The efficacy of multiparametric prostate magnetic resonance imaging in the diagnosis and treatment of prostate cancer

Keywords: Multiparametric prostate magnetic resonance imaging, mpMRI, prostate cancer, PI-RAD

Abstract

Aim: To investigate the accuracy of multiparametric prostate magnetic resonance imaging (mpMRI) in determining the diagnosis and treatment options of prostate cancer (PCa), and its pathology correlation.

Methods: Between October 2017 and January 2018, 73 patients were subjected to an mpMRI at our clinic. Of these patients, 11 were radical prostatectomy (RP) after treatment, and four were post- radiation therapy (RT) follow-up. The remaining 58 patients were assigned to the PSA elevation and / or positive digital rectal examination (DRE) patient group in this study and their outcomes were evaluated.

Results: Of the 58 patients included in the study, 13 were found to have a PI-RADS 5 on mpMRI and in 9 (90%) of 10 patients undergoing simultaneous biopsy, PCa was detected. The biopsy results of all cases evaluated as PI-RADS 1 were benign. All of the patients who were ISUP 3 and above had a PI-RADS 5. Patients with a PI-RADS score of 4 and above being ISUP 2 and above was statistically significant (p=0.011). A case had undergone a previous radical prostatectomy assessment revealed that tPSA increased to 2 ng/ml during the follow-up, and so RT was added to the treatment; although LAP was identified in the left iliac region on an mpMRI performed upon the continued increase of tPSA. During the follow-ups of the patient who had regional RT, the tPSA dropped below 0.01 ng/ml.

Conclusion: The results of our study show that mpMRI can gain a new and important place in urology due to the guidance it provides in biopsies, facilitating targeted biopsy, its effectiveness in determining treatment modalities and its importance in post-PCa treatment follow-ups.

Published
2020-06-13
How to Cite
Ozcan, S., Akin, Y., Kose, O., Coskun, M., Uluc, M., Gorgel, S., Yilmaz, Y., & Yagli, O. (2020, June 13). The efficacy of multiparametric prostate magnetic resonance imaging in the diagnosis and treatment of prostate cancer. EXPERIMENTAL BIOMEDICAL RESEARCH, 3(3), 167-175. https://doi.org/https://doi.org/10.30714/j-ebr.2020361052

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