Ces radiol. 2021, 75(4):306-311 | DOI: 10.55095/CesRadiol2021/039

Diffusion-weighted imaging in the diagnosis of prostate cancerOriginal article

Pavla Hanzlíková1,2, Kateřina Ryšánková3,4, Dominik Vilímek5, Jakub Cvek6,7
1 Ústav radiodiagnostický FN, Ostrava
2 Ústav zobrazovacích metod OU, Ostrava
3 Urologická klinika FN, Ostrava
4 Katedra chirurgických oborů OU, Ostrava
5 Katedra kybernetiky a biomedicínského inženýrství VŠB-TU, Ostrava
6 Onkologická klinika FN, Ostrava
7 Klinika onkologická LF, Ostrava

The article presents the current approach to diagnosing prostate cancer using magnetic resonance imaging by diffusion-weighted DWI. DWI is one of the main pillars of the PI-RADS system for assessing the risk of prostate cancer. This sequence is an available, native and, with optimized parameter setting, minimally burdensome examination technique. Its standard and advanced settings and design have a high diagnostic yield. Performing quantification and thus a certain degree of objectification can further increase the benefit of the method. Another challenge of the technique is undoubtedly the use of other values of diffusion factor, either in very low or high values. This technique may lead to the routine using of other diffusion evaluation parameters in clinical practice. It could help assess the degree of prostate tumour aggression and estimate development of aggressiveness and risk of extracapsular extension.

Keywords: magnetic resonance, prostate cancer, DWI, ADC, IVIM, kurtosis
Grants and funding:

Implementace pokročilých metod difuze pro použití ve Fakultní nemocnici Ostrava je podpořeno projektem MZ ČR - RVO (RVO-FNOs/2020 - FN Ostrava, IČ 00843989), zahájeno v roce 2020.

Accepted: December 15, 2021; Published: December 1, 2021  Show citation

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Hanzlíková P, Ryšánková K, Vilímek D, Cvek J. Diffusion-weighted imaging in the diagnosis of prostate cancer. Ces radiol. 2021;75(4):306-311. doi: 10.55095/CesRadiol2021/039.
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