374407

The Added Value of Diffusion Weighted MR Images in Assessment of Benign Prostatic Lesions and Prostatic Carcinoma

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Last updated: 03 Jan 2025

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Abstract

Background: Prostate cancer is considered the most common malignant neoplasm in males worldwide and the 2nd important reason for cancer-related male deaths after bronchogenic carcinoma. Objective: The purpose of this research is to assess how diffusion weighted image (DWI) and apparent diffusion coefficient (ADC) value characterise prostatic cysts, senile prostatic hyperplasia, prostate cancer, and the normal prostatic gland. Patients and methods: We enrolled 60 cases with suspicious prostatic lesions ,20 cases with benign prostatic hypertrophy, 20 cases prostate cancer and 20 with prostatic cyst along with 20 controls. All underwent magnetic resonance imaging (MRI) for prostatic assessment and Trans-rectal ultrasonography (TRUS) guided biopsy. Results: Prostate cancer had a considerably lower mean ADC value (p-value < 0.001) than normal central gland (CG), peripheral zone (PZ), and benign prostatic hyperplasia (BPH) nodules. The ADC value of the PZ tissue had been substantially higher than that of the normal central zone (CZ) (p < 0.001). While the prostatic cyst's ADC value was much greater than CZ's (p < 0.001), the BPH lesion's ADC value had been significantly lower than CZ's (p < 0.001). Conclusions:  DWI has been a useful tool for gathering information on the tissue properties of the prostate's various anatomical zones. In contrast to normal tissue, BPH, and prostate cysts, prostate carcinoma cause restricted diffusion of water, which may be used in the differential diagnosis of benign and malignant lesions.  

DOI

10.21608/ejhm.2024.374407

Keywords

Diffusion-weighted Images, ADC value, prostatic cancer, Prostatic cyst, Benign Prostatic Hyperplasia

Volume

96

Article Issue

1

Related Issue

48863

Issue Date

2024-07-01

Receive Date

2024-08-17

Publish Date

2024-07-01

Page Start

2,916

Page End

2,925

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_374407.html

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https://ejhm.journals.ekb.eg/service?article_code=374407

Order

89

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Added Value of Diffusion Weighted MR Images in Assessment of Benign Prostatic Lesions and Prostatic Carcinoma

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Article

Created At

24 Dec 2024