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Quantitative 3T multiparametric MRI of benign and malignant prostatic tissue in patients with and without local recurrent prostate cancer after external-beam radiation therapy

Journal of Magnetic Resonance Imaging Jun 21, 2019

Fernandes CD, et al. - Through a prospective case-control study of 33 patients with biochemical failure after external-beam radiotherapy (cases), 35 patients without the post-radiotherapy recurrent disease (controls), and 13 patients with primary prostate cancer (untreated), the researchers intended to quantitatively identify radio-recurrent tumor and benign radiation-induced changes using multiparametric MRI (mp-MRI), and investigate which sequences would optimize the differentiation between tumor and benign surroundings. All imaging maps could distinguish recurrent tumor from the benign peripheral zone, but only ADC, Ktrans, and kep could demarcate it from a benign central gland. In contrast to recurrent tumor and peri-urethral Ktrans values, kep were significantly different. Hence, it was concluded that p-MRI could separate recurrent tumor from benign tissue.
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