Prostatitis CT scan
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American Roentgen Ray Society Images of Prostatitis CT scan |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2]
Overview
CT scan in a patient with prostatitis shows edema of the prostate gland with diffuse enlargement, mostly in the peripheral zone. An abscess may be seen as a rim enhancing hypodensity which can either have single or multiple locuses.[1][2][3]
CT scan
When an abscess is included in the differential diagnosis of prostatitis, a contrast CT scan is preferred. CT scan in a patient with prostatitis shows edema of the prostate gland with diffuse enlargement, mostly in the peripheral zone. An abscess can also be identified as a rim enhancing hypodensity which can either be unilocular or multilocular. Central zone can be involved rarely such as after the transurethral resection of the prostate (TURP).[1][2][4]
Prostate Imaging Reporting and Data System
Prostate Imaging reporting and Data System or PIRADS score is very helpful in diagnosing prostatitis and differentiating it from prostatic cancer.[5][6]
- A higher PIRADS score can differentiate prostatic inflammation from carcinoma more reliably
- Decreased diffusion favours the diagnosis of prostatitis
Image
Given below is a representation of the granulomatous prostatitis diagnosed with the help of an MRI.
References
- ↑ 1.0 1.1 Prostatitis. Radiopaedia 2016. http://radiopaedia.org/articles/prostatitis. Accessed on Feb 09, 2017
- ↑ 2.0 2.1 Sharp VJ, Takacs EB, Powell CR (2010). "Prostatitis: diagnosis and treatment". Am Fam Physician. 82 (4): 397–406. PMID 20704171.
- ↑ Choon-Young Kim, Sang-Woo Lee, Seock Hwan Choi, Seung Hyun Son, Ji-Hoon Jung, Chang-Hee Lee, Shin Young Jeong, Byeong-Cheol Ahn & Jaetae Lee (2016). "Granulomatous Prostatitis After Intravesical Bacillus Calmette-Guerin Instillation Therapy: A Potential Cause of Incidental F-18 FDG Uptake in the Prostate Gland on F-18 FDG PET/CT in Patients with Bladder Cancer". Nuclear medicine and molecular imaging. 50 (1): 31–37. doi:10.1007/s13139-015-0364-y. PMID 26941857. Unknown parameter
|month=ignored (help) - ↑ Robert Lucaj & Dwight M. Achong (2017). "Concurrent Diffuse Pyelonephritis and Prostatitis: Discordant Findings on Sequential FDG PET/CT and 67Ga SPECT/CT Imaging". Clinical nuclear medicine. 42 (1): 73–75. doi:10.1097/RLU.0000000000001415. PMID 27824318. Unknown parameter
|month=ignored (help) - ↑ Rajeev Jyoti, Noel Hamesh Jina & Hodo Z. Haxhimolla (2016). "In-gantry MRI guided prostate biopsy diagnosis of prostatitis and its relationship with PIRADS V.2 based score". Journal of medical imaging and radiation oncology. doi:10.1111/1754-9485.12555. PMID 27987276. Unknown parameter
|month=ignored (help) - ↑ Michael Meier-Schroers, Guido Kukuk, Karsten Wolter, Georges Decker, Stefan Fischer, Christian Marx, Frank Traeber, Alois Martin Sprinkart, Wolfgang Block, Hans Heinz Schild & Winfried Willinek (2016). "Differentiation of prostatitis and prostate cancer using the Prostate Imaging-Reporting and Data System (PI-RADS)". European journal of radiology. 85 (7): 1304–1311. doi:10.1016/j.ejrad.2016.04.014. PMID 27235878. Unknown parameter
|month=ignored (help) - ↑ Libre Pathology https://radiopaedia.org/cases/granulomatous-prostatitis-1 Accessed on Feb 13, 2017