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MR-guided Prostate Interventions

Institution:
Department of Radiology, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts.
Publisher:
J Magn Reson Imaging
Publication Date:
Feb-2008
Volume Number:
27
Issue Number:
2
Pages:
356-367
Citation:
J Magn Reson Imaging, 2008 Feb;27(2):356-67.
PubMed ID:
18219689
PMCID:
PMC2683388
Keywords:
prostate cancer, MR intervention, MR imaging, image registration, image segmentation
Appears in Collections:
Prostate Group, NA-MIC, NCIGT, SLICER, SNR
Sponsors:
NIH AG19513
NIH CA104976
NIH CA109246
NIH U41 RR019703
NIH CA067165
NIH U54 EB005149
NIH CA111288
Generated Citation:
Tempany C.M., Straus S., Hata N., Haker S. MR-guided Prostate Interventions. J Magn Reson Imaging, 2008 Feb;27(2):356-67. PMID: 18219689. PMCID: PMC2683388.
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In this article the current issues of diagnosis and detection of prostate cancer are reviewed. The limitations for current techniques are highlighted and some possible solutions with MR imaging and MR-guided biopsy approaches are reviewed. There are several different biopsy approaches under investigation. These include transperineal open magnet approaches to closed-bore 1.5T transrectal biopsies. The imaging, image processing, and tracking methods are also discussed. In the arena of therapy, MR guidance has been used in conjunction with radiation methods, either brachytherapy or external delivery. The principles of the radiation treatment, the toxicities, and use of images are outlined. The future role of imaging and image-guided interventions lie with providing a noninvasive surrogate for cancer surveillance or monitoring treatment response. The shift to minimally invasive focal therapies has already begun and will be very exciting when MR-guided focused ultrasound surgery reaches its full potential.

Additional Material
1 File (70.174kB)
Tempany-JMRI2008-fig8.jpg (70.174kB)