Comparison between Gleason score and apparent diffusion coefficient obtained from diffusion-weighted imaging of prostate cancer patients

Cancer Invest. 2013 Nov;31(9):625-9. doi: 10.3109/07357907.2013.845673. Epub 2013 Oct 18.

Abstract

Objectives: To correlate the apparent diffusion coefficient (ADC) of prostate cancer patients with pathological Gleason scores (GS).

Methods: 40 patients with GS 2 + 3, 3 + 3, 3 + 4, or 4 + 4 were selected. The magnetic resonance imaging (MRI) study was performed adding axial diffusion-weighted imaging (DWI) sequences to the standard MRI protocol. ADC values obtained were correlated with the GS data.

Results: Statistically significant differences of ADC (p < .05) were found among GS groups with a trend of decreasing ADC values with increasing GS.

Conclusions: The ADC values may help clinicians to delineate prostate carcinoma, recognizing its high- or low-grade compartments.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Biopsy
  • Diffusion Magnetic Resonance Imaging*
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Grading*
  • Predictive Value of Tests
  • Prognosis
  • Prostatic Neoplasms / diagnosis*
  • Prostatic Neoplasms / pathology
  • Retrospective Studies