AUA Policy Statement on the Use of Multiparametric Magnetic Resonance Imaging in the Diagnosis, Staging and Management of Prostate Cancer

Pat F. Fulgham, Daniel B. Rukstalis, Ismail Baris Turkbey, Jonathan N. Rubenstein, Samir Taneja, Peter R. Carroll, Peter A. Pinto, Marc A. Bjurlin, Scott Eggener

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Purpose We summarize the available data about the clinical and economic effectiveness of magnetic resonance imaging in the diagnosis and management of prostate cancer, and provide practical recommendations for its use in the screening, diagnosis, staging and surveillance of prostate cancer. Materials and Methods A panel of clinicians with expertise in the diagnosis and management of prostate cancer evaluated the current published literature on the use and effectiveness of magnetic resonance imaging for this disease. When adequate studies were available for analysis, recommendations were made on the basis of data and when adequate studies were not available, recommendations were made on the basis of expert consensus. Results At this time the data support the use of magnetic resonance imaging in patients with a previous negative biopsy and ongoing concerns about increased risk of prostate cancer. The data regarding its usefulness for initial biopsy suggest a possible role for magnetic resonance imaging in some circumstances. There is currently insufficient evidence to recommend magnetic resonance imaging for screening, staging or surveillance of prostate cancer. Conclusions Although it adds cost to the management of prostate cancer, magnetic resonance imaging offers superior anatomic detail, and the ability to evaluate cellular density based on water diffusion and blood flow based on contrast enhancement. Imaging targeted biopsy may increase the diagnosis of clinically significant cancers by identifying specific lesions not visible on conventional ultrasound. The clinical indications for the use of magnetic resonance imaging in the management of prostate cancer are rapidly evolving.

    Original languageEnglish (US)
    Pages (from-to)832-838
    Number of pages7
    JournalJournal of Urology
    Volume198
    Issue number4
    DOIs
    StatePublished - Oct 2017

    Keywords

    • early detection of cancer
    • image-guided biopsy
    • magnetic resonance imaging
    • prostatic neoplasms

    ASJC Scopus subject areas

    • Urology

    Fingerprint

    Dive into the research topics of 'AUA Policy Statement on the Use of Multiparametric Magnetic Resonance Imaging in the Diagnosis, Staging and Management of Prostate Cancer'. Together they form a unique fingerprint.

    Cite this