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Published in: International Urology and Nephrology 5/2019

01-05-2019 | Prostate Cancer | Urology - Original Paper

The clinical utility of prostate cancer heterogeneity using texture analysis of multiparametric MRI

Authors: Maira Hameed, Balaji Ganeshan, Joshua Shur, Subhabrata Mukherjee, Asim Afaq, Deepak Batura

Published in: International Urology and Nephrology | Issue 5/2019

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Abstract

Purpose

To determine if multiparametric MRI (mpMRI) derived filtration-histogram based texture analysis (TA) can differentiate between different Gleason scores (GS) and the D’Amico risk in prostate cancer.

Methods

We retrospectively studied patients whose pre-operative 1.5T mpMRI had shown a visible tumour and who subsequently underwent radical prostatectomy (RP). Guided by tumour location from the histopathology report, we drew a region of interest around the dominant visible lesion on a single axial slice on the T2, Apparent Diffusion Coefficient (ADC) map and early arterial phase post-contrast T1 image. We then performed TA with a filtration-histogram software (TexRAD -Feedback Medical Ltd, Cambridge, UK). We correlated GS and D’Amico risk with texture using the Spearman’s rank correlation test.

Results

We had 26 RP patients with an MR-visible tumour. Mean of positive pixels (MPP) on ADC showed a significant negative correlation with GS at coarse texture scales. MPP showed a significant negative correlation with GS without filtration and with medium filtration. MRI contrast texture without filtration showed a significant, negative correlation with D’Amico score. MR T2 texture showed a significant, negative correlation with the D’Amico risk, particularly at textures without filtration, medium texture scales and coarse texture scales.

Conclusion

ADC map mpMRI TA correlated negatively with GS, and T2 and post-contrast images with the D’Amico risk score. These associations may allow for better assessment of disease prognosis and a non-invasive method of follow-up for patients on surveillance. Further, identifying clinically significant prostate cancer is essential to reduce harm from over-diagnosis and over-treatment.
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Metadata
Title
The clinical utility of prostate cancer heterogeneity using texture analysis of multiparametric MRI
Authors
Maira Hameed
Balaji Ganeshan
Joshua Shur
Subhabrata Mukherjee
Asim Afaq
Deepak Batura
Publication date
01-05-2019
Publisher
Springer Netherlands
Published in
International Urology and Nephrology / Issue 5/2019
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-019-02134-0

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