Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE).
Adalgisa GuerraBeatriz Flor-de-LimaGonçalo FreireAna LopesJoão CassisPublished in: Insights into imaging (2023)
Recent advancements on nerve-sparing robotic prostatectomy allow fewer side effects such as urinary incontinence and sexual dysfunction. To perform such techniques, it is essential for the surgeon to know if the neurovascular bundle is involved. Despite being the gold-standard imaging method for Prostate Cancer (PCa) staging, Magnetic Resonance Imaging (MRI) lacks high specificity for detecting extracapsular extension (ECE). Therefore, it is essential to understand the pathologic aspects of ECE to better evaluate the MRI findings of PCa. We reviewed the normal MRI appearance of the prostate gland and the periprostatic space and correlated them to prostatectomy specimens. The different findings of ECE and neurovascular bundle invasion are exemplified with images of both MRI and histologic specimens.
Keyphrases
- magnetic resonance imaging
- contrast enhanced
- prostate cancer
- robot assisted
- diffusion weighted imaging
- benign prostatic hyperplasia
- radical prostatectomy
- urinary incontinence
- neoadjuvant chemotherapy
- computed tomography
- high resolution
- magnetic resonance
- papillary thyroid
- optical coherence tomography
- oxidative stress
- lymph node
- squamous cell carcinoma
- mental health
- minimally invasive
- convolutional neural network
- pet ct
- machine learning
- young adults
- lymph node metastasis
- squamous cell
- rectal cancer
- mass spectrometry
- ultrasound guided
- childhood cancer