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Updated: Feb 11, 2026

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
Published on: March 6, 2018
ACR Appropriateness Criteria® Post-treatment Follow-up Prostate Cancer.
, Adam T Froemming1, Sadhna Verma2
1Principal Author, Mayo Clinic, Rochester, Minnesota.
This review provides updated imaging recommendations for recurrent prostate cancer management. It covers patients post-surgery, post-local treatment, and those with metastatic disease, emphasizing evolving PET and MRI capabilities.
Area of Science:
- Radiology
- Oncology
- Medical Imaging
Background:
- Prostate cancer diagnosis and management post-treatment is complex, requiring multidisciplinary input.
- Imaging technologies like PET and MRI are rapidly advancing for recurrent prostate cancer evaluation.
- Treatment options for prostate cancer are continuously expanding and improving.
Purpose of the Study:
- To review current literature on imaging for recurrent prostate cancer.
- To provide evidence-based recommendations for imaging in specific clinical scenarios.
- To guide the multidisciplinary care of prostate cancer patients post-treatment.
Main Methods:
- Review of current medical literature from peer-reviewed journals.
- Application of RAND/UCLA Appropriateness Method and GRADE methodology.
- Expert opinion to supplement evidence where lacking or equivocal.
Main Results:
- Recommendations are categorized for patients post-radical prostatectomy, post-nonsurgical local treatments, and with metastatic disease.
- Highlights the evolving role of PET and MRI in detecting recurrent prostate cancer.
- Addresses the need for multidisciplinary involvement in patient care.
Conclusions:
- Updated imaging guidelines are crucial for effective prostate cancer recurrence management.
- Advanced imaging techniques are essential for accurate diagnosis and staging.
- Multidisciplinary collaboration ensures optimal patient outcomes in recurrent prostate cancer.
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