MRIMRI ININ

PROSTATE CANCERPROSTATE CANCER

MAHYAR GHAFOORI M.D.MAHYAR GHAFOORI M.D.Associate Professor of RadiologyAssociate Professor of Radiology

Tehran UniversityTehran UniversityOfOf

Medical SciencesMedical Sciences

MR SPECTROSCOPYMR SPECTROSCOPY

CHOLINECHOLINECITRATECITRATE

Use of Prostate MRI & MRSUse of Prostate MRI & MRS

• Diagnosis of Prostate Ca.Diagnosis of Prostate Ca.• Targeting TRUS BiopsyTargeting TRUS Biopsy• Local Staging of Prostate Ca.Local Staging of Prostate Ca.• Post Radiotherapy Follow-upPost Radiotherapy Follow-up• Post Operative Follow-upPost Operative Follow-up

LOCAL STAGINGLOCAL STAGING

Stage T2Stage T2

Stage T3Stage T3

Stage T4Stage T4

LYMPH NODELYMPH NODE

Targeting for TRUS Guided BxTargeting for TRUS Guided Bx

Case 4Case 4 T2w.

+contract-contract

Spectroscopy

Detection of Prostate Cancer Detection of Prostate Cancer Recurrence after Radiation TherapyRecurrence after Radiation Therapy

Case 1Case 1 T2w.

+contract-contract

Spectroscopy

Case 2Case 2 T2w.

+contract-contract

+contract-contract

Spectroscopy

Spectroscopy

Case 3Case 3 T2w.

+contract-contract

Spectroscopy

Spectroscopy

MRI & MRS in detection of Prostate MRI & MRS in detection of Prostate Cancer Recurrence after Radical Cancer Recurrence after Radical

ProstatectomyProstatectomy

Prostate Tissue RemnantsProstate Tissue Remnants

Tumoral MassTumoral Mass

MR SpectroscopyMR Spectroscopy

Case 1Case 1

Prostate Tissue RemnantsProstate Tissue Remnants

Case 2Case 2

Prostate Tissue RemnantsProstate Tissue Remnants

Case 3Case 3

Tumoral MassTumoral Mass

Case 4Case 4

Tumoral MassTumoral Mass

Case 5Case 5

MR SpectroscopyMR Spectroscopy

Mahyar Ghafoori M.D.Mahyar Ghafoori M.D.The End The End