TY - JOUR
T1 - The utility of diffusion weighted imaging (DWI) using apparent diffusion coefficient (ADC) values in discriminating between prostate cancer and normal tissue
AU - Łuczyńska, Elżbieta
AU - Heinze-Paluchowska, Sylwia
AU - Domalik, Agnieszka
AU - Ćwierz, Anna
AU - Kasperkiewicz, Hanna
AU - Blecharz, Paweł
AU - Jereczek-Fossa, Barbara
PY - 2014/12/2
Y1 - 2014/12/2
N2 - Background: The aim of this study was to investigate the utility of diffusion weighted imaging (DWI) using Apparent Diffusion Coefficient (ADC) values in discriminating between patients with tumors and normal prostate tissue before the initial systematic core biopsy. The relationship between histological grade of prostate cancer and ADC values in the peripheral zone was also investigated.Material and Methods: Our study included 62 patients who underwent magnetic resonance imaging (MRI) of the pelvis. The examinations were performed in T1-, T2-weighted, DWI and T1 after dynamic contrast administration sequences. In all patients there were abnormal foci within the peripheral zone determined in DWI/ADC. ADC values were compared with the Gleason score (GS) after core needle biopsy (CNB) in patients with low, medium and high stage tumors.Results: Within the examined group of patients, ADC was statistically higher for normal tissue than for cancerous tissue (p=0.00). Mean ADC values for patients with low, intermediate and high GS were 0.85±0.03, 0.72±0.03, and 0.61±0.04, respectively.Conclusions: DWI/ADC is useful in differentiating high-risk patients from those at low and intermediate risk, since there is a significant correlation between ADC values determined in patients included in three different groups according to their Gleason score. This information may be helpful in the assessment of prostate cancer aggressiveness.
AB - Background: The aim of this study was to investigate the utility of diffusion weighted imaging (DWI) using Apparent Diffusion Coefficient (ADC) values in discriminating between patients with tumors and normal prostate tissue before the initial systematic core biopsy. The relationship between histological grade of prostate cancer and ADC values in the peripheral zone was also investigated.Material and Methods: Our study included 62 patients who underwent magnetic resonance imaging (MRI) of the pelvis. The examinations were performed in T1-, T2-weighted, DWI and T1 after dynamic contrast administration sequences. In all patients there were abnormal foci within the peripheral zone determined in DWI/ADC. ADC values were compared with the Gleason score (GS) after core needle biopsy (CNB) in patients with low, medium and high stage tumors.Results: Within the examined group of patients, ADC was statistically higher for normal tissue than for cancerous tissue (p=0.00). Mean ADC values for patients with low, intermediate and high GS were 0.85±0.03, 0.72±0.03, and 0.61±0.04, respectively.Conclusions: DWI/ADC is useful in differentiating high-risk patients from those at low and intermediate risk, since there is a significant correlation between ADC values determined in patients included in three different groups according to their Gleason score. This information may be helpful in the assessment of prostate cancer aggressiveness.
KW - Magnetic resonance imaging
KW - Neoplasm grading
KW - Prostatic neoplasms
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U2 - 10.12659/PJR.890805
DO - 10.12659/PJR.890805
M3 - Article
AN - SCOPUS:84919326372
VL - 79
SP - 450
EP - 455
JO - Polish Journal of Radiology
JF - Polish Journal of Radiology
SN - 1733-134X
IS - 1
ER -