Role of magnetic resonance spectroscopy in the evaluation of prostatic tumors. | ||
| Minia Journal of Medical Research | ||
| Volume 30, Issue 1, March 2019, Pages 209-211 PDF (79.08 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.223011 | ||
| Authors | ||
| Emadeldeen S. Ali1; Saad R. Abdulwahed Hussein2; Tarek M. Mohamed Mansour2; Mostafa A. Gaber Hasan2 | ||
| 1Department of Radiodiagnosis Al-Azhar University, Assiut | ||
| 2Department of Radiodiagnosis Al-Azhar University, Assiut, | ||
| Abstract | ||
| Background: Magnetic resonance imaging may improve the staging of prostate cancer compared with clinical evaluation alone, computerized tomography, or trans-rectal ultrasound, and it allows simultaneous and detailed evaluation of prostatic, periprostatic, and pelvic anatomy. Magnetic resonance imaging and magnetic resonance spectroscopic imaging (MRI/MRSI) allow better visualization of the zonal anatomy of the prostate and better delineation of tumor location, volume, and extent (stage). Metabolic criteria used to identify and localize prostate cancer with MRI/MRSI have been standardized, thus improving the accuracy of the examination and limiting inter observer variations in interpretation. Objective: The aim of this study is to evaluate the diagnostic efficiency of MR spectroscopy in evaluating the prostatic tumors in the form of differentiation of benign from malignant prostatic tumors. Patients and methods: This study was conducted on 50 patients with prostatic tumors at Radiodiagnosis Department Al-Azhar University, Assiut, during the period from October 2015 to March 2018, all patients were subjected to complete history taking, clinical examination, laboratory assessment (PSA), trans-rectal ultrasonography, MRI, and prostatic biopsy. Results: In our study, we proved high sensitivity and specificity of MP-MRI reaching 100% and 96.67% respectively in the diagnosis of patients with elevated PSA level and hard nodule by DRE. Conclusion: In our research, we analyzed the combined use of T2-weighted imaging and H-MRS to detect prostate cancer accurately. We hypothesized that combined information of non-invasive morphologic and functional MR techniques, multiparametric MR imaging approach rather than the use of either sequence alone could easily improve the detection, localization, and grading of prostate cancers. | ||
| Keywords | ||
| Prostate; cancer; MRI; spectroscopy | ||
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