Dynamic Contrast-Enhancement for Biochemical Failure
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History
Elevated PSA after prostatectomy
Imaging
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