Publication Details
Abstract
Aim: To assess the association between DW MRI images of the prostate and the pathological features of the Tru-Cut (core) biopsy of the prostate's lesions. Methods: A total of 55 patients were involved in this investigation. The patients had a mean age of 62.5 years, with PSA levels that were greater than 4 ng/ml, and both DRE and transabdominal pelvic ultrasound exhibited increased prostate size, DRE demonstrated a suspicious, palpable mass, and ultrasound exhibited a hyperactive, enlarged prostate. All patients had a DW MRI of the prostate followed by 12 needle biopsies that were conducted under transrectal ultrasound guidance. Only biopsy samples that were visible on MRI (87 cases) were considered for this study, these cases were divided into prostate cancer, BPH, NSI, and CIG. Multiple lesions from the same patient were also studied. Results: There was a significant difference in the apparent diffusion coefficient of DW-MRI (ADC) between cancerous and non-cancerous lesions in the prostate (BPH, NSI, CIG) (P < 0.001).Conclusion: DW-MRI is a reliable tool to determine the presence of cancerous lesions of prostate before commencing with prostate biopsies.