Contrasting opinions: biparametric versus multiparametric prostate MRI.31 Jan 2019
The limitations of DCE have been well set out by the authors, namely the cost and its limited specificity. Unlike in breast MRI, DCE curve-typing is limited because most tumors demonstrate a type II curve (2) and a number of benign prostate conditions such as prostatitis and benign prostatic hyperplasia can demonstrate a Type III curve. Essentially the updated recommendations relegate the role of DCE to that of assessment of indeterminate lesions in the peripheral zone, and even then there must be a corresponding abnormality on another sequence. However, before dismissing DCE-MRI completely we need to appreciate the advantages it may bring.