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MRI of the Male Pelvis

Richard Semelka¹, Laurie Fisher², Kathy Wilber¹

¹University of North Carolina, Chapel Hill, North Carolina
²Siemens 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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Unit Introduction
Basic Protocol: Imaging the Male Pelvis
Commentary
Bibliography
Figures
Tables

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Materials

Basic Protocol: 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

Figure A19.1.1

High resolution sagittal T₂-weighted turbo spin echo image.

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Figure A19.1.2

High resolution transverse T₂-weighted turbo spin echo image.

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Figure A19.1.3

Transverse gradient echo with fat suppression immediate post contrast image.

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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.