Imagerie par résonance magnétique du cancer de la prostate localisé

Imagerie par résonance magnétique du cancer de la prostate localisé PDF Author: Eric Le Bastard
Publisher:
ISBN:
Category :
Languages : fr
Pages : 238

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Imagerie par résonance magnétique du cancer de la prostate localisé

Imagerie par résonance magnétique du cancer de la prostate localisé PDF Author: Eric Le Bastard
Publisher:
ISBN:
Category :
Languages : fr
Pages : 238

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Book Description


Imagerie de la prostate

Imagerie de la prostate PDF Author: Catherine Roy
Publisher: Elsevier Masson
ISBN: 9782294013782
Category : Generative organs, Male
Languages : fr
Pages : 198

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Imaging and Focal Therapy of Early Prostate Cancer

Imaging and Focal Therapy of Early Prostate Cancer PDF Author: Thomas J. Polascik
Publisher: Springer
ISBN: 3319499114
Category : Medical
Languages : en
Pages : 475

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Book Description
This text encompass an up-to-date, comprehensive review of the state-of-the-art for gland preserving therapies. Fully updated and revised, this text evaluates the scientific evidence for the evolving trend to treat intermediate risk, clinically localized prostate cancer in a focally ablative manner with novel gland-preserving, focal therapy methods. Various ablative devices such as high intensity focused ultrasound, irreversible electroporation, photodynamic therapy, cryotherapy and laser ablation, among others, is discussed in regard to their strengths and limitations as a therapeutic modality. Emphasis is placed on patient selection and outcomes utilizing both advanced imaging techniques and pathologic evaluation. Current and new approaches to image cancer foci within the prostate (multiparametric ultrasonography, multiparametric magnetic resonance image, etc) are presented along with various biopsy techniques, including robotics to map prostate cancer. Patient selection based on imaging and genomic classification, adjuvants to enhance therapy, treatment strategy, outcomes and patient centered concerns is discussed, providing an acceptable balance between cancer control and improved quality of life for patients. Written by experts in the field and lavishly illustrated with detailed line-art and photographs, Imaging and Focal Therapy of Early Prostate Cancer, Second Edition is designed as a comprehensive resource for urologists, radiation oncologists, medical oncologists, radiologists, uropathologists, molecular biologists, biomedical engineers, other clinicians –- residents, fellows, nurses and allied professionals -- and researchers with an interest in the diagnosis and novel treatment of prostate cancer. It will provide insight into the latest research and clinical applications of image-guided diagnosis and minimally invasive focal, gland-preserving treatment for prostate cancer.

Magnetic Resonance in Prostate Cancer

Magnetic Resonance in Prostate Cancer PDF Author: Gerrit Jager
Publisher: Wiley-Blackwell
ISBN:
Category : Medical
Languages : en
Pages : 136

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Book Description
The demand for practical management guidelines prompted the creation of this book to address infectious disease problems in obstetrics and gynecology. The text was modeled after the successful protocols format developed by Dr John T Queenan. The contributor list is impressive, each protocol author is a member of Infectious Disease Society for Obstetrics & Gynecology. While there are larger, more comprehensive textbooks on this subject available, none utilize this practical, concise format which makes the information so accessible. This book will be an excellent addition to the protocols series."

Dynamic Contrast-Enhanced MRI Atlas of Prostate Cancer

Dynamic Contrast-Enhanced MRI Atlas of Prostate Cancer PDF Author: Robert L. Bard
Publisher: Springer Science & Business Media
ISBN: 3540784233
Category : Medical
Languages : en
Pages : 179

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Book Description
MRI Atlas of Prostate Cancer analyses high-resolution MRI scanning and dynamic contrast-enhanced (DCE) MRI. This combination improves the diagnosis and staging of prostate cancer and may soon replace PSA testing and digital rectal examination. The first two chapters focus on normal anatomy, anatomic variations, benign disease and intraprostatic tumors. The subsequent chapters on MRI of extracapsular disease create a useful atlas of pathologic anatomy. This is the first text of its kind to show color-coded DCE-MRI scans of prostate cancer and to correlate these imaging findings with tumor grading. The chapters on the post-treatment prostate clearly display the increasing incidence of post-therapy recurrences. This book is intended for internists, radiologists, radiotherapists, oncologists, urologists, family practitioners, and general surgeons. Ultrasound, MRI, and radiotherapy technicians will find it extremely useful as a reference guide.

Intérêt de l’IRM multiparamétrique dans le cancer de la prostate localisé

Intérêt de l’IRM multiparamétrique dans le cancer de la prostate localisé PDF Author: Idir Pierre Ouzaid
Publisher:
ISBN:
Category :
Languages : fr
Pages : 132

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Book Description
Evaluer l’intérêt de l’imagerie par résonnance magnétique de diffusion (DW-MRI) dans la stadification locale, de la cartographie, et la prédiction de la sévérité du cancer de la prostate (CaP).Entre janvier 2009 et octobre 2011, 133 patients avec un CaP ont eu une prostatectomie totale (PT). Les patients ont une IRM multiparamétrique préopératoire. Les données anatomopathologiques (pTNM) et radiologiques (iTNM) ont été corrélées pour évaluer le pouvoir de l’IRM de diffusion dans la cartographie, l’extension locale et la prédiction de la sévérité (Score de Gleason) de la maladie. La comparaison anatomo-IRM a permis de calculer la sensibilité (Se), la spécificité (Sp), les valeurs prédictives positive (VPP) et négative (VPN). Les résultats sur la cartographie et de la prédiction du Gleason ont été obtenus par une étude anatomopathologiques en grandes coupes des pièces de PT de 16 patients avec une corrélation Anatomo-IRM stricte foyer par foyer.L’âge et PSA préopératoire moyens des patients étaient respectivement de 63 (52-74) ans et 8,08 (3,3-25,6) ng/ml. Les sensibilités pour détecter les lésions intra prostatiques et de l’envahissement de la capsule étaient respectivement de 80% et 78%. La spécificité de l’atteinte des VS était de 97%. Sur l’analyse en grandes coupes, 48 foyers ont été identifiés. Les Se, Sp, VVP, VPN de l’IRM dans la cartographie des lésions était respectivement de 60,41%, 95,41%, 72,5%, et 92,33%. Les résultats étaient meilleurs lorsque la zone périphériques et les tumeurs de plus de 2 mm étaient considérées. Les foyers avec un grade de Gleason ≥ 4 majoritaire avaient un coefficient apparent de diffusion moins élevé que les foyers avec un grade 3 majoritaire (p=0,016).Cette étude a mis en évidence l’intérêt de cette technique d’imagerie dans l’évaluation du CaP localisé. Cet outil peut se révéler incontournable dans les nouvelles stratégies de prise en charge du CaP localisé : préservation nerveuse en cas de PT, thérapie focale voire la surveillance active.

Technical Aspects of Focal Therapy in Localized Prostate Cancer

Technical Aspects of Focal Therapy in Localized Prostate Cancer PDF Author: Eric Barret
Publisher: Springer
ISBN: 2817804848
Category : Medical
Languages : en
Pages : 252

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Book Description
Focal therapy is a promising option for selected patients who have localized low or intermediate-risk prostate cancer, providing a compelling alternative between active surveillance and radical therapies by targeting the index lesion and preserving as much tissue as possible. Numerous cohort studies have already investigated multiple focal techniques, such as cryotherapy, high-intensity focused ultrasound, brachytherapy, photodynamic therapy, laser therapy, irreversible electroporation and cyberknife methods, all of which have demonstrated positive oncological outcomes with 70 to 90 % negative follow-up biopsy. These various ablative techniques have produced only minor side-effects concerning urinary function, a low rate of erectile dysfunction, and have demonstrated a limited rectal toxicity. As a result, the primary end-point has now shifted and a new strategy needs to be established for patient follow-up and for defining treatment failure. Written by international experts in the field, this book is mainly focused on new techniques, all of which are amply illustrated. Technical Aspects of Focal Therapy in Localized Prostate Cancer will be of great practical value to all urologists and oncologists.

Prostate Cancer Imaging

Prostate Cancer Imaging PDF Author: Ayman El-Baz
Publisher: CRC Press
ISBN: 0429784678
Category : Technology & Engineering
Languages : en
Pages : 363

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Book Description
This book covers novel strategies and state of the art approaches for automated non-invasive systems for early prostate cancer diagnosis. Prostate cancer is the most frequently diagnosed malignancy after skin cancer and the second leading cause of cancer related male deaths in the USA after lung cancer. However, early detection of prostate cancer increases chances of patients’ survival. Generally, The CAD systems analyze the prostate images in three steps: (i) prostate segmentation; (ii) Prostate description or feature extraction; and (iii) classification of the prostate status. Explores all of the latest research and developments in state-of-the art imaging of the prostate from world class experts. Contains a comprehensive overview of 2D/3D Shape Modeling for MRI data. Presents a detailed examination of automated segmentation of the prostate in 3D imaging. Examines Computer-Aided-Diagnosis through automated techniques. There will be extensive references at the end of each chapter to enhance further study.

Image Guided Prostate Cancer Treatments

Image Guided Prostate Cancer Treatments PDF Author: Robert L. Bard
Publisher: Springer Science & Business Media
ISBN: 3642404294
Category : Medical
Languages : en
Pages : 269

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Book Description
Image-Guided Prostate Cancer Treatments is a comprehensive reference and practical guide on the technology and application of ultrasound and MRI in the male pelvis, with special attention to the prostate. The book is organized into three main sections, the first of which is devoted to general aspects of imaging and image-guided treatments. The second section provides a systematic overview of the application of ultrasound and MRI to the diagnosis and treatment of diseases of the lower urinary tract. Performance of the ultrasound and MRI studies is explained, and the normal and abnormal pathological anatomy is reviewed. Correlation with the ultrasound in the same plane is provided to assist in understanding the MRI sequences. Biopsy and interventional procedures, ultrasound-MRI fusion techniques, and image-guided therapies, including focused ultrasound, photodynamic therapy, microwave and laser ablation, are all fully covered. The third section focuses on securing treatment effectiveness and the use of follow-up imaging to ensure therapeutic success and detect tumor recurrence at an early stage, which is vital given that prompt focal treatment of recurrence is very successful. Here, particular attention is paid to the role of Doppler ultrasound and DCE-MRI technologies. This book, containing a wealth of high-quality illustrations based on high-end equipment, will acquaint beginners with the basics of prostate ultrasound and MRI, while more advanced practitioners will learn new skills, means of avoiding pitfalls, and ways of effectively relating the imaging and image-guided treatments to the clinical situation. The information provided will permit a tailored approach in dealing with specific pathologic issues.

Analyse morphométrique prostatique et des rapports anatomiques péri-prostatiques à l'IRM avant et après traitement partiel par ultrasons-focalisés du cancer de la prostate localisé

Analyse morphométrique prostatique et des rapports anatomiques péri-prostatiques à l'IRM avant et après traitement partiel par ultrasons-focalisés du cancer de la prostate localisé PDF Author: Denis Séguier
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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Book Description
Introduction : La littérature est limité sur la description des modifications anatomiques des tissus péri-prostatiques après un traitement par ultrasons focalisés de haute intensité (HIFU) pour un cancer de la prostate localisé. Nous avons cherché à fournir une approche standardisée pour évaluer les changements anatomiques morphométriques prostato-pelviens par imagerie par résonance magnétique (IRM) après un HIFU focal. Matériel et méthodes : 38 patients répartis sur deux établissements (CHU de Lille et CHU de Duke) ayant bénéficié d'HIFU focaux avec IRM pré et post ablation (≥6 mois) ont été inclus. Les IRM pré et post-traitement ont été évaluées pour les volumes de la prostate et de la région de traitement. Les distances prostate-symphyse pubienne et prostate-rectum ont également été mesurées pour tenir compte de l'ensemble des modifications prostate-pelviennes post-traitement. Au sein de la cohorte, deux sous-groupes ont été identifiés, ceux avec récidive (biopsie positive et/ou traitement ultérieur de la glande entière) et ceux sans récidive. Résultats : Le volume médian estimé du lobe traité était de 16,8 ml (IQR 10,6-21,5) à l'IRM avant traitement et de 10,2 ml à l'IRM après traitement (IQR 7,2-14,8). La comparaison du volume sur l'IRM avant traitement et sur l'IRM après traitement a montré une différence significative (p