Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8771674 | The Journal of Urology | 2018 | 8 Pages |
Abstract
Low grade prostate cancer (Gleason score 3 + 3 = 6) can develop in patients with an overall PI-RADS score of 3. Prostate cancer with a Gleason score of 3 + 4 = 7 or greater can be detected by multiparametric magnetic resonance imaging with a high degree of certainty. Gleason score 4 + 3 = 7 or greater prostate cancer is unlikely in PI-RADS 3 lesions. Therefore, these patients should primarily undergo followup multiparametric magnetic resonance imaging. In patients with a combination of multiparametric magnetic resonance imaging aspects of extensive prostatitis and diffuse stromal hyperplasia low prostate volume and/or high prostate specific antigen density biopsy might be considered.
Keywords
PI-RADS™PSATRUSmp-MRIPSADMultiparametric MRIPCAProstate specific antigenMRIImage-guided biopsysystematic biopsyTargeted biopsyPSA densityDiagnostic imagingMagnetic resonance imagingProstate cancerUltrasonographyTransrectal ultrasoundTransition zoneperipheral zoneProstatic neoplasmsGleason scoreProstate Imaging Reporting and Data System
Related Topics
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Authors
Tim Ullrich, Michael Quentin, Christian Arsov, Anna Katharina Schmaltz, Alexander Tschischka, Nina Laqua, Andreas Hiester, Dirk Blondin, Robert Rabenalt, Peter Albers, Gerald Antoch, Lars Schimmöller,