Prostate cancer local staging using biparametric MRI: assessment and comparison with multiparametric MRI. 2020

Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
Academic Department of Radiology, Hôpital Pitié-Salpétrière, Assistance Publique des Hôpitaux de Paris, Paris, France.

OBJECTIVE The value of adding dynamic contrast-enhanced (DCE) imaging to T2-weighted (T2W) magnetic resonance imaging (MRI) and diffusion-weighted imaging (DWI) to improve the detection and staging of prostate cancer (PCa) is unclear. The aim of this retrospective study was to compare the diagnostic performance of non-contrast biparametric MRI (bpMRI) with multiparametric MRI (mpMRI), for local staging of PCa. METHODS Ninety-two patients who underwent prostate MRI on a 3-Tesla MRI system before radical prostatectomy for PCa were included retrospectively. Four readers independently assigned a Likert score (ranging from 1 to 5) for predicting extra-prostatic extension (EPE) on T2W + DWI (bpMRI) and then on T2W + DWI + DCE imaging (mpMRI). MRI-based staging results were compared with radical prostatectomy histology. A prediction of EPE generalized linear mixed model was used to assess the added-value of DCE and discriminative power of staging accuracy by area under the receiver-operating curve (AUC ROC). RESULTS AUC was not significantly improved by DCE (mpMRI, AUC = 0.73 [95%CI: 0.655‒0.827] vs. bpMRI, AUC = 0.76 [95%CI: 0.681‒0.846]). After applying a selection procedure, only MRI criteria were retained in a multivariate model. The following criteria were significantly associated with local extension: localization in the peripheral zone (p < 0.001), maximal diameter of the lesion (<0.0001), curvilinear capsular contact on T2W (p < 0.0001), capsular irregularity on T2W (p < 0.0001), bulging on T2W (p < 0.001) and seminal vesicle hypo-signal (p < 0.001). CONCLUSIONS Use of bpMRI did not result in a decrease in local staging accuracy.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009367 Neoplasm Staging Methods which attempt to express in replicable terms the extent of the neoplasm in the patient. Cancer Staging,Staging, Neoplasm,Tumor Staging,TNM Classification,TNM Staging,TNM Staging System,Classification, TNM,Classifications, TNM,Staging System, TNM,Staging Systems, TNM,Staging, Cancer,Staging, TNM,Staging, Tumor,System, TNM Staging,Systems, TNM Staging,TNM Classifications,TNM Staging Systems
D011468 Prostatectomy Complete or partial surgical removal of the prostate. Three primary approaches are commonly employed: suprapubic - removal through an incision above the pubis and through the urinary bladder; retropubic - as for suprapubic but without entering the urinary bladder; and transurethral (TRANSURETHRAL RESECTION OF PROSTATE). Prostatectomy, Retropubic,Prostatectomy, Suprapubic,Prostatectomies,Prostatectomies, Retropubic,Prostatectomies, Suprapubic,Retropubic Prostatectomies,Retropubic Prostatectomy,Suprapubic Prostatectomies,Suprapubic Prostatectomy
D011471 Prostatic Neoplasms Tumors or cancer of the PROSTATE. Cancer of Prostate,Prostate Cancer,Cancer of the Prostate,Neoplasms, Prostate,Neoplasms, Prostatic,Prostate Neoplasms,Prostatic Cancer,Cancer, Prostate,Cancer, Prostatic,Cancers, Prostate,Cancers, Prostatic,Neoplasm, Prostate,Neoplasm, Prostatic,Prostate Cancers,Prostate Neoplasm,Prostatic Cancers,Prostatic Neoplasm
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000081364 Multiparametric Magnetic Resonance Imaging Magnetic Resonance Imaging technique that combines functional imaging techniques such as diffusion-weighted imaging (DWI), dynamic contrast-enhanced imaging and magnetic spectroscopy. This technique is widely used for active surveillance in prostate cancer imaging. Multiparametric MRI,mp-MRI,mpMRI,MRI, Multiparametric,MRIs, Multiparametric,Multiparametric MRIs
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective

Related Publications

Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
June 2021, European journal of radiology,
Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
October 2021, Seminars in roentgenology,
Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
November 2025, Journal of the Korean Society of Radiology,
Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
May 2019, Radiology and oncology,
Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
December 2019, Cancer imaging : the official publication of the International Cancer Imaging Society,
Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
March 2024, AJR. American journal of roentgenology,
Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
February 2024, Anticancer research,
Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
May 2019, Prostate cancer and prostatic diseases,
Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
April 2020, Medicine and pharmacy reports,
Charlotte Christophe, and Sarah Montagne, and Stéphanie Bourrelier, and Morgan Roupret, and Eric Barret, and François Rozet, and Eva Comperat, and Jean François Coté, and Olivier Lucidarme, and Olivier Cussenot, and Benjamin Granger, and Raphaële Renard-Penna
August 2016, Acta radiologica open,
Copied contents to your clipboard!