Active Surveillance for Prostate Cancer: Expanding the Role of MR Imaging and the Use of PRECISE Criteria

Cameron Englman; Tristan Barrett; Caroline M Moore; Francesco Giganti

doi:10.1016/j.rcl.2023.06.009

Active Surveillance for Prostate Cancer: Expanding the Role of MR Imaging and the Use of PRECISE Criteria

Radiol Clin North Am. 2024 Jan;62(1):69-92. doi: 10.1016/j.rcl.2023.06.009. Epub 2023 Aug 21.

Authors

Cameron Englman¹, Tristan Barrett², Caroline M Moore³, Francesco Giganti⁴

Affiliations

¹ Department of Radiology, University College London Hospital NHS Foundation Trust, 3rd Floor, Charles Bell House, 43-45 Foley Street, London, W1W7TY, UK; Division of Surgery & Interventional Science, University College London, 3rd Floor, Charles Bell House, 43-45 Foley Street, London, W1W7TY, UK.
² Department of Radiology, University of Cambridge, Box 218, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 0QQ, UK; Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Box 218, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 0QQ, UK.
³ Division of Surgery & Interventional Science, University College London, 3rd Floor, Charles Bell House, 43-45 Foley Street, London, W1W7TY, UK; Department of Urology, University College London Hospital NHS Foundation Trust, 3rd Floor, Charles Bell House, 43-45 Foley Street, London, W1W7TY, UK.
⁴ Department of Radiology, University College London Hospital NHS Foundation Trust, 3rd Floor, Charles Bell House, 43-45 Foley Street, London, W1W7TY, UK; Division of Surgery & Interventional Science, University College London, 3rd Floor, Charles Bell House, 43-45 Foley Street, London, W1W7TY, UK. Electronic address: f.giganti@ucl.ac.uk.

PMID: 37973246
DOI: 10.1016/j.rcl.2023.06.009

Abstract

Multiparametric magnetic resonance (MR) imaging has had an expanding role in active surveillance (AS) for prostate cancer. It can improve the accuracy of prostate biopsies, assist in patient selection, and help monitor cancer progression. The PRECISE recommendations standardize reporting of serial MR imaging scans during AS. We summarize the evidence on MR imaging-led AS and provide a clinical primer to help report using the PRECISE criteria. Some limitations to both serial imaging and the PRECISE recommendations must be considered as we move toward a more individualized risk-stratified approach to AS.

Keywords: Active surveillance; Biopsy; MRI; PRECISE; Prostate cancer; mpMRI.

Publication types

Review

MeSH terms

Humans
Image-Guided Biopsy
Magnetic Resonance Imaging / methods
Male
Multiparametric Magnetic Resonance Imaging*
Prostate / diagnostic imaging
Prostate / pathology
Prostatic Neoplasms* / diagnostic imaging
Prostatic Neoplasms* / pathology
Watchful Waiting