Prostate cancer: Molecular imaging and MRI

Eur J Radiol. 2021 Oct:143:109893. doi: 10.1016/j.ejrad.2021.109893. Epub 2021 Aug 6.

Abstract

The role of molecular imaging in initial evaluation of men with presumed or established diagnosis of prostate cancer and work up of biochemical recurrence and metastatic disease is rapidly evolving due to superior diagnostic performance compared to anatomic imaging. However, variable tumor biology and expression of transmembrane proteins or metabolic alterations poses a challenge. We review the evidence and controversies with emphasis on emerging PET radiopharmaceuticals and experience on clinical utility of PET/CT and PET/MRI in diagnosis and management of prostate cancer.

Keywords: (11)C-Choline; (18)F-DCFPyL; (18)F-Fluciclovine; (68)Ga-PSMA; (68)Ga-RM2; PET/MRI.

Publication types

  • Review

MeSH terms

  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Molecular Imaging
  • Oligopeptides
  • Positron Emission Tomography Computed Tomography*
  • Prostatic Neoplasms* / diagnostic imaging
  • Radiopharmaceuticals

Substances

  • Oligopeptides
  • Radiopharmaceuticals