Multıparametric Prostate Magnetic Resonance Imaging Before Radical Prostatectomy: Can it Predict Histopathology?
Makaleler > Tam Makale · 2020
Yazarlar: MEHMET ŞAHİN, Fuat KIZILAY, Ezgi GÜLER, Banu SARSIK KUMBARACI, Mustafa HARMAN, Mustafa Serdar KALEMCİ, Adnan ŞİMŞİR, İbrahim Kadri CÜREKLİBATIR
Urology journal, SCI Expanded İndekslerine Giren Dergi, Uluslararası, 2020, cilt 18, ss 417-421
Özet
PURPOSE: We aimed to investigate the histopathological correlation of the suspected prostate malignancy detected in multiparametric prostate magnetic resonance imaging (mpMRI). MATERIALS AND METHODS: The data of 93 patients underwent radical prostatectomy and had preoperative mpMRI were examined. Age and pre-operative Prostate-Specific Antigen value were retrospectively collected from patient files. The pathology specimens were examined again and post-operative ISUP grade group, other pathological findings (seminal vesicle invasion, lymph node involvement and extraprostatic extension), pre-operative mpMRI were re-examined and PIRADS score, extracapsular extension, seminal vesicle invasion, neurovascular bundle invasion, lymph node involvement and ADC values were recorded. RESULTS: 151 (92,07%) of 164 lesions detected in mpMRI were histopathologically correlated. 80% of patients with seminal vesicle invasion (P < 0.001), 28.8% of patients with extracapsular extension (P < 0.052) and 42.9% of patients with lymph node involvement (P = .001) in mpMRI were histopathologically correlated. A significant relationship was found between PIRADS scores and ISUP grade groups (P < 0.001). There was a negative correlation between ADC values and ISUP grade groups (P < 0.001). CONCLUSION: Our study showed that the lesions detected by mpMRI showed a high histopathological correlation.