Table 4.
Effects of tumor characteristics (Gleason score and tumor size at histopathology) on sensitivity of each MRI sequence in different prostate zones. With the exception of MRS in the PZ and overall prostate gland, all 4 MRI sequences had significantly higher sensitivity in detecting larger tumors and tumors with Gleason score > 7 (p<0.05 for all comparisons).
Overall Prostate Gland | ||||
---|---|---|---|---|
SENSITIVITY | MRI sequence | |||
T2W MRI | DCEMRI | MR spectroscopy | DW MRI | |
Tumor type | ||||
Gleason score <=7 | 0.47 (0.05) | 0.27 (0.05) | 0.14 (0.04) | 0.45 (0.05) |
Gleason score > 7 | 0.8 (0.06) | 0.69 (0.08) | 0.32 (0.14) | 0.74 (0.07) |
Size <= 5 mm | 0.37 (0.05) | 0.13 (0.03) | 0.08 (0.03) | 0.33 (0.06) |
Size > 5 mm | 0.68 (0.05) | 0.53 (0.07) | 0.25 (0.08) | 0.64 (0.06) |
Peripheral Zone | ||||
---|---|---|---|---|
SENSITIVITY | MRI sequence | |||
T2W MRI | DCE MRI | MR spectroscopy | DW MRI | |
Tumor type | ||||
Gleason score <=7 | 0.56 (0.05) | 0.30 (0.05) | 0.17 (0.04) | 0.52 (0.06) |
Gleason score > 7 | 0.85 (0.05) | 0.69 (0.09) | 0.30 (0.17) | 0.74 (0.08) |
Size <= 5 mm | 0.45 (0.05) | 0.15 (0.04) | 0.10 (0.04) | 0.40 (0.07) |
Size > 5 mm | 0.75 (0.05) | 0.55 (0.07) | 0.26 (0.09) | 0.68 (0.06) |
Central Gland | ||||
---|---|---|---|---|
SENSITIVITY | MRI sequence | |||
T2W MRI | DCE MRI | MR spectroscopy | DW MRI | |
Tumor type | ||||
Gleason score <=7 | 0.05 (0.05) | 0.12 (0.08) | 0 (0) | 0.10 (0.07) |
Gleason score > 7 | 0.6 (0.21) | 0.7 (0.18) | 0.4 (0.23) | 0.75 (0.18) |
Size <= 5 mm | 0 (0) | 0.05 (0.05) | 0 (0) | 0 (0) |
Size > 5 mm | 0.34 (0.15) | 0.44 (0.14) | 0.2 (0.13) | 0.46 (0.16) |
Anterior Peripheral Zone and Central Gland | ||||
---|---|---|---|---|
SENSITIVITY | MRI sequence | |||
T2W MRI | DCE MRI | MR spectroscopy | DW MRI | |
Tumor type | ||||
Gleason score <=7 | 0.29 (0.07) | 0.18 (0.06) | 0.06 (0.03) | 0.35 (0.07) |
Gleason score > 7 | 0.76 (0.13) | 0.79 (0.12) | 0.5 (0.18) | 0.84 (0.11) |
Size <= 5 mm | 0.12 (0.07) | 0.07 (0.04) | 0.02 (0.02) | 0.29 (0.1) |
Size > 5 mm | 0.57 (0.09) | 0.49 (0.1) | 0.27 (0.11) | 0.59 (0.09) |