MRI of the Male Pelvis

Richard Semelka1, Laurie Fisher2, Kathy Wilber1

1 University of North Carolina, Chapel Hill, North Carolina, 2 Siemens Uptime Service Center, Cary, North Carolina
Publication Name:  Current Protocols in Magnetic Resonance Imaging
Unit Number:  Unit A19.1
DOI:  10.1002/0471142719.mia1901s07
Online Posting Date:  February, 2003
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Abstract

MRI provides comprehensive information on many male pelvic diseases, such as prostate cancer and bladder cancer as well as lymph nodes and bone metastases. This unit presents a protocol incorporating T1‐ and T2‐weighted sequences including transverse and sagittal data acquisitions, and the routine use of intravenous gadolinium.

     
 
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Table of Contents

  • Basic Protocol 1: Imaging the Male Pelvis
  • Commentary
  • Figures
  • Tables
     
 
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Materials

Basic Protocol 1: Imaging the Male Pelvis

  Materials
  • Normal saline (0.9% NaCl, sterile), 40 ml minimum
  • Extravascular contrast agent (e.g., Magnevist, Omniscan, or Prohance), volume by patient weight
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Figures

Videos

Literature Cited

Literature Cited
   Hricak, H., White, S., Vigneron, D., Kurhanewicz, J., Kosco, A., Levin, D., Weiss, J., Narayan, P., and Carroll, P.R. 1994. Carcinoma of the prostate gland: MR imaging with pelvic phased‐array coils versus integrated endorectal‐pelvic phased‐array coils. Radiology. 193:703‐709.
   Huch Boni, R., Meyenberger, C., Pok Lundquist, J., Trinkler, F., Lutolf, U., and Krestin, G. 1996. Value of endorectal coil versus body coil MRI for diagnosis of recurrent pelvic malignancies. Abdom. Imaging. 21:345‐352.
   Mirowitz, S.A., Heiken, J.P., and Brown, J.J. 1994. Evaluation of fat saturation technique for T2‐weighted endorectal coil MRI of the prostate. Magn. Reson. Imaging. 12:743‐747.
   Nunes, L.W., Scheibler, M.S., Rauschning, W., Schnall, M.D., Tomaszewski, J.E., Pollack, H., and Kressel, H. 1995. The normal prostate and periprostatic structures: Correlation between MR images made with an endorectal coil and cadaveric microtome sections. AJR Am. J. Roentgenol. 164:923‐927.
   Schnall, M., Imai, Y., Tomaszewski, J., Pollack, H., Lenkinski, R., and Kressel, H. 1991. Prostate cancer: Local staging with endorectal surface coil MR imaging. Radiology. 178:797‐802.
   Shellock, F.G. 1996. Pocket Guide to MR Procedures and Metallic Objects. Lippincott‐Raven, Philadelphia.
Key References
   Shellock 1996. See above.
  Covers a number of important patient management issues related to MR imaging, including recommended safety procedures, a list of metallic implants that have been tested for MR compatibility, and a list of other sources on MR safety.
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