX What is the biggest barrier to your practice incorporating prostate MRI? 1) I don t know how to read the cases 2) I don
More informationProstate Cancer DFP Case of the Week
Prostate Cancer DFP Case of the Week Antonio C. Westphalen, MD PhD Clinical Prostate MR Imaging Program, Director Associate Professor of Radiology and Urology University of California, San Francisco Case
More informationMRI to fit your planning. Philips Panorama HFO Oncology Configuration
MRI to fit your planning Philips Panorama HFO Oncology Configuration MR Imaging that fits Philips Panorama HFO Oncology Configuration allows radiation oncologists to take full advantage of MRI s excellent
More informationEssentials of Clinical MR, 2 nd edition. 73. Urinary Bladder and Male Pelvis
73. Urinary Bladder and Male Pelvis Urinary bladder carcinoma is best locally staged with MRI. It is important however to note that a thickened wall (> 5 mm) is a non-specific finding seen in an underfilled
More informationProblems: TRUS Bx. Clinical questions in PCa. Objectives. Jelle Barentsz. Prostate MR Center of Excellence.
Multi-parametric MR imaging in Problems: TRUS Bx Low Risk Prostate Cancer Important cancers are missed Jelle Barentsz Clinically insignificant cancers are identified by Prostate MR Center of Excellence
More informationOASIS 1.2T: MULTIPARAMETRIC MRI OF PROSTATE CANCER
OASIS 1.2T: MULTIPARAMETRIC MRI OF PROSTATE CANCER By Dr. John Feller, MD, Radiologist Desert Medical Imaging, Palm Springs, CA MRI is clinically accepted as the best imaging modality for displaying anatomical
More informationFreeWave upgrade enables faster, more powerful imaging
FreeWave upgrade enables faster, more powerful imaging Western Neurological Associates upgrades Intera 1.5T to Release 2.5 with FreeWave, and sees a significant improvement in image quality and efficiency.
More informationProstate MRI Hamidreza Abdi, MD,FEBU Post Doctoral Fellow Vancouver Prostate Centre UBC Department of Urologic Sciences May-20144
Prostate MRI Hamidreza Abdi, MD,FEBU Post Doctoral Fellow Vancouver Prostate Centre UBC Department of Urologic Sciences May-20144 Objectives: Detection of prostate cancer the need for better imaging What
More informationPublication for the Philips MRI Community Issue 39 December 2009
FieldStrength Publication for the Philips MRI Community Issue 39 December 2009 32-channel coil boosts 3.0T neuro imaging at Kennedy Krieger Kennedy Krieger Institute sees significantly better fmri, DTI,
More informationPI-RADS classification: prognostic value for prostate cancer grading
PI-RADS classification: prognostic value for prostate cancer grading Poster No.: C-1622 Congress: ECR 2014 Type: Scientific Exhibit Authors: I. Platzek, A. Borkowetz, T. Paulus, T. Brauer, M. Wirth, M.
More informationProstate Cancer MRI. Accurate Diagnosis and Treatment. PSA to Prostate MRI. for patients and curious doctors
6 Prostate Cancer MRI Accurate Diagnosis and Treatment PSA to Prostate MRI for patients and curious doctors Samuel Aronson, M.D. Vincent Pelsser, M.D. Franck Bladou, M.D. Armen Aprikian, M.D. & Marc Emberton,
More informationProstate MRI: Who needs it?
Prostate MRI: Who needs it? Fergus Coakley MD, Professor of Radiology and Urology, Vice Chair for Clinical Services, Chief of Abdominal Imaging, UCSF Abdominal Imaging Magnetic Resonance Science Center
More informationStephen McManus, MD David Levi, MD
Stephen McManus, MD David Levi, MD Prostate MRI Indications INITIAL DETECTION, STAGING, RECURRENT TUMOR LOCALIZATION, RADIATION THERAPY PLANNING INITIAL DETECTION Clinically suspected prostate cancer before
More informationPROSTATE MRI. Dr. Margaret Gallegos Radiologist Santa Fe Imaging
PROSTATE MRI Dr. Margaret Gallegos Radiologist Santa Fe Imaging Topics of today s talk How does prostate MRI work? Definition of multiparametric (mp) MRI Anatomy of prostate gland and MRI imaging Role
More informationLarge health system benefits from multiple scanners for breast MRI
Publication for the Philips MRI Community Issue 42 DECEMBER 2010 Large health system benefits from multiple scanners for breast MRI Breast MR and MR-guided biopsy are daily practice at WellStar Health
More informationHigh performance ultrasound
High performance ultrasound Philips HD7 XE ultrasound system Redefining high definiti Superb image quality and an array of advanced performance features deliver high definition imaging qualities in a system
More informationUtility of Prostate MRI. John R. Leyendecker, MD
Utility of Prostate MRI John R. Leyendecker, MD Professor of Radiology and Urology Executive Vice Chair of Clinical Operations Section Head, Abdominal Imaging Wake Forest University School of Medicine;
More informationCurrent Clinical Practice. MR Imaging Evaluations. MRI Anatomic Review. Imaging to Address Clinical Challenges. Prostate MR
BETH ISRAEL DEACONESS MEDICAL CENTER Prostate MR Neil M. Rofsky, MD Harvard Medical School Current Clinical Practice DIGITAL RECTAL EXAMINATION PSA ( ~ 20% False negative) BIOPSY (18-25% False negative)
More informationAn excellent fit to expand the imaging center, Prodiva 1.5T
An excellent fit to expand the imaging center, Prodiva 1.5T FieldStrength MRI magazine User experiences - December 2017 www.philips.com/fieldstrength High quality MR imaging combined with a simplified,
More informationEssential Initial Activities and Clinical Outcomes
Essential Initial Activities and Clinical Outcomes Crystal Farrell 1,2 & Sabrina L. Noyes 2, Joe Joslin 2, Manish Varma 2,3, Andrew Moriarity 2,3, Christopher Buchach 2,3, Leena Mammen 2,3, Brian R. Lane
More informationAnatomic Imaging of Prostate Cancer
Masoom Haider, MD, FRCP(C) Professor of Radiology, University of Toronto Clinician Scientist, Ontario Institute of Cancer Research Senior Scientist, Sunnybrook Research Institute Chief, Dept of Medical
More informationLiver imaging takes a step forward with Ingenia
Publication for the Philips MRI Community ISSUE 49 2013 / 2 Liver imaging takes a step forward with Ingenia Lyon South Hospital strives to move from several studies first CT, then MR or PET to using just
More informationExpanding therapy options for
MR systems Sonalleve MR-HIFU Expanding therapy options for women s health and oncology 2 Discover the freedom of patient-friendly and non-invasive therapy options Sonalleve MR-HIFU is an innovative therapy
More informationHerlev radiation oncology team explains what MRI can bring
Publication for the Philips MRI Community Issue 46 2012/2 Herlev radiation oncology team explains what MRI can bring The radiotherapy unit at Herlev University Hospital investigates use of MRI for radiotherapy
More informationVersatile, affordable ultrasound. Philips HD6 ultrasound system. The print quality of this copy is not an accurate representation of the original.
Versatile, affordable ultrasound Philips HD6 ultrasound system Multiple purpose, singular focus Philips HD6 ultrasound system provides a range of capabilities and features that make it suitable for a wide
More informationFieldStrength. Tips for abdomen/pelvis oncology imaging. SPECIAL ISSUE MR in oncology. Publication for the Philips MRI Community
FieldStrength Publication for the Philips MRI Community Issue 41 September 2010 Tips for abdomen/pelvis oncology imaging SPECIAL ISSUE MR in oncology This article is part of Field Strength issue 41, September
More informationProstate Overview Quiz
Prostate Overview Quiz 1. The path report reads: Gleason 3 + 4 = 7. The Gleason s score is a. 3 b. 4 c. 7 d. None of the above 2. The path report reads: Moderately differentiated adenocarcinoma of the
More informationHorizon Scanning Technology Briefing. Magnetic resonance spectroscopy for prostate cancer. National Horizon Scanning Centre.
Horizon Scanning Technology Briefing National Horizon Scanning Centre Magnetic resonance spectroscopy for prostate cancer August 2006 This technology briefing is based on information available at the time
More informationMultiparametric MR Imaging of the Prostate after Treatment of Prostate Cancer
Multiparametric MR Imaging of the Prostate after Treatment of Prostate Cancer RadioGraphics 2018; 38:437 449 Pritesh Patel, MD Melvy S. Mathew, MD Igor Trilisky, MD Aytekin Oto, MD, MBA Jeffrey S. Klein,
More informationDTI fiber tracking at 3T MR using b-1000 value in the depiction of periprostatic nerve before and after nervesparing prostatectomy
DTI fiber tracking at 3T MR using b-1000 value in the depiction of periprostatic nerve before and after nervesparing prostatectomy Poster No.: C-2328 Congress: ECR 2012 Type: Scientific Paper Authors:
More informationDirect visualization of nerves can influence surgery decisions
Direct visualization of nerves can influence surgery decisions FieldStrength MRI magazine User experiences - April 2018 www.philips.com/fieldstrength Northern Fukushima MRI team adds 3D NerveVIEW sequence
More informationFieldStrength. Leuven research is finetuning. whole body staging
FieldStrength Publication for the Philips MRI Community Issue 40 May 2010 Leuven research is finetuning 3.0T DWIBS for whole body staging The University Hospital of Leuven is researching 3.0T whole body
More informationD. J. Margolis 1, S. Natarajan 2, D. Kumar 3, M. Macairan 4, R. Narayanan 3, and L. Marks 4
Biopsy Tracking and MRI Fusion to Enhance Imaging of Cancer Within the Prostate D. J. Margolis 1, S. Natarajan 2, D. Kumar 3, M. Macairan 4, R. Narayanan 3, and L. Marks 4 1 Dept. of Radiology, UCLA, Los
More information1 Uniform hyperintense signal intensity (normal). 2 Linear (arrow), wedge-shaped, or diffuse mild hypointensity, usually indistinct margin.
Figure 3 PI-RADS assessment for peripheral zone on T2-weighted imaging. 1 Uniform hyperintense signal intensity (normal). 2 Linear (arrow), wedge-shaped, or diffuse mild hypointensity, usually indistinct
More informationReliable versatility. Philips HD5 ultrasound system
Reliable versatility Philips HD5 ultrasound system Affordability and features in one Designed to perform as you need it Every day, your patients come to you for high-quality care. Now, there s an ultrasound
More informationFieldStrength. Achieva 3.0T enables cutting-edge applications, best-in-class MSK images
FieldStrength Publication for the Philips MRI Community Issue 33 December 2007 Achieva 3.0T enables cutting-edge applications, best-in-class MSK images Palo Alto Medical Clinic Sports Medicine Center employs
More informationPCa Commentary. Executive Summary: The "PCa risk increased directly with increasing phi values."
1101 Madison Street Suite 1101 Seattle, WA 98104 P 206-215-2490 www.seattleprostate.com PCa Commentary Volume 77 September October 2012 CONTENT Page The Prostate 1 Health Index Active Surveillance 2 A
More informationThe Role of Combined MRI & MRSI in Treating Prostate Cancer
The Role of Combined MRI & MRSI in Treating Prostate Cancer By the Prostate Cancer MRI/MRSI Group (Penelope Wood, BS, John Kurhanewicz, Ph.D., Daniel Vigneron, Ph.D., Mark Swanson, Ph.D., and Saying Li,
More informationWhole Body MRI. Dr. Nina Tunariu. Prostate Cancer recurrence, progression and restaging
Whole Body MRI Prostate Cancer recurrence, progression and restaging Dr. Nina Tunariu Consultant Radiology Drug Development Unit and Prostate Targeted Therapies Group 12-13 Janeiro 2018 Evolving Treatment
More informationProstate Cancer. David Wilkinson MD Gulfshore Urology
Prostate Cancer David Wilkinson MD Gulfshore Urology What is the Prostate? Male Sexual Gland Adds nutrients and fluids for sperm This fluid is added to sperm during ejaculation Urethra (urine channel)
More informationField Strength. Regional Perfusion Imaging (RPI) matches cerebral arteries to flow territories
Field Strength Changing how the world looks at MR. Regional Perfusion Imaging (RPI) matches cerebral arteries to flow territories Research groups in Utrecht, Baltimore and Singapore collaborate on this
More informationMR-US Fusion. Image-guided prostate biopsy. Richard E Fan Department of Urology Stanford University
MR-US Fusion Image-guided prostate biopsy Richard E Fan Department of Urology Stanford University Who am I? An instructor in the Department of Urology Quick plug for MED 275B Intro to Biodesign for Undergraduates
More informationBLADDER PROSTATE PENIS TESTICLES BE YO ND YO UR CA NC ER
BLADDER PROSTATE PENIS TESTICLES THE PROSTATE IS A SMALL, WALNUT-SIZED GLAND THAT IS PART OF THE MALE REPRODUCTIVE SYSTEM. IT RESTS BELOW THE BLADDER, IN FRONT OF THE RECTUM AND SURROUNDS PART OF THE URETHRA.
More informationMR neurography allows clear visualization of peripheral nerves
Publication for the Philips I Community ISSE 50 2014 / 1 neurography allows clear visualization of peripheral nerves Shandong edical Imaging esearch Institute explores DWIBS for neurography in extremities
More informationOptimizing Implementation of Prostate MRI. Andrei S Purysko, M.D. Section of Abdominal Imaging & Nuclear Radiology Department
Optimizing Implementation of Prostate MRI Andrei S Purysko, M.D. Section of Abdominal Imaging & Nuclear Radiology Department Objectives To review the basic components of a state-of-the-art mpmri of the
More informationPI-RADS V2 IN PRACTICE A PICTORIAL REVIEW
PI-RADS V2 IN PRACTICE A PICTORIAL REVIEW KP Murphy, A Walsh, C Donagh, R Aljurayyan, AC Harris, SD Chang Department of Abdominal and GU Radiology, Vancouver General Hospital & University of British Columbia,
More informationHigh performance compact ultrasound
High performance compact ultrasound Philips CX30 CompactXtreme ultrasound system Philips CX30 CompactXtreme Philips CX30 CompactXtreme ultrasound system goes wherever you need it, bringing ultrasound excellence
More informationComparative Analysis Research of Robotic Assisted Laparoscopic Prostatectomy
Comparative Analysis Research of Robotic Assisted Laparoscopic Prostatectomy By: Jonathan Barlaan; Huy Nguyen Mentor: Julio Powsang, MD Reader: Richard Wilder, MD May 2, 211 Abstract Introduction: The
More informationUVM brain MRI protocols upgraded with latest methods
UVM brain MRI protocols upgraded with latest methods FieldStrength MRI magazine User experiences - March 2017 UVM appreciates latest neuro MR methods for diagnosing and workflow The MRI staff at University
More informationHow to detect and investigate Prostate Cancer before TRT
How to detect and investigate Prostate Cancer before TRT Frans M.J. Debruyne Professor of Urology Andros Men s Health Institutes, The Netherlands Bruges, 25-26 September 2014 PRISM Recommendations for
More informationThe next generation of prostate care
Oncology solutions UroNav The next generation of prostate care Partnering to build best-in-class oncology programs Philips recognizes that oncology care requires integrated approaches across patient pathways.
More informationAdvances in Magnetic Resonance Imaging: How They Are Changing the Management of Prostate Cancer
EUROPEAN UROLOGY 59 (2011) 962 977 available at www.sciencedirect.com journal homepage: www.europeanurology.com Review Prostate Cancer Advances in Magnetic Resonance Imaging: How They Are Changing the
More informationOptimized. clinical pathway. propels high utilization of PET/MR at Pitié-Salpêtrière Hospital
Optimized propels high utilization of PET/MR at Pitié-Salpêtrière Hospital clinical pathway As one of Europe s largest teaching hospitals, Pitié-Salpêtrière Hospital is renowned for its innovative research
More informationImaging of prostate cancer local recurrences : why and how?
Imaging of prostate cancer local recurrences : why and how? Olivier Rouvière Department of Urinary and Vascular Imaging Hospices Civils de Lyon Lyon - France 1. Preliminary Remarks Preliminary Remarks
More informationUniversity of Michigan continues fine-tuning neuro ExamCards
I s s u e 3 1 - M a rc h 2 0 0 7 F i e l d Strength Publication for the Philips MRI Community University of Michigan continues fine-tuning neuro ExamCards Drs. Mukherji, Parmar create Achieva 3.0T ExamCards
More informationAnatomical and Functional MRI of the Pancreas
Anatomical and Functional MRI of the Pancreas MA Bali, MD, T Metens, PhD Erasme Hospital Free University of Brussels Belgium mbali@ulb.ac.be Introduction The use of MRI to investigate the pancreas has
More informationEffect of intravenous contrast medium administration on prostate diffusion-weighted imaging
Effect of intravenous contrast medium administration on prostate diffusion-weighted imaging Poster No.: C-1766 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific Exhibit J. Bae, C. K. Kim, S.
More informationQ&A. Overview. Collecting Cancer Data: Prostate. Collecting Cancer Data: Prostate 5/5/2011. NAACCR Webinar Series 1
Collecting Cancer Data: Prostate NAACCR 2010-2011 Webinar Series May 5, 2011 Q&A Please submit all questions concerning webinar content through the Q&A panel Overview NAACCR 2010-2011 Webinar Series 1
More informationImproved Detection of Clinically Significant Prostate Cancer Using a Structured Prostate Imaging Reporting Data System (PI-RADS) Template
Improved Detection of Clinically Significant Prostate Cancer Using a Structured Prostate Imaging Reporting Data System (PI-RADS) Template Abstract #17-130 ACR Annual Meeting 2017 Presenting Author: Whitney
More informationdifference in MR oncology
Melany Atkins, M airfax Radiology onsultants (R) in airfax, VA Tom Schrack, ARMRIT, S airfax Radiology onsultants (R) in airfax, VA Making a difference in MR oncology imaging Oncologic imaging represents
More informationProstate Cancer Case Study 1. Medical Student Case-Based Learning
Prostate Cancer Case Study 1 Medical Student Case-Based Learning The Case of Mr. Powers Prostatic Nodule The effervescent Mr. Powers is found by his primary care provider to have a prostatic nodule. You
More informationProstate Case Scenario 1
Prostate Case Scenario 1 H&P 5/12/16: A 57-year-old Hispanic male presents with frequency of micturition, urinary urgency, and hesitancy associated with a weak stream. Over the past several weeks, he has
More informationDiffusion-Weighted Magnetic Resonance Imaging Detects Local Recurrence After Radical Prostatectomy: Initial Experience
EUROPEAN UROLOGY 61 (2012) 616 620 available at www.sciencedirect.com journal homepage: www.europeanurology.com Case Study of the Month Diffusion-Weighted Magnetic Resonance Imaging Detects Local Recurrence
More informationHigh performance compact ultrasound
High performance compact ultrasound Philips CX30 CompactXtreme ultrasound system Philips CX30 CompactXtreme Philips CX30 CompactXteme ultrasound system goes wherever you need it, bringing ultrasound excellence
More informationPLACE LABEL HERE. ACRIN 6659 Registration/Eligibility Institution
A0 ACRIN 6659 Registration/Eligibility No Case No Instructions: For potential study participants, Part 2 must be completed before Part 1 If any of the answers, for Part 2, vary from the prompts provided
More informationPatient Information. Prostate Tissue Ablation. High Intensity Focused Ultrasound for
High Intensity Focused Ultrasound for Prostate Tissue Ablation Patient Information CAUTION: Federal law restricts this device to sell by or on the order of a physician CONTENT Introduction... 3 The prostate...
More informationPhilips Gemini TF camera (Philips, Cleveland OH), with an 18 cm coronal and a 57 cm axial
Supplement Material 18 F-DCFBC PET/CT Imaging Protocol 18 F-DCFBC PET/CT imaging was performed on a 3D time of flight (TOF) mode Philips Gemini TF camera (Philips, Cleveland OH), with an 18 cm coronal
More informationThe Egyptian Journal of Hospital Medicine (April 2018) Vol. 71 (2), Page
The Egyptian Journal of Hospital Medicine (April 2018) Vol. 71 (2), Page 2490-2497 Role of ADC Map MR Imaging in Prediction of Local Aggressiveness of Prostate Cancer Asaad Gamal Asaad Sorial, Omar Farouk
More informationSpeed, Comfort and Quality with NeuroDrive
Speed, Comfort and Quality with NeuroDrive Echelon Oval provides a broad range of capabilities supporting fast, accurate diagnosis of brain conditions and injuries. From anatomical depiction to vascular
More informationMOLECULAR MEDICINE REPORTS 9: , Provincial Hospital, Shandong University, Jinan , P.R. China
MOLECULAR MEDICINE REPORTS 9: 1989-1997, 2014 Magnetic resonance imaging directed biopsy improves the prediction of prostate cancer aggressiveness compared with a 12 core transrectal ultrasound guided
More informationMR Imaging of Prostate Cancer: Present Limitations and Future Directions
CASE PRESENTATION AND MINI-REVIEW MR Imaging of Prostate Cancer: Present Limitations and Future Directions David A. Boyajian HMS 4, Thursday, 18 September 2003 Beth Israel Deaconess Medical Center Prostate:
More informationIngenia 3.0T excels in cardiac imaging
Publication for the Philips MRI Community Issue 45 2012/1 Ingenia 3.0T excels in cardiac imaging St. Luke s Episcopal Hospital sees huge advantages in image quality, workflow Publication for the Philips
More informationTHE UROLOGY GROUP
THE UROLOGY GROUP www.urologygroupvirginia.com 1860 Town Center Drive Suite 150/160 Reston, VA 20190 703-480-0220 19415 Deerfield Avenue Suite 112 Leesburg, VA 20176 703-724-1195 224-D Cornwall Street,
More informationDiffusion Weighted Imaging in Prostate Cancer
Diffusion Weighted Imaging in Prostate Cancer Disclosure Information Vikas Kundra, M.D, Ph.D. No financial relationships to disclose. Education Goals and Objectives To describe the utility of diffusion-weighted
More informationCase Reports: Tumor Detection by Diffusion-Weighted MRI and ADC-Mapping with Correlation to PET/CT Results
Case Reports: Tumor Detection by Diffusion-Weighted MRI and ADC-Mapping with Correlation to PET/CT Results Matthias Philipp Lichy, M.D.; Philip Aschoff, M.D.; Christina Pfannenberg, M.D.; Schlemmer Heinz-Peter,
More informationFast and easy diagnostic imaging from head to toe
Publication for the Philips MRI Community ISSUE 50 2014 / 1 Fast and easy diagnostic imaging from head to toe Ingenia 1.5T with dstream provides speed and convenience, IntelliSpace Portal provides flexibility
More informationMulti-parametric MRI (MP-MRI) in prostate- Experience and Technical Challenges
Multi-parametric MRI (MP-MRI) in prostate- Experience and Technical Challenges Award: Radiographer Award Poster No.: C-0402 Congress: ECR 2018 Type: Educational Exhibit Authors: R. Lee, G. Lo, K. F. Chan,
More informationNICE BULLETIN Diagnosis & treatment of prostate cancer
Diagnosis & treatment of prostate cancer NICE provided the content for this booklet which is independent of any company or product advertised Diagnosis and treatment of prostate cancer Introduction In
More informationThe diagnosis and localization of prostate cancer are based on a digital
Diagn Interv Radiol 2011; 17:130 134 Turkish Society of Radiology 2011 ABDOMINAL IMAGING ORIGINAL ARTICLE The value of diffusion-weighted MRI for prostate cancer detection and localization Ahmet Baki Yağcı,
More informationA revolutionary breakthrough in diagnostic quality and speed
A revolutionary breakthrough in diagnostic quality and speed A revolutionary breakthrough in diagnostic quality and speed The new Philips Ingenia Elition X solution offers cutting-edge MR imaging techniques,
More informationBioMatrix Tuners: CoilShim
MAGNETOM Vida special issue Head and Neck Imaging Clinical 11 BioMatrix Tuners: CoilShim Miriam R. Keil, Ph.D.; Jörg Rothard; Carmel Hayes, Ph.D. Siemens Healthineers, Erlangen, Germany A cervical spine
More informationDisclosure. Acknowledgement. What is the Best Workup for Rectal Cancer Staging: US/MRI/PET? Rectal cancer imaging. None
What is the Best Workup for Rectal Cancer Staging: US/MRI/PET? Zhen Jane Wang, MD Assistant Professor in Residence UC SF Department of Radiology Disclosure None Acknowledgement Hueylan Chern, MD, Department
More informationADVICE TO PATIENTS REQUESTING PSA MEASUREMENT FREQUENTLY-ASKED QUESTIONS
The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E-mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk ADVICE TO
More informationMRI in the Enhanced Detection of Prostate Cancer: What Urologists Need to Know
MRI in the Enhanced Detection of Prostate Cancer: What Urologists Need to Know Michael S. Cookson, MD, FACS Professor and Chair Department of Urology Director of Prostate and Urologic Oncology University
More informationUsing MRI only in prostate cancer radiotherapy workflow
Using MRI only in prostate cancer radiotherapy workflow FieldStrength MRI magazine User experiences - February 2018 www.philips.com/fieldstrength MR-only simulation streamlines workflow for prostate cancer
More informationCorrelated diffusion imaging
Wong et al. BMC Medical Imaging 2013, 13:26 RESEARCH ARTICLE Open Access Correlated diffusion imaging Alexander Wong 1*, Jeffrey Glaister 1,AndrewCameron 1 and Masoom Haider 2 Abstract Background: Prostate
More informationMRI-targeted, transrectal ultrasound-guided prostate biopsy for suspected prostate malignancy: A pictorial review
MRI-targeted, transrectal ultrasound-guided prostate biopsy for suspected prostate malignancy: A pictorial review Poster No.: C-1208 Congress: ECR 2014 Type: Educational Exhibit Authors: J. Murphy, M.
More information10/2/2018 OBJECTIVES PROSTATE HEALTH BACKGROUND THE PROSTATE HEALTH INDEX PHI*: BETTER PROSTATE CANCER DETECTION
THE PROSTATE HEALTH INDEX PHI*: BETTER PROSTATE CANCER DETECTION Lenette Walters, MS, MT(ASCP) Medical Affairs Manager Beckman Coulter, Inc. *phi is a calculation using the values from PSA, fpsa and p2psa
More informationWhen to worry, when to test?
Focus on CME at the University of Calgary Prostate Cancer: When to worry, when to test? Bryan J. Donnelly, MSc, MCh, FRCSI, FRCSC Presented at a Canadian College of Family Practitioner s conference (October
More informationMR imaging of FIGO stage I uterine cervical cancer: The diagnostic impact of 3T-MRI
MR imaging of FIGO stage I uterine cervical cancer: The diagnostic impact of 3T-MRI Poster No.: C-1191 Congress: ECR 2010 Type: Educational Exhibit Topic: Genitourinary Authors: M. Takeuchi, K. Matsuzaki,
More informationThe Selenium and Vitamin E Prevention Trial
The largest-ever-prostate cancer prevention trial is now underway. The study will include a total of 32,400 men and is sponsored by the National Cancer Institute and a network of researchers known as the
More informationIngenia Elition S. 3.0T imaging at your fingertips
3.0T imaging at your fingertips 3.0T imaging at your fingertips Healthcare is maturing daily setting and adopting new standards in clinical pathways. At the same time, there is a need for high productivity,
More informationA new class of compact ultrasound. Philips CX50 CompactXtreme ultrasound system
A new class of compact ultrasound Philips CX50 CompactXtreme ultrasound system Introducing the Philips CX50 CompactXtreme system Now you can be confident in the data from your exams, including your most
More informationCase Scenario 1. 4/19/13 Bone Scan: No scintigraphic findings to suggest skeletal metastases.
Case Scenario 1 3/8/13 H&P 68 YR W/M presents w/elevated PSA. Patient is a non-smoker, current alcohol use. Physical Exam: On digital rectal exam the sphincter tone is normal and there is a 1 cm nodule
More informationIngenia MR-RT. MR Systems. The comprehensive MR-sim solution to fit your planning
Ingenia MR-RT MR Systems The comprehensive MR-sim solution to fit your planning Table of contents Experience the difference MRI makes 3 A comprehensive MR-sim solution 4 Position with precision 6 Tailored
More information