Movie 6.

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Cine DW images (b = 2000 sec/mm²) in a 63-year-old biopsy-naïve patient with a PSA level of 6.25 ng/mL (same patient as in Figure 5) show the lesion is mildly hyperintense. The patient underwent robotic-assisted prostatectomy. Whole-mount pathology specimens showed Gleason 4+4 disease corresponding to the identified lesion (Fig 5e). However, MR imaging, particularly in the left transition zone, resulted in underestimation of the extent of the lesion. In addition, a Gleason 3+4 lesion was present in the right peripheral zone (Fig 5e). MP MR imaging did not depict right midperipheral zone prostate cancer lesion.