Research Article
BibTex RIS Cite

Biparametrik Prostat MRG, Multiparametrik MRG ile Prostat Kanseri Tespiti İçin Benzer Tanısal Doğruluk Oranları Gösterir

Year 2022, Volume: 12 Issue: 3, 503 - 509, 29.09.2022
https://doi.org/10.31832/smj.1021146

Abstract

Amaç: Prostat kanseri tanısında bp-MRG'nin tanısal doğruluğunu standart mp-MRI ile karşılaştırmak.

Gereç ve Yöntemler: 3 Tesla MRG cihazında elde edilen bp-MRG bulguları mp-MRG bulguları ile karşılaştırmalı olarak retrospektif olarak değerlendirildi. Bp- ve mp-MRG'ler için duyarlılık, özgüllük, pozitif ve negatif prediktif değerler (PPV ve NPV) hesaplandı ve karşılaştırıldı.

Bulgular: Ortalama yaşı 62.4±11.8 yıl (31-86 yıl aralığında) olan toplam 202 hasta dahil edilme kriterlerini karşıladı. PI-RADS 4 ve 5 lezyonlu hastalarda; bp-MRG ve mP-MRG için duyarlılık, özgüllük, PPV, NPV sırasıyla %95.4, %77.2, %53.8, %98.3 ve %97.7, %73.4, %50.5, %99.1 idi.

Sonuç: PI-RADS 4 ve 5 lezyonları için tanısal doğruluk oranları bp-MRI ve mp-MRI için benzer bulundu.

References

  • Barentsz JO, Richenberg J, Clements R, et al. ESUR prostate MR guidelines 2012. Eur Radiol 2012;22:746-757.
  • Vargas HA, Hotker AM, Goldman DA, et al. Updated prostate imaging reporting and data system (PIRADS v2) recommendations for the detection of clinically significant prostate cancer using multiparametric MRI: critical evaluation using whole-mount pathology as standard of reference. Eur Radiol 2016;26:1606-1612.
  • Turkbey B, Rosenkrantz AB, Haider MA, et al. Prostate Imaging Reporting and Data System Version 2.1: 2019 Update of Prostate Imaging Reporting and Data System Version 2. Eur Urol 2019;76:340-351.
  • Thestrup KC, Logager V, Baslev I, et al. Biparametric versus multiparametric MRI in the diagnosis of prostate cancer. Acta Radiol Open 2016;5:2058460116663046.
  • Boesen L, Norgaard N, Logager V, et al. Multiparametric MRI in men with clinical suspicion of prostate cancer undergoing repeat biopsy: a prospective comparison with clinical findings and histopathology. Acta Radiol 2018;59:371-380.
  • Di Campli E, Delli Pizzi A, Seccia B, et al. Diagnostic accuracy of biparametric vs multiparametric MRI in clinically significant prostate cancer: Comparison between readers with different experience. Eur J Radiol 2018;101:17-23.
  • Niu XK, Chen XH, Chen ZF, et al. Diagnostic Performance of Biparametric MRI for Detection of Prostate Cancer: A Systematic Review and Meta-Analysis. Am J Roentgenol 2018:1-10.
  • Kuhl CK, Bruhn R, Kramer N, et al. Abbreviated Biparametric Prostate MR Imaging in Men with Elevated Prostate-specific Antigen. Radiology 2017;285:493-505.
  • Scialpi M, D'Andrea A, Martorana E, et al. Biparametric MRI of the prostate. Turk J Urol 2017;43:401-409.
  • Scialpi M, Prosperi E, D'Andrea A, et al. Biparametric versus Multiparametric MRI with Non-endorectal Coil at 3T in the Detection and Localization of Prostate Cancer. Anticancer Res 2017;37:1263-1271.
  • Fascelli M, Rais-Bahrami S, Sankineni S, et al. Combined Biparametric Prostate Magnetic Resonance Imaging and Prostate-specific Antigen in the Detection of Prostate Cancer: A Validation Study in a Biopsy-naive Patient Population. Urology 2016;88:125-134.
  • Rais-Bahrami S, Siddiqui MM, Vourganti S, et al. Diagnostic value of biparametric magnetic resonance imaging (MRI) as an adjunct to prostate-specific antigen (PSA)-based detection of prostate cancer in men without prior biopsies. BJU Int 2015;115:381-388.
  • Cicchetti DV. Multiple comparison methods: establishing guidelines for their valid application in neuropsychological research. J Clin Exp Neuropsychol 1994;16:155-161.
  • Delongchamps NB, Rouanne M, Flam T, et al. Multiparametric magnetic resonance imaging for the detection and localization of prostate cancer: combination of T2-weighted, dynamic contrast-enhanced and diffusion-weighted imaging. BJU Int 2011;107:1411-1418.
  • Xu L., Zhang G., Shi B, et al. Comparison of biparametric and multiparametric MRI in the diagnosis of prostate cancer. Cancer Imaging 2019;19:90.
  • Choi MH, Kim CK, Lee YJ et al. Prebiopsy biparametric MRI for clinically significant prostate cancer detection with PI-RADS version 2. Am J Roentgenol 2019,;212:839-846.
  • Tamada T., Kido A, Yamamoto A, et al. Comparison of biparametric and multiparametric MRI for clinically significant prostate cancer detection with PI-RADS version 2.1. J. Magn. Reson. Imaging 2020; 53:283-291.
  • Hansford BG, Peng Y, Jiang Y, et al. Dynamic Contrast-enhanced MR Imaging Curve-type Analysis: Is It Helpful in the Differentiation of Prostate Cancer from Healthy Peripheral Zone? Radiology 2015;275:448-457.
  • Barth BK, De Visschere PJL, Cornelius A, et al. Detection of Clinically Significant Prostate Cancer: Short Dual-Pulse Sequence versus Standard Multiparametric MR Imaging-A Multireader Study. Radiology 2017;284:725-736.
  • Scialpi M, Rondoni V, Aisa MC, et al. Is contrast enhancement needed for diagnostic prostate MRI? Transl Androl Urol 2017;6:499-509.

Biparametric Prostate MRI Shows Similar Diagnostic Accuracy Rates for Prostate Cancer Detection with Multiparametric MRI

Year 2022, Volume: 12 Issue: 3, 503 - 509, 29.09.2022
https://doi.org/10.31832/smj.1021146

Abstract

Objective: To compare the diagnostic accuracy of bp-MRI with standard mp-MRI in the diagnosis of prostate cancer.

Material and Methods: We retrospectively evaluated the bp-MRIs in comparison with mp-MRIs at 3 Tesla. Sensitivity, specificity, positive and negative predictive values (PPV and NPV), for bp- and mp-MRIs were calculated and compared.

Results: A total of 202 patients with a mean age of 62.4±11.8 years (range from 31 to 86 years) fulfilled the inclusion criteria. In patients with PI-RADS 4 and 5 lesions; the sensitivity, specificity, PPV, NPV for bp-MRI versus mp-MRI were 95.4%, 77.2%, 53.8%, 98.3% and 97.7% vs 73.4%, 50.5%, 99.1%, respectively.

Conclusion: Overall diagnostic accuracy was similar for the bp-MRI and the mp-MRI for PI-RADS 4 and 5 lesions.

References

  • Barentsz JO, Richenberg J, Clements R, et al. ESUR prostate MR guidelines 2012. Eur Radiol 2012;22:746-757.
  • Vargas HA, Hotker AM, Goldman DA, et al. Updated prostate imaging reporting and data system (PIRADS v2) recommendations for the detection of clinically significant prostate cancer using multiparametric MRI: critical evaluation using whole-mount pathology as standard of reference. Eur Radiol 2016;26:1606-1612.
  • Turkbey B, Rosenkrantz AB, Haider MA, et al. Prostate Imaging Reporting and Data System Version 2.1: 2019 Update of Prostate Imaging Reporting and Data System Version 2. Eur Urol 2019;76:340-351.
  • Thestrup KC, Logager V, Baslev I, et al. Biparametric versus multiparametric MRI in the diagnosis of prostate cancer. Acta Radiol Open 2016;5:2058460116663046.
  • Boesen L, Norgaard N, Logager V, et al. Multiparametric MRI in men with clinical suspicion of prostate cancer undergoing repeat biopsy: a prospective comparison with clinical findings and histopathology. Acta Radiol 2018;59:371-380.
  • Di Campli E, Delli Pizzi A, Seccia B, et al. Diagnostic accuracy of biparametric vs multiparametric MRI in clinically significant prostate cancer: Comparison between readers with different experience. Eur J Radiol 2018;101:17-23.
  • Niu XK, Chen XH, Chen ZF, et al. Diagnostic Performance of Biparametric MRI for Detection of Prostate Cancer: A Systematic Review and Meta-Analysis. Am J Roentgenol 2018:1-10.
  • Kuhl CK, Bruhn R, Kramer N, et al. Abbreviated Biparametric Prostate MR Imaging in Men with Elevated Prostate-specific Antigen. Radiology 2017;285:493-505.
  • Scialpi M, D'Andrea A, Martorana E, et al. Biparametric MRI of the prostate. Turk J Urol 2017;43:401-409.
  • Scialpi M, Prosperi E, D'Andrea A, et al. Biparametric versus Multiparametric MRI with Non-endorectal Coil at 3T in the Detection and Localization of Prostate Cancer. Anticancer Res 2017;37:1263-1271.
  • Fascelli M, Rais-Bahrami S, Sankineni S, et al. Combined Biparametric Prostate Magnetic Resonance Imaging and Prostate-specific Antigen in the Detection of Prostate Cancer: A Validation Study in a Biopsy-naive Patient Population. Urology 2016;88:125-134.
  • Rais-Bahrami S, Siddiqui MM, Vourganti S, et al. Diagnostic value of biparametric magnetic resonance imaging (MRI) as an adjunct to prostate-specific antigen (PSA)-based detection of prostate cancer in men without prior biopsies. BJU Int 2015;115:381-388.
  • Cicchetti DV. Multiple comparison methods: establishing guidelines for their valid application in neuropsychological research. J Clin Exp Neuropsychol 1994;16:155-161.
  • Delongchamps NB, Rouanne M, Flam T, et al. Multiparametric magnetic resonance imaging for the detection and localization of prostate cancer: combination of T2-weighted, dynamic contrast-enhanced and diffusion-weighted imaging. BJU Int 2011;107:1411-1418.
  • Xu L., Zhang G., Shi B, et al. Comparison of biparametric and multiparametric MRI in the diagnosis of prostate cancer. Cancer Imaging 2019;19:90.
  • Choi MH, Kim CK, Lee YJ et al. Prebiopsy biparametric MRI for clinically significant prostate cancer detection with PI-RADS version 2. Am J Roentgenol 2019,;212:839-846.
  • Tamada T., Kido A, Yamamoto A, et al. Comparison of biparametric and multiparametric MRI for clinically significant prostate cancer detection with PI-RADS version 2.1. J. Magn. Reson. Imaging 2020; 53:283-291.
  • Hansford BG, Peng Y, Jiang Y, et al. Dynamic Contrast-enhanced MR Imaging Curve-type Analysis: Is It Helpful in the Differentiation of Prostate Cancer from Healthy Peripheral Zone? Radiology 2015;275:448-457.
  • Barth BK, De Visschere PJL, Cornelius A, et al. Detection of Clinically Significant Prostate Cancer: Short Dual-Pulse Sequence versus Standard Multiparametric MR Imaging-A Multireader Study. Radiology 2017;284:725-736.
  • Scialpi M, Rondoni V, Aisa MC, et al. Is contrast enhancement needed for diagnostic prostate MRI? Transl Androl Urol 2017;6:499-509.
There are 20 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Ayşegül Görmez 0000-0001-5620-2881

Osman Melih Topcuoğlu 0000-0002-4008-3395

Faruk Yencilek This is me 0000-0003-2911-1276

Publication Date September 29, 2022
Submission Date November 29, 2021
Published in Issue Year 2022 Volume: 12 Issue: 3

Cite

AMA Görmez A, Topcuoğlu OM, Yencilek F. Biparametric Prostate MRI Shows Similar Diagnostic Accuracy Rates for Prostate Cancer Detection with Multiparametric MRI. Sakarya Tıp Dergisi. September 2022;12(3):503-509. doi:10.31832/smj.1021146

30703

The published articles in SMJ are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.