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Comparison of biparametric versus multiparametric prostate MRI for the detection of extracapsular extension and seminal vesicle invasion in biopsy naïve patients

European Journal of Radiology Jun 01, 2021

Caglic I, Sushentsev N, Shah N, et al. - This study sought to correlate biparametric MRI (bpMRI) with multiparametric MRI (mpMRI) staging accuracy in assessing extracapsular extension (ECE) and seminal vesicle invasion (SVI). In this single-centre retrospective study, researchers enrolled biopsy-naïve patients undergoing 3 T-MRI before radical prostatectomy for clinically significant prostate cancer. bpMRI and mpMRI for the presence of ECE and SVI were separately evaluated by two uroradiologists using a 5-point Likert scale (1: ECE/SVI highly unlikely, 5: ECE/SVI highly likely). A total of 110 men of median age 63 years and PSA 8.5 ng/ml were enrolled in this study. It was shown that the diagnostic performance of bpMRI and mpMRI was comparable for detection of ECE, Nevertheless, for SVI detection, mpMRI with contrast was superior and improved the inter-reader agreement.

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