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Image guidance in robot-assisted radical prostatectomy

how far do we stand?

Martini, Albertoa,b; Wagaskar, Vinayak G.a; Dell’Oglio, Paolob; Rastinehad, Ardeshir R.a; Sfakianos, John P.a; Tewari, Ashutosh K.a

doi: 10.1097/MOU.0000000000000565
ROBOTIC SURGERY IN UROLOGY: FACTS AND REALITY: Edited by Alexandre Mottrie and Paolo Dell’Oglio
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Purpose of review Over the past decades, several efforts have been made for integrating multiparametric MRI (mpMRI) in the diagnostic pathways of prostate cancer. Despite this fact, the role of mpMRI in planning surgery has been explored in a relatively small number of studies. The aim of this review is to summarize the current evidence with respect to imaging and specifically mpMRI in planning robot-assisted radical prostatectomy.

Recent findings Novel tools integrating mpMRI and clinical data have been described for planning surgery. mpMRI results in adds value to models based on clinical parameters only. Three-dimensional printed models of the prostate and prostatic tumor may help in planning surgery, however only few studies with limited number of patients are currently available in this regard. Finally, the integration of mpMRI renderings in the robotic console may help in surgical planning and might increase the diffusion of imaging for planning (and performing) surgery.

Summary Imaging in planning surgery is still underutilized. Thus, further studies are needed to increase the use of mpMRI in planning surgery and also in performing surgery.

aDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York City, New York, USA

bUnit of Urology, Division of Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy

Correspondence to Ashutosh K. Tewari, MD, Department of Urology, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, 6th Floor, New York City, NY 10029, USA. Tel: +1 212 241 2565; fax: +1 212 876 3246; e-mail: ash.tewari@mountsinai.org

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