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Published on: May 9, 2018
Imaging of Complications after Prostate Interventions
Cole P Thompson1, Hiroaki Takahashi2, Stephen M Broski2
1Department of Radiology, Mayo Clinic Arizona, 13400 E Shea Blvd, Scottsdale, AZ 85259.
Imaging is crucial for identifying complications after prostate interventions for benign prostatic hyperplasia (BPH) and prostate cancer. Understanding post-treatment imaging findings helps diagnose issues early and guide patient management effectively.
Area of Science:
- Radiology
- Urology
- Oncology
Background:
- Prostate interventions for benign prostatic hyperplasia (BPH) and prostate cancer are common.
- These procedures carry risks of complications, including vascular, infectious, urinary, and radiation-related issues.
Purpose of the Study:
- To review and illustrate common and uncommon post-procedural complications following prostate interventions.
- To emphasize the role of various imaging modalities in diagnosing these complications.
Main Methods:
- Review of CT, fluoroscopic studies (voiding cystourethrography, cystography), MRI, and PET/CT or PET/MRI findings.
- Case examples highlighting key imaging features of complications.
Main Results:
- CT effectively detects early complications like hemorrhage and fluid collections.
- Fluoroscopy aids in evaluating urinary leaks and strictures.
- MRI and PET imaging are valuable for late complications, fistulas, osteomyelitis, and recurrence.
Conclusions:
- Familiarity with post-interventional imaging is essential for timely diagnosis and management.
- Multimodality imaging approach is key to comprehensive evaluation of prostate intervention complications.
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