Flipping Book - TVD

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Pre HIT 6 weeks post HIT 6 months post HIT
T2
DCE
MRI
DWI
T2 pre and post radiation
Pre Post
DWI pre and post radiation
Radiation-induced changes
T2w pre IMRT
1st post RT
2nd post RT
Oncological Guidelines: Imaging
• CT of the abdomen
• MRI of the pelvis
• Chest x-ray if PSA > 20 ng/ml, or high
risk patients
• Bone scintigraphy if PSA > 10 ng/ml
, Radiologie – E010, Innovative Krebsdiagnostik und -therapie
Take home
• CT is limited for
– T-stage
– Extracapsular extension
– N-stage
• MRI method of choice for
– T-stage
– Extracapsular extension
– Localization of leading tumor mass, if present
• PET requires dedicated tracers for
improved T- and N-staging
– C-11 Choline
– Ga 68 PSMA