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9 Imaging in the Evaluation of Patients with Prostate Cancer

  • Jeffrey H. Newhouse
Chapter

Key Points

Ultrasound probably aids in the effectiveness of biopsy for diagnosis, although imaging is not of proven value in screening (moderate evidence).Skeletal scintigraphy and computed tomography (CT) play a crucial role in assessing metastatic disease; they can be eliminated, however, in patients whose tumor volume, Gleason score, and prostate-specific antigen (PSA) are relatively low (strong evidence).Magnetic resonance imaging (MRI) is the most accurate of the imaging techniques in local staging, but its relative expense and persistent false-positive and false-negative rates for locally invasive disease suggest that it should be interpreted along with all additional available data, and reserved for patients in whom other data leave treatment choices ambiguous (strong evidence).Assessment of metastatic tumor burden by bone scan and CT are of prognostic value. After initial therapy, monitoring disease is primarily done with serial PSA determinations; imaging for recurrence should be limited to patients whose PSA levels clearly indicate recurrent or progressive disease and in whom imaging results have the potential to affect treatment (limited evidence).

Keywords

Prostate Cancer Positive Predictive Value Negative Predictive Value Seminal Vesicle Gleason Score 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer New York 2011

Authors and Affiliations

  1. 1.Department of RadiologyColumbia University College of Physicians and SurgeonsNew YorkUSA

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