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Magn Reson Imaging. 2021 Nov;83:152-159. doi: 10.1016/j.mri.2021.08.009. Epub 2021 Aug 25.

Quantitative diffusion-weighted imaging and dynamic contrast-enhanced MR imaging for assessment of tumor aggressiveness in prostate cancer at 3T.

Magnetic resonance imaging

Takeshi Fukunaga, Tsutomu Tamada, Naoki Kanomata, Mitsuru Takeuchi, Yu Ueda, Yoshiyuki Miyaji, Ayumu Kido, Akira Yamamoto, Teruki Sone

Affiliations

  1. Department of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki-city, Okayama 701-0192, Japan. Electronic address: [email protected].
  2. Department of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki-city, Okayama 701-0192, Japan. Electronic address: [email protected].
  3. Department of Pathology, Kawasaki Medical School, 577 Matsushima, Kurashiki-city, Okayama 701-0192, Japan. Electronic address: [email protected].
  4. Department of Radiology, Radiolonet Tokai, Asaoka-cho 3-86-2, Chikusa-ku, Nagoya-city, Aichi 464-0811, Japan.
  5. Philips Japan, Konan 2-13-37, Minato-ku, Tokyo 108-8507, Japan. Electronic address: [email protected].
  6. Department of Urology, Kawasaki Medical School, 577 Matsushima, Kurashiki-city, Okayama 701-0192, Japan. Electronic address: [email protected].
  7. Department of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki-city, Okayama 701-0192, Japan. Electronic address: [email protected].
  8. Department of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki-city, Okayama 701-0192, Japan. Electronic address: [email protected].
  9. Department of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki-city, Okayama 701-0192, Japan. Electronic address: [email protected].

PMID: 34454006 DOI: 10.1016/j.mri.2021.08.009

Abstract

PURPOSE: To compare diffusion-weighted imaging (DWI) and dynamic contrast-enhanced MR imaging (DCE-MRI) for characterization of prostate cancer (PC).

METHODS: 104 PC patients who underwent prostate multiparametric MRI at 3T including DWI and DCE-MRI before MRI-guided biopsy or radical prostatectomy. Apparent diffusion coefficient (ADC) with histogram analysis (mean, 0-25th percentile, skewness, and kurtosis), intravoxel incoherent motion model including D and f; stretched exponential model including distributed diffusion coefficient (DDC) and a; and permeability parameters including K

RESULTS: ADC

CONCLUSIONS: DWI and DCE-MRI showed no apparent clinical superiority of non-Gaussian models or permeability MRI over the mono-exponential model for assessment of tumor aggressiveness in PC.

Copyright © 2021 Elsevier Inc. All rights reserved.

Keywords: Apparent diffusion coefficient; Diffusion-weighted imaging; Dynamic contrast-enhanced MR imaging; MR imaging; Prostate cancer; Tumor aggressiveness

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