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UCLA Prostate Imaging and Treatment

UCLA Prostate Imaging and Treatment
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    • Radiation Therapy
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    • Example of Change to Nerve Sparing
    • Extracapsular Extension and Seminal Vesicle Invasion
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  • Clinical Trials
  • CME Course
  • Research Publications
  • Case Studies
  • Clinical Trials
  • CME Course
  • Research Publications
  • Radiation Therapy
  • Small Volume Low Grade Disease
  • Active Surveillance
  • Example of Change to Nerve Sparing
  • Extracapsular Extension and Seminal Vesicle Invasion
  • Dynamic Contrast-Enhancement for Biochemical Failure
  • MR-Guided Targeted Biopsy
  • Benign Disease (Infertility)
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  5. Dynamic Contrast-Enhancement for Biochemical Failure

Dynamic Contrast-Enhancement for Biochemical Failure

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History

Elevated PSA after prostatectomy

Imaging

 

LEFT: Axial T2-weighted image: slight asymmetry at the vesicourethral anastomosis could be post-surgical change
RIGHT: Corresponding asymmetric enhancement raises suspicion for focal recurrence

 

Results

Addition of radiation therapy was followed by decrease in PSA

Advantage: UCLA Prostate MRI

MRI is sensitive to recurrence in the radiation therapy field and surgical bed as well as lymph nodes and bones

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