INITIAL VALUE OF MULTIPARAMETRIC MAGNETIC RESONANCE IMAGING BASED ON PI-RADSv2.1 TO DETECT CLINICALLY SIGNIFICANT PROSTATE CANCER

Nguyễn Thị Nhân, Nguyễn Thanh Hải, Lê Hồng Chiến, Ngô Văn Đoan, Vũ Thị Hậu

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Abstract

Purpose: This study analyzes the initial value of multiparametric magnetic resonance imaging (mpMRI) according to the PI-RADSv2.1 guideline to detect clinically significant prostate cancer. Materials and Methods: The prospective study included 30 patients with 38  prostatic lesions at the Vinmec Times City International Hospital from July 2018 to January 2021. We classify prostatic lesions detected on mpMRI according to PI-RADSv2.1 guidelines. The suspicious lesions were biopsied by transrectal ultrasound (TRUS) guided. The correlation between the prostate lesion on mpMRI and the histopathological result of transrectal ultrasound (TRUS) guided biopsy specimens was properly analyzed. Results: Clinically significant prostate cancer ratio based on PI-RADS categories £2, 3, 4, 5  was 0%, 12.5%; 58.3%; 85.7%, respectively. PI-RADS 3 category only saw in prostate cancer Gleason groups 1 and 2; PI-RADS 4, 5 categories was showed in prostate cancer Gleason groups ³2. Conclusion: Multiparametric magnetic resonance imaging has a considerable value in detecting clinically significant prostate cancer with substantial correlation between PI-RADS 4, 5 categories and Gleason grading system in prostate cancer.

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References

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