Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)

Abstract Recent advancements on nerve-sparing robotic prostatectomy allow fewer side effects such as urinary incontinence and sexual dysfunction. To perform such techniques, it is essential for the surgeon to know if the neurovascular bundle is involved. Despite being the gold-standard imaging metho...

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Main Authors: Adalgisa Guerra, Beatriz Flor-de-Lima, Gonçalo Freire, Ana Lopes, João Cassis
Format: Article
Language:English
Published: SpringerOpen 2023-05-01
Series:Insights into Imaging
Subjects:
Online Access:https://doi.org/10.1186/s13244-023-01428-3
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author Adalgisa Guerra
Beatriz Flor-de-Lima
Gonçalo Freire
Ana Lopes
João Cassis
author_facet Adalgisa Guerra
Beatriz Flor-de-Lima
Gonçalo Freire
Ana Lopes
João Cassis
author_sort Adalgisa Guerra
collection DOAJ
description Abstract Recent advancements on nerve-sparing robotic prostatectomy allow fewer side effects such as urinary incontinence and sexual dysfunction. To perform such techniques, it is essential for the surgeon to know if the neurovascular bundle is involved. Despite being the gold-standard imaging method for Prostate Cancer (PCa) staging, Magnetic Resonance Imaging (MRI) lacks high specificity for detecting extracapsular extension (ECE). Therefore, it is essential to understand the pathologic aspects of ECE to better evaluate the MRI findings of PCa. We reviewed the normal MRI appearance of the prostate gland and the periprostatic space and correlated them to prostatectomy specimens. The different findings of ECE and neurovascular bundle invasion are exemplified with images of both MRI and histologic specimens. Graphical abstract
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spelling doaj.art-b34ef0b6f3ce4e23a77ecc687dc72cf42023-05-21T11:18:18ZengSpringerOpenInsights into Imaging1869-41012023-05-0114111310.1186/s13244-023-01428-3Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)Adalgisa Guerra0Beatriz Flor-de-Lima1Gonçalo Freire2Ana Lopes3João Cassis4Department of Radiology, Hospital da Luz LisboaRadiology Department, Centro Hospitalar Tondela-ViseuRadiology Department, Hospital da CUFPathology Department, Hospital da Luz LisboaPathology Department, Hospital da Luz LisboaAbstract Recent advancements on nerve-sparing robotic prostatectomy allow fewer side effects such as urinary incontinence and sexual dysfunction. To perform such techniques, it is essential for the surgeon to know if the neurovascular bundle is involved. Despite being the gold-standard imaging method for Prostate Cancer (PCa) staging, Magnetic Resonance Imaging (MRI) lacks high specificity for detecting extracapsular extension (ECE). Therefore, it is essential to understand the pathologic aspects of ECE to better evaluate the MRI findings of PCa. We reviewed the normal MRI appearance of the prostate gland and the periprostatic space and correlated them to prostatectomy specimens. The different findings of ECE and neurovascular bundle invasion are exemplified with images of both MRI and histologic specimens. Graphical abstracthttps://doi.org/10.1186/s13244-023-01428-3ProstateProstatic cancerExtracapsular extensionMagnetic resonance imagingRadiologic-pathologic correlation
spellingShingle Adalgisa Guerra
Beatriz Flor-de-Lima
Gonçalo Freire
Ana Lopes
João Cassis
Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)
Insights into Imaging
Prostate
Prostatic cancer
Extracapsular extension
Magnetic resonance imaging
Radiologic-pathologic correlation
title Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)
title_full Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)
title_fullStr Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)
title_full_unstemmed Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)
title_short Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)
title_sort radiologic pathologic correlation of prostatic cancer extracapsular extension ece
topic Prostate
Prostatic cancer
Extracapsular extension
Magnetic resonance imaging
Radiologic-pathologic correlation
url https://doi.org/10.1186/s13244-023-01428-3
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