The utility of diffusion weighted imaging (DWI) using apparent diffusion coefficient (ADC) values in discriminating between prostate cancer and normal tissue

Elżbieta Łuczyńska, Sylwia Heinze-Paluchowska, Agnieszka Domalik, Anna Ćwierz, Hanna Kasperkiewicz, Paweł Blecharz, Barbara Jereczek-Fossa

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)450-455
Number of pages6
JournalPolish Journal of Radiology
Volume79
Issue number1
DOIs
Publication statusPublished - Dec 2 2014

Keywords

  • Magnetic resonance imaging
  • Neoplasm grading
  • Prostatic neoplasms

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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