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The Utility of Apparent Diffusion Coefficient Values in the Risk Stratification of Prostate Cancer Using a 1.5 T Magnetic Resonance Imaging Without Endorectal Coil

dc.contributor.authorLopes Dias, J
dc.contributor.authorMagalhães Pina, J
dc.contributor.authorVasco Costa, N
dc.contributor.authorCarmo, S
dc.contributor.authorLeal, C
dc.date.accessioned2019-03-13T12:02:10Z
dc.date.available2019-03-13T12:02:10Z
dc.date.issued2016
dc.description.abstractPurpose: To evaluate the relationship between mean apparent diffusion coefficient (ADC) and post-surgical Gleason scores. To determine the diagnostic accuracy of multiparametric magnetic resonance imaging (mp-MRI) on a 1.5 T magnet in distinguishing low, intermediate and highgrade prostate tumors. Material and methods: This is a retrospective institutional-review-board-approved, singlecenter study including 30 patients (median age, 60 years) who underwent mp-MRI before prostatectomy for prostate cancer. Using histological reports for guidance, the tumors were localized in ADC maps, and mean ADCs were measured and examined for correlation with Gleason scores. 2 patients had 2 measurable foci, so a total of 32 tumors were studied. The diagnostic accuracy of the mean ADC was assessed by using the area under the receiver operating characteristic curve (ROC). Results: In the differentiation of tumors with a Gleason score of 6 from those with a Gleason score of at least 7, mean ADC yielded an AUC of 0.76 (95% confidence interval: 0.59, 0.93). In the differentiation of tumors with Gleason scores of 6 or 7 from those with a Gleason score of at least 8, mean ADC yielded an AUC of 0.94 (95% confidence interval: 0.86, 1.00). Conclusion: Mean ADC values may allow a correct assessment of the patient risk using a 1.5 T magnet without ERC.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Urol Port. 2016;33(3):81-86pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3188
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAssociação Portuguesa de Urologiapt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectMultiparametric Magnetic Resonance Imagingpt_PT
dc.subjectProstate Cancerpt_PT
dc.subjectApparent Diffusion Coefficientpt_PT
dc.subjectGleason Scorept_PT
dc.subjectRisk Stratificationpt_PT
dc.subjectHSJ IMApt_PT
dc.subjectHSJ UROpt_PT
dc.titleThe Utility of Apparent Diffusion Coefficient Values in the Risk Stratification of Prostate Cancer Using a 1.5 T Magnetic Resonance Imaging Without Endorectal Coilpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage86pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage81pt_PT
oaire.citation.volume33pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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