VALUE OF MAGNETIC RESONANCE IN DIAGNOSIS LESIONS IN TRANSITION ZONE OF PROSTATE USING THE PROSTATE IMAGING AND REPORITNG DATA SYSTEM (PI-RADS) 2.1

Thị Thanh Trương 1, Đình Âu Hoàng 1,
1 Hanoi medical university hospital

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Abstract

Purpose: To evaluate the value of magnetic resonance in diagnosis lesions in transition zone of prostate using the Prostate Imaging and Reporting Data System (PI-RADS) 2.1. Material and methods: A descriptive, prospective and retrospective study of 67 patients who were suspicious prostate cancer (clinical presentation or high PSA) had performed MRI prostate and been biopsied at the Radiology Center of Hanoi Medical University Hospital.  Result: In our study, 32 patients were diagnosed prostate cancer in transition zone, 35 patients had benign lesions. In cancer group, the mean age was 66,66 years old, mean total PSA was 45,18 ng/mL and 66,67% patients having PSA higher than 20 ng/mL. The percentage of prostate cancer in group PIRADS 2 was 0%, PIRADS 3 was 12%, PIRADS 4 was 50% and PIRADS 5 was 88%.  Conclusion: MRI prostate using the PI-RADS 2.1 has been established as the most accurate non- invasive diagnosis imaging tool for detecting prostate cancer in transition zone.

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References

1. Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: a cancer journal for clinicians. 2021;71(3):209-249.
2. Rosenkrantz AB, Kim S, Campbell N, Gaing B, Deng F-M, Taneja SS. Transition zone prostate cancer: revisiting the role of multiparametric MRI at 3 T. American Journal of Roentgenology. 2015;204(3):W266-W272.
3. Turkbey B, Rosenkrantz AB, Haider MA, et al. Prostate imaging reporting and data system version 2.1: 2019 update of prostate imaging reporting and data system version 2. European urology. 2019;76(3):340-351.
4. Tamada T, Kido A, Takeuchi M, et al. Comparison of PI-RADS version 2 and PI-RADS version 2.1 for the detection of transition zone prostate cancer. European journal of radiology. 2019;121:108704.
5. Thai JN, Narayanan HA, George AK, et al. Validation of PI-RADS Version 2 in Transition Zone Lesions for the Detection of Prostate Cancer. Radiology. 2018;288(2):485-491. doi:10.1148/ radiol.2018170425
6. Vũ Lê Chuyên, Đỗ Anh Toàn. Khảo sát tỷ lệ ung thư tuyến tiền liệt ở nam giới trên 50 tuổi đến khám tại bệnh viện Bình Dân. Y Học TP Hồ Chí Minh.2012;16:335-341
7. An J, Kim YJ, Seo JY, et al. In prostatic transition zone lesions (PI-RADS v2.1): which subgroup should be biopsied? Egypt J Radiol Nucl Med. 2021;52(1):1-11. doi:10.1186/s43055-021-00543-9