Role of Prostate MR Imaging in Radiation Oncology

Radiol Clin North Am. 2018 Mar;56(2):319-325. doi: 10.1016/j.rcl.2017.10.012. Epub 2017 Dec 14.

Abstract

The use of prostate MR imaging in radiotherapy continues to evolve. This article describes its current application in the selection of treatment regimens, integration in treatment planning or simulation, and assessment of response. An expert consensus statement from the annual MR in RT symposium is presented, as a list of 21 key quality indicators for the practice of MR imaging simulation in prostate cancer. Although imaging requirements generally follow PIRADSv2 guidelines, additional requirements specific to radiotherapy planning are described. MR imaging-only workflows and MR imaging-guided treatment systems are expected to replace conventional computed tomography-based practice, further adding specific requirements for MR imaging in radiotherapy.

Keywords: Brachytherapy; Image-guidance; MR imaging; Prostate cancer; Radiotherapy.

Publication types

  • Review

MeSH terms

  • Brachytherapy / methods*
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Male
  • Prostate / diagnostic imaging
  • Prostate / pathology
  • Prostatic Neoplasms / diagnostic imaging*
  • Prostatic Neoplasms / pathology
  • Prostatic Neoplasms / radiotherapy*
  • Radiation Oncology / methods*
  • Radiotherapy Planning, Computer-Assisted / methods*