SPHP Radiology Protocols

Radiology Protocols

Prostate MR

PROSTATE

(last updated 11/12/2020, last reviewed 02/02/2026)

SEQUENCES

Ax T1 SE whole pelvis

Ax T1 high res prostate (small FOV) – ANGLE TO PROSTATE

Ax TSE T2 high res prostate (small FOV) – ANGLE TO PROSTATE

Sag TSE T2 high res prostate (small FOV) – ANGLE TO PROSTATE

Cor TSE T2 high res prostate (small FOV) – ANGLE TO PROSTATE

Ax diffusion (B50/400/800) with ADC – ANGLE TO PROSTATE

Ax diffusion (B1800) no ADC – ANGLE TO PROSTATE

Axial ISO VIBE prostate PRE – ANGLE TO PROSTATE

DCE (2.5 mins duration) – ANGLE TO PROSTATE

Axial VIBE whole pelvis (from aortic bif)

Axial ISO VIBE prostate POST – ANGLE TO PROSTATE

Setting up the planes

prostate1 (1)

The axial images go perpendicular to a line that goes through the point where the urethra enters the base of the bladder and the base of the penis (dotted black line). Set up the prescription using the sagittal and coronal images. Make sure the entire prostate and seminal vesicles are covered.

prostate2

The coronal images go parallel to a line that goes through the point where the urethra enters the base of the bladder and the base of the penis (dotted black line from above). Set up the perscription using the sagittal and axial images. On the axial scout images the perscription should be a true coronal of the prostate. The entire prostate needs to be covered. It is OK to clip the posterior aspect of the seminal vesicles.

prostate3

The sagittal images go parallel to a line that goes through the point where the urethra enters the base of the bladder and the base of the penis (dotted black line). Set up the perscription using the axial and coronal images. On the axial scout images the perscription should be a true sagittal of the prostate. The entire prostate needs to be covered. It is oK to clip the lateral most aspects of the seminal vesicles.


ACR link


PI-RADS link

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