Magnetic resonance imaging for prostate cancer before radical and salvage radiotherapy: What radiation oncologists need to know

Figure 7 A 54-year-old patient with recently diagnosed prostate carcinoma. A: T2-weighted axial image of the pelvis shows an ill-defined hyperintense area in the right pubis (arrow); B and C: ADC map (B) and DWI images (C) show restriction of diffusion in the same area (arrow); D: DCE image presents enhancement of the lesion after IV gadolinium (arrow). MRI findings were suspicious for pelvic bone metastasis, with no evidence of such lesion on staging abdomino-pelvic CT scan performed a week earlier (E) and in a previous bone scintigraphy (not shown). Bone metastasis was confirmed on clinical evolution. MRI: Magnetic resonance imaging; DCE: Dynamic contrast-enhanced; CT: Computed tomography.