Molecular Imaging 2017

Patient with suspected cancer

mpMRI

MRI: Detection

Staging

Focal lesion

No focal lesion

MRI

Targeted biopsy

Systematic biopsy

Consider

Low risk

Intermediate risk

High risk

Stage ≥T3a or PSA ng/mL >20 or Gleason 8-10

Stage T1-2a & PSA ng/mL <10 & Gleason ≤6

Stage T2b-c or PSA ng/mL 10-20 or Gleason 7