Prostate Cancer: Prediction of Extracapsular Extension with Endorectal MR Imaging and Three-dimensional Proton MR Spectroscopic Imaging

作者: Kyle K. Yu , Juergen Scheidler , Hedvig Hricak , Daniel B. Vigneron , Charles J. Zaloudek

DOI: 10.1148/RADIOLOGY.213.2.R99NV26481

关键词: ProstateProstate cancerMagnetic resonance imagingMr spectroscopic imagingMedicineProton magnetic resonanceCancerProstatectomyMr imagingRadiology

摘要: PURPOSE: To determine if the addition of three-dimensional (3D) proton magnetic resonance (MR) spectroscopic imaging to endorectal MR helps diagnose extracapsular extension (ECE) prostate cancer. MATERIALS AND METHODS: Endorectal and 3D were performed in 53 patients with cancer before radical prostatectomy. studies evaluated by two independent readers unaware histopathologic findings. The presence ECE was graded on a five-point scale. At imaging, diagnosed ratio choline plus creatine citrate 2 or more SDs above normal. accuracy alone compared that combined use step-section results as standard reference. RESULTS: For less experienced reader, significantly improved (area under receiver operating charact...

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