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UCLA Prostate Imaging and Treatment

UCLA Prostate Imaging and Treatment
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UCLA Prostate Imaging and Treatment

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About Us

  • Case Studies
    • 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)
  • 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. Extracapsular Extension and Seminal Vesicle Invasion

Extracapsular Extension and Seminal Vesicle Invasion

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History

  • 59 year-old male.
  • PSA level: 10
  • Clinical staging: T1C
  • Blind systematic biopsy results: Gleason: 3+4=7 in the Left prostate

Imaging

Extracapsular Extension and Seminal Vesicle Invasion

 

LEFT: Axial T2-weighted image: low signal bulges the capsule (arrow)
RIGHT: Gray-scale apparent diffusion coefficient (ADC) map: focal restricted diffusion (arrow)

 

Extracapsular Extension and Seminal Vesicle Invasion

 

LEFT: Coronal T2-weighted image: abnormal signal extends to seminal vesicles (arrow)
RIGHT: Sample spectrum from spectroscopic imaging: elevated choline (Cho) relative to citrate (Ci)

 

Results

  • Gleason Score 3+4 prostate cancer
    • Extra-capsular extension,
    • Left seminal vesicle invasion.
  • TNM staging : T3b

Advantage: UCLA Prostate MRI

For patients at intermediate risk of T3 disease, MRI can stratify risk.

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