Diagnosis of prostate cancer

Diagnosis of prostate cancer (PCa) and adequate staging play a fundamental role for clinical and patient care. Despite major advances in biology and imaging, rectal examination and prostate-specific antigen (PSA) blood test remain the cornerstone for screening, and multiparametricmagnetic resonance...

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Main Author: Jean-Luc Descotes
Format: Article
Language:English
Published: Elsevier 2019-04-01
Series:Asian Journal of Urology
Online Access:http://www.sciencedirect.com/science/article/pii/S2214388219300128
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author Jean-Luc Descotes
author_facet Jean-Luc Descotes
author_sort Jean-Luc Descotes
collection DOAJ
description Diagnosis of prostate cancer (PCa) and adequate staging play a fundamental role for clinical and patient care. Despite major advances in biology and imaging, rectal examination and prostate-specific antigen (PSA) blood test remain the cornerstone for screening, and multiparametricmagnetic resonance imaging (mpMRI) for local staging. Recent advances in mpMRI lead to standardised interpretation and increased prescription by clinicians in order to improve detection of clinically significant PCa and select patients requiring targeted biopsies. However its indication remains controversial in biopsy-naïve patients. Nuclear medicine is also in a continuous evolution and utilisation of new radiopharmaceutical agent like choline or 68gallium with computed tomography or magnetic resonance imaging has led to the improvement in the detection of lymph nodes, distant metastases and prostate recurrence. Considering this very heterogneneous disease, combined utilisation of these tools will help clinicians and patients in choosing the most appropriate and personalised treatment. Keywords: Prostate cancer, Staging, Prostate-specific antigen, Multiparametric magnetic resonance imaging, Markers
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spelling doaj-art-aa78b7d2f2da4548bd94bc0c1b73f2c22025-08-20T03:09:57ZengElsevierAsian Journal of Urology2214-38822019-04-016212913610.1016/j.ajur.2018.11.007Diagnosis of prostate cancerJean-Luc Descotes0University Hospital of Grenoble, CHU de Grenoble, CS 10217, 38043 Grenoble cedex 9, FranceDiagnosis of prostate cancer (PCa) and adequate staging play a fundamental role for clinical and patient care. Despite major advances in biology and imaging, rectal examination and prostate-specific antigen (PSA) blood test remain the cornerstone for screening, and multiparametricmagnetic resonance imaging (mpMRI) for local staging. Recent advances in mpMRI lead to standardised interpretation and increased prescription by clinicians in order to improve detection of clinically significant PCa and select patients requiring targeted biopsies. However its indication remains controversial in biopsy-naïve patients. Nuclear medicine is also in a continuous evolution and utilisation of new radiopharmaceutical agent like choline or 68gallium with computed tomography or magnetic resonance imaging has led to the improvement in the detection of lymph nodes, distant metastases and prostate recurrence. Considering this very heterogneneous disease, combined utilisation of these tools will help clinicians and patients in choosing the most appropriate and personalised treatment. Keywords: Prostate cancer, Staging, Prostate-specific antigen, Multiparametric magnetic resonance imaging, Markershttp://www.sciencedirect.com/science/article/pii/S2214388219300128
spellingShingle Jean-Luc Descotes
Diagnosis of prostate cancer
Asian Journal of Urology
title Diagnosis of prostate cancer
title_full Diagnosis of prostate cancer
title_fullStr Diagnosis of prostate cancer
title_full_unstemmed Diagnosis of prostate cancer
title_short Diagnosis of prostate cancer
title_sort diagnosis of prostate cancer
url http://www.sciencedirect.com/science/article/pii/S2214388219300128
work_keys_str_mv AT jeanlucdescotes diagnosisofprostatecancer