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. Author manuscript; available in PMC: 2017 Oct 4.
Published in final edited form as: Urol Pract. 2014 Mar 4;1(1):13–21. doi: 10.1016/j.urpr.2014.02.012

Figure 1.

Figure 1

Patient is 53-year-old man with family history of prostate cancer (PSA 6.1 ng/dl) and multiple prior negative 12-core biopsies. A, axial T2-weighted MRI demonstrates lesion in midline apical-base anterior transitional zone (asterisk). B, apparent diffusion coefficient maps of diffusion weighted MRI show restricted diffusion corresponding to hypointense signal intensity within lesion (asterisk). C, raw dynamic contrast enhanced MRI. D, ktrans map derived from dynamic contrast enhanced MRI confirms hypervascularity within anterior midline transitional zone lesion (asterisk). MRI/TRUS fusion guided biopsy revealed high volume Gleason 8 PCa in multiple targeted cores of this anterior lesion.