Comparison of T2* Mapping with Diffusion-Weighted Imaging in the Characterization of Low- vs Intermediate- and High-Grade Prostate Cancer.

To evaluate the diagnostic value of T2* mapping compared with ADC mapping in the characterization of low- (Gleason score, ≤ 6) vs intermediate- and high-grade (Gleason score ≥ 7) prostate cancer.

Sixty-two patients who underwent MRI before prostatectomy were evaluated. Two readers independently scored the probabilities of tumours in twelve regions of the prostate on T2* and ADC images. The data were divided into two groups, i.e., low- vs intermediate- and high-grade prostate cancer, and correlated with the histopathological results. The diagnostic performance parameters, areas under the receiver-operating characteristic curves (AUCs) and inter-reader agreements were calculated.

For reader 2, the ADC mapping exhibited greater accuracy for the intermediate-grade prostate cancers than the high-grade prostate cancers (0.77 vs 0.83, P<0.05). For both readers, the T2 * mapping exhibited a greater accuracy for the intermediate-grade prostate cancers than the high-grade prostate cancers (reader 1, 0.86 vs. 0.81; reader 2, 0.83 vs 0.78, P<0.05). The AUCs of the T2 * mappings were greater than those of the ADC mappings for the intermediate- and high-grade (reader 1, 0.83 vs. 0.78; reader 2, 0.80 vs 0.75, P<0.05) prostate cancers but not for the low-grade (reader 1, 0.86 vs 0.84; reader 2, 0.83 vs. 0.82, P>0.05) prostate cancers. The weighted κ value of the T2 * mapping was 0.59.

T2 * mapping improves the accuracy of the characterization of intermediate- and high-grade but not low-grade prostate cancers compared with ADC mapping. Advances in knowledge: T2 * mapping exhibited greater diagnostic accuracy than ADC mapping in the characterization of intermediate- and high-grade prostate cancers. T2 * mapping exhibited limited value in the characterization of low-grade prostate cancer.

The British journal of radiology. 2016 Apr 19 [Epub ahead of print]

Lian-Ming Wu, Zi-Zhou Zhao, Xiao-Xi Chen, Qing Lu, Si-Teng Suo, Qiang Liu, Jiani Hu, E M Haccke, Jian-Rong Xu

1 Department of Radiology, Renji Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai 200127, China., 1 Department of Radiology, Renji Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai 200127, China., 1 Department of Radiology, Renji Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai 200127, China., 1 Department of Radiology, Renji Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai 200127, China., 1 Department of Radiology, Renji Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai 200127, China., 2 Department of Pathology, Renji Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai 200127, China., 3 Department of Radiology, Wayne State University, Detroit, MI, 48201,United States., 3 Department of Radiology, Wayne State University, Detroit, MI, 48201,United States., 1 Department of Radiology, Renji Hospital, School of Medicine,Shanghai Jiao Tong University, Shanghai 200127, China.