» Articles » PMID: 22322308

ESUR Prostate MR Guidelines 2012

Overview
Journal Eur Radiol
Specialty Radiology
Date 2012 Feb 11
PMID 22322308
Citations 874
Authors
Affiliations
Soon will be listed here.
Abstract

Unlabelled: The aim was to develop clinical guidelines for multi-parametric MRI of the prostate by a group of prostate MRI experts from the European Society of Urogenital Radiology (ESUR), based on literature evidence and consensus expert opinion. True evidence-based guidelines could not be formulated, but a compromise, reflected by "minimal" and "optimal" requirements has been made. The scope of these ESUR guidelines is to promulgate high quality MRI in acquisition and evaluation with the correct indications for prostate cancer across the whole of Europe and eventually outside Europe. The guidelines for the optimal technique and three protocols for "detection", "staging" and "node and bone" are presented. The use of endorectal coil vs. pelvic phased array coil and 1.5 vs. 3 T is discussed. Clinical indications and a PI-RADS classification for structured reporting are presented.

Key Points: This report provides guidelines for magnetic resonance imaging (MRI) in prostate cancer. Clinical indications, and minimal and optimal imaging acquisition protocols are provided. A structured reporting system (PI-RADS) is described.

Citing Articles

The presence of prostate MRI-visible lesions at follow-up biopsy as a risk factor for histopathological upgrading during active surveillance.

Viana P, Pinto P, Horvat N, Queiroz M, Cordeiro M, Coelho R Abdom Radiol (NY). 2025; .

PMID: 40072539 DOI: 10.1007/s00261-025-04871-6.


Additional findings in prostate MRI.

Poroes F, Karampa P, Sartoretti T, Najberg H, Froehlich J, Reischauer C Cancer Imaging. 2025; 25(1):29.

PMID: 40069885 PMC: 11895278. DOI: 10.1186/s40644-025-00846-4.


Validation of the Barcelona Magnetic Resonance Imaging Predictive Model for Significant Prostate Cancer Detection in Men Undergoing Mapping per 0.5 Mm-Core Targeted Biopsies of Suspicious Lesions and Perilesional Areas.

Paesano N, Catala V, Tcholakian L, Alomar X, Barranco M, Hernandez-Mancera J Cancers (Basel). 2025; 17(3).

PMID: 39941840 PMC: 11815984. DOI: 10.3390/cancers17030473.


Transition zone-based prostate-specific antigen density for differentiating clinically significant prostate cancer in PI-RADS score 3 lesions.

Jin Y, Chen F, Xu G, Wei C, Dong C Sci Rep. 2025; 15(1):3258.

PMID: 39863696 PMC: 11762996. DOI: 10.1038/s41598-025-87311-1.


Meeting Cancer Detection Benchmarks in MRI/Ultrasound Fusion Biopsy for Prostate Cancer: Insights from a Retrospective Analysis of Experienced Urologists.

Utzat F, Herrmann S, May M, Moersler J, Wolff I, Lermer J Cancers (Basel). 2025; 17(2).

PMID: 39858061 PMC: 11764349. DOI: 10.3390/cancers17020277.


References
1.
Konety B, Bird V, Deorah S, Dahmoush L . Comparison of the incidence of latent prostate cancer detected at autopsy before and after the prostate specific antigen era. J Urol. 2005; 174(5):1785-8. DOI: 10.1097/01.ju.0000177470.84735.55. View

2.
Oto A, Kayhan A, Jiang Y, Tretiakova M, Yang C, Antic T . Prostate cancer: differentiation of central gland cancer from benign prostatic hyperplasia by using diffusion-weighted and dynamic contrast-enhanced MR imaging. Radiology. 2010; 257(3):715-23. PMC: 6939960. DOI: 10.1148/radiol.10100021. View

3.
Panebianco V, Sciarra A, Lisi D, Galati F, Buonocore V, Catalano C . Prostate cancer: 1HMRS-DCEMR at 3T versus [(18)F]choline PET/CT in the detection of local prostate cancer recurrence in men with biochemical progression after radical retropubic prostatectomy (RRP). Eur J Radiol. 2011; 81(4):700-8. DOI: 10.1016/j.ejrad.2011.01.095. View

4.
Coakley F, Teh H, Qayyum A, Swanson M, Lu Y, Roach 3rd M . Endorectal MR imaging and MR spectroscopic imaging for locally recurrent prostate cancer after external beam radiation therapy: preliminary experience. Radiology. 2004; 233(2):441-8. DOI: 10.1148/radiol.2332032086. View

5.
Beyersdorff D, Taupitz M, Winkelmann B, Fischer T, Lenk S, Loening S . Patients with a history of elevated prostate-specific antigen levels and negative transrectal US-guided quadrant or sextant biopsy results: value of MR imaging. Radiology. 2002; 224(3):701-6. DOI: 10.1148/radiol.2243011553. View