Multiparametric MRI image example of clinically significant cancer that was MRI-invisible. 72-year-old male with a serum PSA of 6.55ng/ml. Systematic biopsy revealed Gleason 4+4 prostate adenocarcinoma in the right base lateral region of the prostate, however axial T2W MRI (A), ADC map (B), b2000 DW MRI (C) and DCE MRI (D) does not demonstrate an MRI visible disease focus in the right base of the prostate.
systematic biopsy yielded Gleason 4+3 prostate adenocarcinoma in the right apical peripheral zone.