Prostate cancer: top places where tumors hide on multiparametric MRI

AJR Am J Roentgenol. 2015 Apr;204(4):W449-56. doi: 10.2214/AJR.14.13280.

Abstract

Objective: Prostate tumors occasionally have unusual manifestations on multiparametric MR images that can present a diagnostic dilemma and result in a false-negative interpretation. This article presents examples of such "hiding places" of prostate tumors, four in the peripheral zone and four in the central gland.

Conclusion: The provided pointers in multiparametric MRI assessment can aid the radiologist in achieving an accurate diagnosis of tumor in the eight scenarios described.

Keywords: MRI; biopsy; peripheral zone; prostate cancer; transition zone.

Publication types

  • Review

MeSH terms

  • Biopsy
  • Diagnosis, Differential
  • Diffusion Magnetic Resonance Imaging
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Male
  • Neoplasm Grading
  • Prostatic Neoplasms / diagnosis*
  • Prostatic Neoplasms / pathology