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

Figure 8 A 51-year-old patient with a history of Gleason 4 + 5 prostate carcinoma treated with hormone therapy. A: Re-staging bone scintigraphy was negative for bone metastases; B and C: Sagittal (B) and coronal (C) images of abdominal CT scan show a diffuse axial bone altered density that could not rule out bone metastases, along with multiple retroperitoneal and pelvic enlarged nodes suggesting malignant adenopathies (white arrows in C); D and E: Sagittal (D) and coronal (E) whole-body MRI images clearly show multiple bone metastases and adenopathies, along with hepatic nodules (black arrows in F, axial abdominal MRI) suspicious for metastatic disease. MRI: Magnetic resonance imaging.