For various reasons, prostate cancer is a major public health problem. It is a very common cancer, but has a very low mortality rate because it comprises two types of disease: one insignificant, indolent, and much more common, and the other aggressive, significant, and much less common. The routine diagnostic approach to prostate cancer has been systematic blind biopsies, which has low detection rates and might detect low risk, insignificant prostate cancer, leading to overdiagnosis and overtreatment of indolent cancers. The possibility of including multiparametric magnetic resonance imaging in the diagnostic management to improve the detection of aggressive cancer while reducing the overdiagnosis of indolent cancer represents a change in the diagnostic management. This article updates knowledge about the diagnostic management of prostate cancer including multiparametric magnetic resonance imaging.
Radiologia. 2016 Dec 21 [Epub ahead of print]
J C Vilanova, V Catalá
Departamento de Radiología, Clínica Girona. Institut de Diagnòstic per la Imatge, Institut Català de la Salut, Departamento de Ciencias Médicas, Facultad de Medicina, Universitat de Girona, Girona, España. Electronic address: ., Servicio de Radiología e Intervencionismo, Fundació Puigvert, Barcelona, España.