Journal article
Prostatic Artery Embolization: Indications, Preparation, Techniques, Imaging Evaluation, Reporting, and Complications
Radiographics, Vol.41(5), pp.1509-1530
09/01/2021
DOI: 10.1148/rg.2021200144
PMCID: PMC9394104
PMID: 34415807
Abstract
Benign prostatic hyperplasia (BPH) is a noncancerous growth of the transitional zone of the prostate, which surrounds the prostatic urethra. Consequently, it can cause lower urinary tract symptoms (LUTS) and bladder outlet obstruction symptoms that may substantially reduce a patient's quality of life. Several treatments are available for BPH, including medications such as alpha-blockers and 5 alpha-reductase inhibitors and surgical options including transurethral resection of the prostate and prostatectomy. Recently, prostatic artery embolization (PAE) has emerged as a minimally invasive treatment option for selected men with BPH and moderate to severe LUTS. Adequate pre- and postprocedural evaluations with clinical examinations and questionnaires, laboratory tests, and urodynamic and imaging examinations (particularly US, MRI, and CT) are of key importance to achieve successful treatment. Considering that the use of PAE has been increasing in tertiary hospital facilities, radiologists and interventional radiologists should be aware of the main technical concepts of PAE and the key features to address in imaging reports in pre- and postprocedural settings.
An invited commentary by Lopera is available online.
Online supplemental material is available for this article. (C) RSNA, 2021
Details
- Title: Subtitle
- Prostatic Artery Embolization: Indications, Preparation, Techniques, Imaging Evaluation, Reporting, and Complications
- Creators
- Ubenicio Silveira Dias Jr - Hospital Sírio-LibanêsMauricio Ruettimann Liberato de Moura - Hospital Sírio-LibanêsPublio Cesar Cavalcante Viana - Hospital Sírio-LibanêsAndre Moreira de Assis - Hospital Sírio-LibanêsAntonio Sergio Zanfred Marcelino - University of Iowa, RadiologyAirton Mota Moreira - Hospital Sírio-LibanêsClaudia Costa Leite - Hospital Sírio-LibanêsGiovanni Guido Cerri - Hospital Sírio-LibanêsFrancisco Cesar Carnevale - Hospital Sírio-LibanêsNatally Horvat - Memorial Sloan Kettering Cancer Center
- Resource Type
- Journal article
- Publication Details
- Radiographics, Vol.41(5), pp.1509-1530
- DOI
- 10.1148/rg.2021200144
- PMID
- 34415807
- PMCID
- PMC9394104
- NLM abbreviation
- Radiographics
- ISSN
- 0271-5333
- eISSN
- 1527-1323
- Publisher
- Radiological Soc North America
- Number of pages
- 22
- Language
- English
- Date published
- 09/01/2021
- Academic Unit
- Radiology
- Record Identifier
- 9984697730002771
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