Normal prostate MRI

Case contributed by Dr Dalia Ibrahim

Patient Data

Age: 30
Gender: Male

Normal prostate.

The Central gland (which is composed of central and transitional zones) elicits lower signal than the peripheral zone.

The peripheral zone is the outer portion of the prostate and represents 70% of the gland.

Annotated image

The prostate consists of:

  • Central gland (CG) (composed of central and transitional zones), which are of low signal
  • peripheral zone (PZ) which has homogeneous high signal surrounded by capsule of low signal 
  • fibromuscular stroma (FM)

Neurovascular bundles (white arrows)

Prostatic capsule (red circle)

UB (urinary bladder)

SV (seminal vesicles)

U (urethra)

Ejaculatory ducts (Chevrons)

Case Discussion

Normal volume of the prostate should be less than 30 ml. This is calculated by 0.52 x length x width x height.

MRI imaging is helpful in differentiation the prostatic zonal anatomy (best demonstrated on T2WI).

Special techniques are used to improve the early detection of prostate cancer such as DWI, dynamic-contrast enhanced MRI and MR spectroscopy.

The majority of cancers arise from the peripheral zone (PZ).

The central gland has heterogeneous signal in older men secondary to benign prostatic hypertrophy (BPH), the BPH nodules usually involves the transitional zone. 

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Case information

rID: 29986
Case created: 9th Jul 2014
Last edited: 26th Nov 2015
System: Urogenital
Inclusion in quiz mode: Included

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