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Optimising prostate mpMRI: prepare for success.

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  • 1Department of Radiology, Norfolk & Norwich University Hospital, Norwich, UK; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

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Optimizing multiparametric MRI (mpMRI) for prostate cancer requires attention to patient preparation. Factors like bowel status and hip implants significantly impact image quality, crucial for accurate diagnosis.

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Area of Science:

  • Radiology
  • Oncology
  • Medical Imaging

Background:

  • Multiparametric MRI (mpMRI) is crucial for prostate cancer diagnosis and management.
  • High-quality MRI is vital for pre-biopsy imaging.
  • Current guidelines (PI-RADS v2) focus on technical aspects but lack patient preparation guidance.

Purpose of the Study:

  • To review patient-related factors impacting mpMRI quality.
  • To explore strategies for optimizing image acquisition based on new evidence.
  • To enhance the diagnostic accuracy of prostate cancer imaging.

Main Methods:

  • Literature review of recent evidence on patient preparation for mpMRI.
  • Analysis of factors affecting image quality, including bowel peristalsis, rectal distension, and post-biopsy effects.
  • Discussion of patient-specific considerations like total hip replacement (THR).

Main Results:

  • Patient preparation significantly influences mpMRI quality beyond technical parameters.
  • Factors such as bowel preparation, rectal distension, THR, post-biopsy hemorrhage, and ejaculation abstinence affect image acquisition.
  • New evidence suggests these factors can be managed to improve image quality.

Conclusions:

  • Patient preparation is a key, often overlooked, factor in achieving optimal mpMRI quality.
  • Addressing patient-related issues can further refine prostate cancer imaging protocols.
  • Improved mpMRI quality through patient preparation can lead to more accurate diagnosis and management.