[Imaging diagnosis in Focal Therapy for prostate cancer: Multiparametric Magnetic Resonance Imaging]

The use of prostatic multiparametric MRI (mpMRI) has increased significantly over the last years, and has emerged as a crucial test for diagnosis, staging and treatment of prostate cancer (PCa). The use of the various available sequences (T2W, T1W, diffusion, perfusion and spectroscopy), as well as the different parameters they associate, not only enables to determine the group of patients subsidiary of focal ablative therapy, but also to perform a proper determination of the áreas to treat, as well as to monitor the development of therapy and to evaluate both oncological results and possible therapeutic failures. Despite the excellent results showed in the different studies, it is necessary to reach a consensus about its use on the different features associated with focal therapy, since it is a technique that requires not only large experience in its operation but also standardization. All this make it a complex technique and not free of difficulties in its interpretation.

Archivos españoles de urología. 2016 Jul [Epub]

F Lista Mateos, E Castillo Gallo

Servicio de Urología. MD Anderson Cancer Center. Madrid. Departamento Clínico. Facultad de Ciencias Biomédicas. Universidad Europea de Madrid. Laureates International Universities. España., Servicio de Radiodiagnóstico. Hospital Universitario de Getafe. Universidad Europea de Madrid. Laureate International Universities. Instituto Radiológico Castillo. Madrid. España.