Table 3. ESUR scoring of extraprostatic disease, according to ESUR prostate MR guidelines (9).
Criteria | Findings | Score |
---|---|---|
Extra-capsular extension | Abutment | 1 |
Irregularity | 3 | |
Neurovascular bundle thickening | 4 | |
Bulge, loss of capsule | 4 | |
Measurable extra-capsular disease | 5 | |
Seminal vesicles | Expansion | 1 |
Low T2 signal | 2 | |
Filling in of angle | 3 | |
Enhancement and impeded diffusion | 4 | |
Distal sphincter | Adjacent tumour | 3 |
Effacement of low signal sphincter muscle | 3 | |
Abnormal enhancement extending into sphincter | 4 | |
Bladder neck | Adjacent tumour | 2 |
Loss of low T2 signal in bladder muscle | 3 | |
Abnormal enhancement extending into bladder neck | 4 |