Bardia Moosavi MD, Abstract Co-Author: Nothing to Disclose

Trevor A. Flood MD, FRCPC, Abstract Co-Author: Nothing to Disclose

Nicola Schieda MD, Presenter: Nothing to Disclose

After viewing this exhibit, the viewer will: a) understand the term "anterior" prostate gland and its' normal anatomy, histology and relevance to patients treated with active surveillance (AS) or those with negative non-targeted transrectal ultrasound (TRUS) guided biopsies, and b) develop an approach using mp-MRI for the diagnosis of prostate cancer in this location with pathologic correlation.

1. Define the nomenclature of the "anterior and posterior" prostate gland and their relationship to non-targeted TRUS biopsy. 2. Review the relevant anatomy and histology of the “anterior” gland, including the horns of the peripheral zone, anterior fibromuscular stroma, central and transitional zones. 3. Review the significance of mp-MRI evaluation of the “anterior” gland in the setting of elevated PSA with negative non-targeted TRUS biopsies and AS; specifically discussing the recently proposed scoring systems such as PI-RADS and the National Institutes of Health criteria for AS. 4. Illustrate proven cases of “anterior” gland tumors, discussing the mp-MRI imaging appearance with a review of literature on the topic and using pathologic correlation. 5. Discuss the mp-MRI and histologic appearance of other anterior gland processes (such as stromal and glandular benign prostatic hyperplasia (BPH)) and how these can mimic “anterior” tumors.  

http://abstract.rsna.org/uploads/2014/14002533/14002533_xd4j.pdf

Moosavi, B, Flood, T, Schieda, N, A Users Guide to the “Anterior” Prostate Gland: Multi-parametric (mp) MRI – Pathologic Correlation.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14002533.html