Dynamic Contrast-Enhancement for Biochemical Failure

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History

Elevated PSA after prostatectomy

Imaging

Dynamic Contrast-Enhancement for Biochemical Failure

LEFT: Axial T2-weighted image: slight asymmetry at the vesicourethral anastomosis could be post-surgical change

RIGHT: Corresponding asymmetric enhancement raises suspicion for focal recurrence

Results

Addition of radiation therapy was followed by decrease in PSA

Advantage: UCLA Prostate MRI

MRI is sensitive to recurrence in the radiation therapy field and surgical bed as well as lymph nodes and bones