Local staging of prostate cancer: Comparative accuracy of T2-weighted endorectal MR imaging and transrectal ultrasound

Adam J. Jung, Fergus V. Coakley, Katsuto Shinohara, Peter R. Carroll, John Kurhanewicz, Janet E. Cowan, Antonio C. Westphalen

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Objective: The objective of this study was to compare the accuracy of T2-weighted magnetic resonance (MR) imaging and transrectal ultrasound (TRUS) for staging of prostate cancer. Material and methods: A total of 101 men with biopsy-proven prostate cancer undergoing both T2-weighted endorectal MR imaging and B-mode TRUS for local tumor staging prior to radical prostatectomy were retrospectively identified. Three MR readers rated the likelihood of locally advanced disease using a 5-point scale. An ultrasound reader performed the same rating. Staging accuracy was compared using receiver operating characteristic curves. Results: Staging accuracy was not significantly different between MR imaging (Az = 0.69-0.70) and TRUS (Az = 0.81, P>.05). Conclusions: T2-weighted MR imaging demonstrates comparable accuracy to B-mode TRUS for depicting locally invasive prostate cancer.

Original languageEnglish (US)
Pages (from-to)547-552
Number of pages6
JournalClinical Imaging
Volume36
Issue number5
DOIs
StatePublished - Sep 2012
Externally publishedYes

Keywords

  • Genitourinary
  • MRI
  • Prostate cancer
  • Staging
  • Ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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