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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Introduction
2 topics, 9 min.
Lesson
Prostate Anatomy
11 topics, 1 hr. 2 min.
Zonal Anatomy
5 m.Subdividing the Prostate Zones in the Axial Plane
4 m.Coronal Anatomy
5 m.Proximal to Distal Anatomy
6 m.Sagittal Anatomy
6 m.Prostate Anatomy on MRI in the Axial Projection
12 m.Prostate Anatomy on MRI in the Sagittal Projection
9 m.Utilizing the Axial Sequence
5 m.Identifying Prostate Zones on MRI
9 m.Prostatic Urethra
4 m.Membranous Urethra
3 m.Lesson
Evaluating BPH
8 topics, 20 min.
Lesson
What's New in PI-RADS 2.1
29 topics, 1 hr. 24 min.
Introduction to PI-RADS 2.1
5 m.PI-RADS assessment - Peripheral Zone
2 m.PI-RADS assessment - DWI
3 m.PI-RADS assessment - Transition Zone
2 m.Transition Zone T2 Scoring
3 m.Peripheral Zone DWI Scoring
3 m.PI‐RADS Assessment for DCE
4 m.Prostate Anatomy - Sector Map
4 m.Prostate Anatomy - Cross Sectional Review
5 m.Ellipsoid Volume
5 m.Image Acquisition T2WI
3 m.Image Acquisition DWI
3 m.Image Acquisition: DCE
3 m.Image Interpretation: DWI
4 m.Image Interpretation: DWI Score 2 vs. 3
5 m.Assessment of T2W in the Transitional Zone: Score 1
4 m.Assessment of T2W in the Transitional Zone: Score 2
4 m.T2W Score 2 - Summary
3 m.TZ Nodules and Corresponding Scores
3 m.PI-RADS 2 vs. PI-RADS 3
2 m.Diagrammatic TZ Assessment
7 m.Image Interpretation DCE: Modified Criteria
3 m.Biparametric MRI
4 m.Philosophical Approach to Central Zone Malignancy (1)
3 m.Philosophical Approach to Central Zone Malignancy (2)
3 m.Central Zone Pitfalls
3 m.Normal Anterior Fibromuscular Stroma
2 m.Anterior Fibromuscular Stroma - Malignancy Criteria
2 m.Anterior Fibromuscular Stroma - Advanced Problem Solving
4 m.Lesson
Prostate MRI Imaging Caveats
3 topics, 6 min.
Lesson
Prostate MRI Case Reviews
12 topics, 1 hr. 18 min.
Case Review: PI-RADS 4, Stage IIB
4 m.Case Review: PI-RADS 4
5 m.Case Review: Staging a PI-RADS 5 Lesion
11 m.PI-RADS 4/5
9 m.Case Review: PI-RADS 4/5 - Compare With Prior 3T
12 m.Case Review: PI-RADS 5 & 3
11 m.Case Review: PI-RADS 4 – Making Use of the ADC Map
5 m.Case Review: Charcoal Sign in the Transition Zone
5 m.Case Review: Pitfall – T2 Blackout Sign
6 m.Case Review: When the Diffusion Imaging Fails
4 m.Case Review: When not to use the Leikert Grading System
6 m.Case Review: Interesting PI-RADS 4 Case
7 m.Lesson
PI-RADS 2.1 Case Review
4 topics, 18 min.
Lesson
Multiparametric MRI Case Review with Dr. John Feller
3 topics, 11 min.
0:00
Let's look at an example of the anterior
0:03
form of BPH, so-called lobar type 1.
0:08
Type 1 in the front, type 2 posterosuperior
0:11
in the back behind the urethra,
0:14
type 3 balanced, both hypertrophied equally,
0:17
and type 4 pedunculated masses often arising in
0:21
the periurethral region, prolapsing into
0:25
and compressing the urethra would be a type 4.
0:27
So this is a type 1.
0:29
Most of the gland that's enlarged
0:32
is in front of the urethra.
0:34
So where is the urethra, you might ask?
0:37
It's a little hard to see,
0:38
but there's the opening right there.
0:40
And this dark slit represents the upper
0:43
portion of the urethra that has no
0:45
fluid in it because it's compressed.
0:48
In the axial projection, you can often
0:50
find urethra in front of the veru
0:53
montanum and the prostatic utricle.
0:55
So here's the utricle, the great landmark,
0:58
the smooth muscle, dark area in front of it is the
1:00
veru montanum, not a big one, and then the
1:04
little dot in front of that is the urethra.
1:06
So where's the urethra?
1:08
Back here.
1:09
So now you know that most of the gland that's
1:11
enlarged is in front of the urethra, only a little
1:16
bit of the gland that's big is behind the urethra.
1:19
The urethra is right there, this dark
1:22
irregular crack, and so this would
1:25
be a type 1 lobar hypertrophy.
1:29
And then you would go on to measure length
1:31
times width times height, and then pick
1:34
whether you're going to use the ellipsoid
1:35
or bullet technique to calculate the
1:37
volume of this prostate, which is pretty big.
Type 1 BPH
HIDEInteractive Transcript
0:00
Let's look at an example of the anterior
0:03
form of BPH, so-called lobar type 1.
0:08
Type 1 in the front, type 2 posterosuperior
0:11
in the back behind the urethra,
0:14
type 3 balanced, both hypertrophied equally,
0:17
and type 4 pedunculated masses often arising in
0:21
the periurethral region, prolapsing into
0:25
and compressing the urethra would be a type 4.
0:27
So this is a type 1.
0:29
Most of the gland that's enlarged
0:32
is in front of the urethra.
0:34
So where is the urethra, you might ask?
0:37
It's a little hard to see,
0:38
but there's the opening right there.
0:40
And this dark slit represents the upper
0:43
portion of the urethra that has no
0:45
fluid in it because it's compressed.
0:48
In the axial projection, you can often
0:50
find urethra in front of the veru
0:53
montanum and the prostatic utricle.
0:55
So here's the utricle, the great landmark,
0:58
the smooth muscle, dark area in front of it is the
1:00
veru montanum, not a big one, and then the
1:04
little dot in front of that is the urethra.
1:06
So where's the urethra?
1:08
Back here.
1:09
So now you know that most of the gland that's
1:11
enlarged is in front of the urethra, only a little
1:16
bit of the gland that's big is behind the urethra.
1:19
The urethra is right there, this dark
1:22
irregular crack, and so this would
1:25
be a type 1 lobar hypertrophy.
1:29
And then you would go on to measure length
1:31
times width times height, and then pick
1:34
whether you're going to use the ellipsoid
1:35
or bullet technique to calculate the
1:37
volume of this prostate, which is pretty big.
Report
Editorial Note
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
John F. Feller, MD
Chief Medical Officer, HALO Diagnostics. Medical Director & Founder, Desert Medical Imaging. Chief of Radiology, American Medical Center, Shanghai, China.
HALO Diagnostics
Tags
Prostate/seminal vesicles
MRI
Genitourinary (GU)
Body
Acquired/Developmental
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