TY - JOUR
T1 - Fine-tuning robot-assisted radical prostatectomy planning with MRI
AU - Finley, David S.
AU - Margolis, Daniel
AU - Raman, Steve S.
AU - Ellingson, Benjamin M.
AU - Natarajan, Shyam
AU - Tan, Nelly
AU - Huang, Jiaoti
AU - Reiter, Robert E.
N1 - Urol Oncol. 2013 Aug;31(6):766-75. doi: 10.1016/j.urolonc.2011.07.013. Epub 2011 Sep 9. Review
PY - 2013/8
Y1 - 2013/8
N2 - Robot-assisted radical prostatectomy (RARP) has now become the most common surgical treatment option for prostate cancer (CaP). Clinicopathologic data (i.e., biopsy, digital rectal exam, prostate specific antigen level) and patient-specific factors (e.g., age, erectile function, co-morbidities) are the primary sources of information that urologists use for counseling and treatment decision making. Magnetic resonance imaging (MRI) has evolved along a similar temporal arc to RARP, with increased utilization and precision over the past decade. MRI prior to RARP provides multifaceted adjunctive information, including enhancement of locoregional staging, delineation of spatial anatomic information, and identification of aberrant anatomy, all of which aid in patient treatment counseling and operative planning. This article is designed for urologic surgeons who perform RARP, with the aim of providing a review of prostate MRI imaging and highlighting findings which may specifically alter the operation.A review of the literature was performed, focusing on the most recent publications. MRI imaging of the prostate has become increasing accurate for the identification, localization, and characterization of CaP lesions. In addition to tumor-specific information, a number of intra- and extra-prostatic findings are consistently identified on MRI which may impact RARP.
AB - Robot-assisted radical prostatectomy (RARP) has now become the most common surgical treatment option for prostate cancer (CaP). Clinicopathologic data (i.e., biopsy, digital rectal exam, prostate specific antigen level) and patient-specific factors (e.g., age, erectile function, co-morbidities) are the primary sources of information that urologists use for counseling and treatment decision making. Magnetic resonance imaging (MRI) has evolved along a similar temporal arc to RARP, with increased utilization and precision over the past decade. MRI prior to RARP provides multifaceted adjunctive information, including enhancement of locoregional staging, delineation of spatial anatomic information, and identification of aberrant anatomy, all of which aid in patient treatment counseling and operative planning. This article is designed for urologic surgeons who perform RARP, with the aim of providing a review of prostate MRI imaging and highlighting findings which may specifically alter the operation.A review of the literature was performed, focusing on the most recent publications. MRI imaging of the prostate has become increasing accurate for the identification, localization, and characterization of CaP lesions. In addition to tumor-specific information, a number of intra- and extra-prostatic findings are consistently identified on MRI which may impact RARP.
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U2 - 10.1016/j.urolonc.2011.07.013
DO - 10.1016/j.urolonc.2011.07.013
M3 - Article
C2 - 21906964
SN - 1078-1439
VL - 31
SP - 766
EP - 775
JO - Urologic Oncology: Seminars and Original Investigations
JF - Urologic Oncology: Seminars and Original Investigations
IS - 6
ER -