CURRENT POSSIBILITIES OF RADIATION DIAGNOSIS OF PROSTATE CANCER

Abstract

This literature review provides information on the main radiation diagnostic methods and approaches for prostate cancer, which are used in current medical practice both by ultrasound (routine transrectal ultrasound (TRUS), sonoelastography, etc.) and most promising diagnostic techniques (multiparametric magnetic resonance imaging (mpMRI), hybrid fluorocholine and GaPSMA positron emission tomography/computed tomography and Ga-PSMA, etc.), the widespread clinical introduction of which has been recently observed. The paper discusses their sensitivity and specificity and the role and relationship in the diagnostic process. It also gives current unified mpMRI reporting and data system version 2 (RADSv.2). The advantages and disadvantages of standard ultrasound-guided biopsy (including its extended variant) are discussed. There are data on the experience with new procedures for prostate biopsy under guidance of up-to-date radiology techniques (mpMRI/TRUS fusion-guided biopsy and MRI-guided prostate biopsy) that are yet to take their place in routine clinical practice.

Keywords

• prostate cancer
• literature review
• transrectal ultrasound
• multiparametric magnetic resonance imaging (mri)
• positron emission tomography/computed tomography
• standard prostate biopsy
• fusion biopsy
• mri-guided biopsy
• prostate imaging reporting and data system