IMAGENOLOGIA EM
UROLOGIA Dr. Fernando Ide Yamauchi
CONTEÚDO
1. Litíase urinária
2. Hematúria
3. Neoplasia de próstata
CONTEÚDO
1. Litíase urinária
2. Hematúria
3. Neoplasia de próstata
acr.org (2011)
S96% E98%
CONTEÚDO
1. Litíase urinária
2. Hematúria
3. Neoplasia de próstata
CONTEÚDO
1. Litíase urinária
2. Hematúria
3. Neoplasia de próstata
Albani JM. Journal of Urology, Feb 2007
Wang L. Journal of Urology, Feb 2009
Chlapoutakis K. European Journal of Radiology, 2010
Sens.= 96%
Espec.= 99%
Pré Nefrográfica Excretora
Protocolo Urotomografia
Matsuki M. European Radiology, Jan 2007
Abou-El-Ghar ME. Radiology, May 2009
High-grade bladder cancer: Association of ADC with Metastatic disease: Preliminary results
Rosenkrantz, Journal of Magnetic Resonance Imaging, 2012
CONTEÚDO
1. Litíase urinária
2. Hematúria
3. Neoplasia de próstata
CONTEÚDO
1. Litíase urinária
2. Hematúria
3. Neoplasia de próstata
2015 - 200
2001 - 20
Detecção
1.Bx Negativa
2.Vigilância Ativa
RM-sagital
RM-axial
1.Não detectar
significante
2.Detectar
insignificante
3.Subgraduado
T2WI DWI ADC
PSA 8,7; 3BX-
PI-RADS 5
Gleason 4+5
T2WI DWI ADC
PSA 8,2; 1BX-
DCE
PSA 8,2; 1BX-
PI-RADS 5 Gleason 4+3
Hambrock T. Magnetic Resonance Imaging Guided Prostate Biopsy in Men With Repeat Negative
Biopsies and Increased Prostate Specific Antigen
J Urol 2010
15%
x
60%
Detecção
1.Bx Negativa
2.Vigilância Ativa
T2WI DWI ADC
PSA 4,7; BX+ G6, AS
DCE
PSA 4,7; BX+ G6, AS
Gleason 4+3
Margel D. J Urol. 2012 Apr;187(4):1247-52.
8% 80%
Hambrock, T. Radiology, 2011
Hambrock, T. Relationship between Apparent Diffusion Coefficients at 3.0-T MR Imaging and
Gleason Grade in Peripheral Zone Prostate Cancer
Radiology, 2011
Gleason
ADC
"Unfortunately, and sadly to say, surely not. MRI is
still seen by many urologists as costly and difficult
and change will take more time".
fernando.yamauchi@hc.fm.usp.br
fernando.yamauchi@einstein.br