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The Utility of Diffusion Weighted Imaging (DWI) Using Apparent Diffusion Coefficient (ADC) Values in Discriminating Between Prostate Cancer and Normal Tissue.

Luczyńska E, Heinze-Paluchowska S, Domalik A, Cwierz A, Kasperkiewicz H, Blecharz P, Jereczek-Fossa B - Pol J Radiol (2014)

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Centre of Oncology, Maria Sklodowska-Curie Memorial Institute of Oncology, Cracow, Poland.

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/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.

No MeSH data available.


Related in: MedlinePlus

Box plots of ADC values for cancer and normal tissue. Horizontal lines indicate mean ±SE and mean ±1.96*SE (standard error – SE) which is the border of the 95% confidence interval.
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f3-poljradiol-79-450: Box plots of ADC values for cancer and normal tissue. Horizontal lines indicate mean ±SE and mean ±1.96*SE (standard error – SE) which is the border of the 95% confidence interval.

Mentions: Within the examined group of patients ADC was statistically higher for normal tissue than for tumor tissue (p=0.00) (Figure 3).


The Utility of Diffusion Weighted Imaging (DWI) Using Apparent Diffusion Coefficient (ADC) Values in Discriminating Between Prostate Cancer and Normal Tissue.

Luczyńska E, Heinze-Paluchowska S, Domalik A, Cwierz A, Kasperkiewicz H, Blecharz P, Jereczek-Fossa B - Pol J Radiol (2014)

Box plots of ADC values for cancer and normal tissue. Horizontal lines indicate mean ±SE and mean ±1.96*SE (standard error – SE) which is the border of the 95% confidence interval.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4257483&req=5

f3-poljradiol-79-450: Box plots of ADC values for cancer and normal tissue. Horizontal lines indicate mean ±SE and mean ±1.96*SE (standard error – SE) which is the border of the 95% confidence interval.
Mentions: Within the examined group of patients ADC was statistically higher for normal tissue than for tumor tissue (p=0.00) (Figure 3).

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Centre of Oncology, Maria Sklodowska-Curie Memorial Institute of Oncology, Cracow, Poland.

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/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.

No MeSH data available.


Related in: MedlinePlus