Multi-Parametric Mri In Diagnosis Of Cancer Prostate In Patients With Elevated Prostatic Specific Antigen (Psa)

Document Type : Original Research Papers

Authors

1 Radiology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

2 Urology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Abstract

Background and goal. Multiparametric resonance imaging (MRI) plays a vital role in the identification of prostate cancer. The aim of this study is to evaluate the function of MPMRI in 1,5-Tesla (1,5-T) prostatic carcinomas in high PSA patients. 50 patients were registered with PSA above 10 ng/ml for this prospective study authorised by this Ethics Board. Patients with a history of positive prostate biopsy and prostate cancer were excluded. All patients with 1,5-T MRI were targeted at transrectal ultrasound-led biopsies for confirming findings. The overall sensitivity, specificity, positive forecast value and negative predictive value with mp-MRI was 98.6%, 95%, 96% and 71%. Conclusion. Our results showed that the 1,5 T mp-MRI also serves as a triage method to avoid unnecessary invasive rectal biopsies which are very sensitive to prostate cancer.

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