mpMRI in diagnosis and management of prostate cancer tomorrow

A new review article in Oncology discusses the potential of multiparametric magnetic resonance imaging (mpMRI) in the diagnosis and management of prostate cancer, and will be useful reading for many advocates and support group leaders.

The article by Gupta et al. (“The state of prostate MRI in 2013“) sets out to place the potential of mpMRI — along with its various components (T2-weighting, diffusion-weighting, dynamic contrast, and magnetic responance specroscopy) — in a highly positive light, so it is important to also read the associated commentaries by Choyte and Turkbey (“The state of prostate MRI in 2013: into the breach“) and by Cornfeld and Sprenkle (“Multiparametric MRI: standardizations needed“) to put things into context.

There is absolutely no doubt that modern mpMRI allows us to do things today that weren’t possible a decade ago. However, overly broad application of this technology in  routine clinical practise (as opposed to at selected specialty centers) is a whole different matter and raises questions of cost and the over-application of technology that may benefit only a relatively small proportion of patients is it is not applied with care.

3 Responses

  1. There is no doubt that pm-MRI will continue to play a significant role in the diagnosis and management of prostate cancer, Particularly with the recent improvements in MRI T-3 technology and the ability to fuse these images with 3 dimensional transrectal ultrasound (TRUS)) for greater precision in sampling of tissue for diagnosis. More importantly, with the paradigm moving toward non-invasive therapy of prostate cancer with High Intensity Focused Ultrasound ( HIFU), and particularly the increasing interest in “Focal HIFU, the combination of mp-MRI, fused TRUS, and the ability to merge these image onto the Sonablate HIFU to provide a focal therapy sparring treatment is a giant break through for treating localized prostate cancer. The recent announcement by SonaCare Medical ( describing the integration of these technology is truly revolutionary.

  2. I do not know whether it’s just me or if perhaps everybody else experiencing problems with your site. It seems like some of the written text on your posts are running off the screen. Can someone else please comment and let me know if this is happening to them as well? This might be a problem with my browser because I’ve had this happen previously. Thanks

  3. I am 99% sure that this is a problem with your browser Billie.

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