Image guidance in robot-assisted radical prostatectomy: How far do we stand?

Alberto Martini, Vinayak G. Wagaskar, Paolo Dell'oglio, Ardeshir R. Rastinehad, John P. Sfakianos, Ashutosh K. Tewari

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations


Purpose of reviewOver 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 findingsNovel 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.SummaryImaging 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.

Original languageEnglish
Pages (from-to)10-13
Number of pages4
JournalCurrent Opinion in Urology
Issue number1
StatePublished - 2019


  • imaging
  • multiparametric MRI
  • prostate cancer
  • robot-assisted radical prostatectomy


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