Riassunto
Sino a oggi nello studio della patologia prostatica non neoplastica la risonanza magnetica non risulta essere un esame di prima istanza. Ciò vale, altresì, per la patologia infiammatoria, per la quale il paziente viene invitato a sottoporsi — dopo videat urologico, che prevede esplorazione digito-rettale (DRE) ed esame delle urine in tre campioni, prima e dopo massaggio prostatico — a ecografia per via transrettale (TRUS). Sappiamo, infatti, che la TRUS permette di valutare volume ghiandolare, profilo capsulare, presenza di aree fibrocalcifiche, dotti eiaculatori, regolarità del pavimento vescicale con eventuale presenza di sclerosi del collo vescicale e morfologia dell’uretra prostatica. Tuttavia, in casi selezionati, non scevri da errori diagnostici dovuti a elevati valori di PSA, DRE dubbia e TRUS non diagnostica, si può ricorrere all’indagine RM, completa di valutazione morfologica, spettroscopica e dinamico-perfusionale. La RM può riconoscere le alterazioni indotte dalle flogosi prostatiche acute e croniche. È fondamentale considerare l’esame RM con approccio one-stop-shop o all-inone con totale integrazione dei dati assunti dall’esame morfologico, spettroscopico e dinamico-perfusionale.
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Osimani, M., Di Mare, L., Lisi, D. (2010). L’infiammazione: ruolo e pattern RM. In: Passariello, R., Panebianco, V., Di Silverio, F., Sciarra, A. (eds) Imaging RM della prostata. Springer, Milano. https://doi.org/10.1007/978-88-470-1516-6_8
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DOI: https://doi.org/10.1007/978-88-470-1516-6_8
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