title: Fine-tuning robot-assisted radical prostatectomy planning with MRI.
abstract: OBJECTIVE
  Robot-assisted radical prostatectomy (RARP) has now become the most common surgical treatment option for prostate cancer (CaP). Clinicopathologic data (i.e., biopsy, digital rectal exam, prostate specific antigen level) and patient-specific factors (e.g., age, erectile function, co-morbidities) are the primary sources of information that urologists use for counseling and treatment decision making. Magnetic resonance imaging (MRI) has evolved along a similar temporal arc to RARP, with increased utilization and precision over the past decade. MRI prior to RARP provides multifaceted adjunctive information, including enhancement of locoregional staging, delineation of spatial anatomic information, and identification of aberrant anatomy, all of which aid in patient treatment counseling and operative planning. This article is designed for urologic surgeons who perform RARP, with the aim of providing a review of prostate MRI imaging and highlighting findings which may specifically alter the operation.
  
  
  METHODS
  A review of the literature was performed, focusing on the most recent publications.
  
  
  RESULTS
  MRI imaging of the prostate has become increasing accurate for the identification, localization, and characterization of CaP lesions. In addition to tumor-specific information, a number of intra- and extra-prostatic findings are consistently identified on MRI which may impact RARP.
  
  
  CONCLUSIONS
  MRI provides important information which may alter RARP.
authors: Department of Urology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA 90027, USA. finds7@gmail.com
authors: David S
authors: DS
authors: Finley
authors: Daniel
authors: D
authors: Margolis
authors: Steve S
authors: SS
authors: Raman
authors: Benjamin M
authors: BM
authors: Ellingson
authors: Shyam
authors: S
authors: Natarajan
authors: Nelly
authors: N
authors: Tan
authors: Jiaoti
authors: J
authors: Huang
authors: Robert E
authors: RE
authors: Reiter
mesh_terms: D003657:Decision Making; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D009367:Neoplasm Staging / Q000379:methods; D011467:Prostate / Q000473:pathology*; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000473:pathology* / Q000601:surgery*; D012371:Robotics; D012669:Seminal Vesicles / Q000473:pathology; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome