Desencia E. Thomas, MD, presented “mpMRI of the Prostate and Correlation with CT +/- PSMA PET findings: Prostate Imaging Lessons for the Urologist” during the 28th Annual Innovations in Urologic Practice conference on September 22, 2024, in Denver, Colorado.

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How to cite: Thomas, Desencia E. mpMRI of the Prostate and Correlation with CT +/- PSMA PET findings: Prostate Imaging Lessons for the Urologist.” September 22, 2024. Accessed Nov 2024 . https://grandroundsinurology.com/mpmri-of-the-prostate-and-correlation-with-ct-psma-pet-findings-prostate-imaging-lessons-for-the-urologist/

mpMRI of the Prostate and Correlation with CT +/- PSMA PET findings: Prostate Imaging Lessons for the Urologist – Summary

Desencia E. Thomas, MD, covers the advancements in imaging techniques for prostate cancer, focusing on integrating multiparametric MRI (mpMRI) and PSMA PET imaging, and their evolving roles in diagnosis, prognosis, and management.

In this 24-minute presentation, Thomas discusses the standardized PI-RADS scoring system, which aids in assessing the likelihood of significant cancer and has undergone revisions (PI-RADS 2.1) to address limitations in lesion evaluation. She also discusses the PI-QUAL score, which assesses MRI quality, and the PRECISE scoring system, which evaluates radiologic stability for patients undergoing active surveillance. She shares several images illustrating the advantages of the scoring systems, ultimately showing the benefits of advanced imaging techniques. 

The presentation highlights the role of PSMA PET. FDA-approved PSMA PET agents have shown superior sensitivity in detecting biochemical recurrence and metastasis compared to conventional imaging. The integration of PSMA PET with MP-MRI, exemplified by the new P-score system, aims to refine diagnostic accuracy and reduce the need for invasive biopsies.

 

About The 28th Annual Innovations in Urologic Practice:

Presented by co-chairs Mohit Khera, MD, MBA, MPH, and Michael Coburn, MD, FACS, the Innovations in Urologic Practice conference provides a detailed review and commentary on multiple genitourinary and urologic diseases. Among the featured oncological topics are bladder cancer and immunotherapies, as well as upper tract cancer management, prostate cancer, including state-of-the-art imaging, focal therapy, and MRI. Experts also discuss new tools and techniques for nephrectomy and treating advanced renal cell carcinoma. In terms of general urological approaches, the conference also includes pelvic reconstruction and trauma; men’s health topics like male infertility, andrology, and sexual dysfunction; OAB and voiding dysfunctions; and ways to diagnose and treat infections in the urology patient.

For further educational activities from this conference, visit our collection page.