Diagnostic value of computed high b-value whole‐body diffusion-weighted imaging for primary prostate cancer

•Computed DWI is a post-processing technique without additional acquisition time.•Computed DWI can be implemented in whole-body MRI protocols for prostate cancer.•Computed WB-DWI has good diagnostic performance for primary prostate cancer. To investigate the utility of post-acquisition computed diff...

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Veröffentlicht in:European journal of radiology 2021-04, Vol.137, p.109581-109581, Article 109581
Hauptverfasser: Arita, Yuki, Yoshida, Soichiro, Waseda, Yuma, Takahara, Taro, Ishii, Chikako, Ueda, Ryo, Kwee, Thomas C., Miyahira, Kei, Ishii, Ryota, Okuda, Shigeo, Jinzaki, Masahiro, Fujii, Yasuhisa
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container_title European journal of radiology
container_volume 137
creator Arita, Yuki
Yoshida, Soichiro
Waseda, Yuma
Takahara, Taro
Ishii, Chikako
Ueda, Ryo
Kwee, Thomas C.
Miyahira, Kei
Ishii, Ryota
Okuda, Shigeo
Jinzaki, Masahiro
Fujii, Yasuhisa
description •Computed DWI is a post-processing technique without additional acquisition time.•Computed DWI can be implemented in whole-body MRI protocols for prostate cancer.•Computed WB-DWI has good diagnostic performance for primary prostate cancer. To investigate the utility of post-acquisition computed diffusion-weighted imaging (cDWI) for primary prostate cancer (PCa) evaluation in biparametric whole‐body MRI (bpWB-MRI). Patients who underwent pelvic MRI for PCa screening and subsequent bpWB-MRI for staging were included. Two radiologists assessed the diagnostic performance of the following datasets for clinically significant PCa diagnosis (grade group ≥2 according to the Prostate Imaging-Reporting and Data System, version 2.1): bpMRI2000 (axial DWI scans with a b-value of 2,000 s/mm2 + axial T2WI scans from pre-biopsy pelvic MRI), computed bpWB-MRI2000 (computed WB-DWI scans with a b-value of 2,000 s/mm2 + axial WB-T2WI scans), and native bpWB-MRI1000 (native axial WB-DWI scans with a b-value of 1,000 s/mm2 + axial WB-T2WI scans). Systemic biopsy was used as reference standard. Fifty-one patients with PCa were included. The areas under the curve (AUCs) of bpMRI2000 (0.89 for reader 1 and 0.86 for reader 2) and computed bpWB-MRI2000 (0.86 for reader 1 and 0.83 for reader 2) were significantly higher (p 
doi_str_mv 10.1016/j.ejrad.2021.109581
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To investigate the utility of post-acquisition computed diffusion-weighted imaging (cDWI) for primary prostate cancer (PCa) evaluation in biparametric whole‐body MRI (bpWB-MRI). Patients who underwent pelvic MRI for PCa screening and subsequent bpWB-MRI for staging were included. Two radiologists assessed the diagnostic performance of the following datasets for clinically significant PCa diagnosis (grade group ≥2 according to the Prostate Imaging-Reporting and Data System, version 2.1): bpMRI2000 (axial DWI scans with a b-value of 2,000 s/mm2 + axial T2WI scans from pre-biopsy pelvic MRI), computed bpWB-MRI2000 (computed WB-DWI scans with a b-value of 2,000 s/mm2 + axial WB-T2WI scans), and native bpWB-MRI1000 (native axial WB-DWI scans with a b-value of 1,000 s/mm2 + axial WB-T2WI scans). Systemic biopsy was used as reference standard. Fifty-one patients with PCa were included. The areas under the curve (AUCs) of bpMRI2000 (0.89 for reader 1 and 0.86 for reader 2) and computed bpWB-MRI2000 (0.86 for reader 1 and 0.83 for reader 2) were significantly higher (p &lt; 0.001) than those of native bpWB-MRI1000 (0.67 for both readers). No significant difference was observed between the AUCs of bpMRI2000 and computed bpWB-MRI2000 (p = 0.10 for reader 1 and p = 0.25 for reader 2). 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The areas under the curve (AUCs) of bpMRI2000 (0.89 for reader 1 and 0.86 for reader 2) and computed bpWB-MRI2000 (0.86 for reader 1 and 0.83 for reader 2) were significantly higher (p &lt; 0.001) than those of native bpWB-MRI1000 (0.67 for both readers). No significant difference was observed between the AUCs of bpMRI2000 and computed bpWB-MRI2000 (p = 0.10 for reader 1 and p = 0.25 for reader 2). 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Yoshida, Soichiro ; Waseda, Yuma ; Takahara, Taro ; Ishii, Chikako ; Ueda, Ryo ; Kwee, Thomas C. ; Miyahira, Kei ; Ishii, Ryota ; Okuda, Shigeo ; Jinzaki, Masahiro ; Fujii, Yasuhisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-41f088acb585d30c66de82fe26867edb3514b04110c2217b21cdaa92f9629cbb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Biopsy</topic><topic>Diffusion Magnetic Resonance Imaging</topic><topic>Diffusion-weighted magnetic resonance imaging</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Prostate cancer</topic><topic>Prostatic Neoplasms - diagnostic imaging</topic><topic>Whole-body imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arita, Yuki</creatorcontrib><creatorcontrib>Yoshida, Soichiro</creatorcontrib><creatorcontrib>Waseda, Yuma</creatorcontrib><creatorcontrib>Takahara, Taro</creatorcontrib><creatorcontrib>Ishii, Chikako</creatorcontrib><creatorcontrib>Ueda, Ryo</creatorcontrib><creatorcontrib>Kwee, Thomas C.</creatorcontrib><creatorcontrib>Miyahira, Kei</creatorcontrib><creatorcontrib>Ishii, Ryota</creatorcontrib><creatorcontrib>Okuda, Shigeo</creatorcontrib><creatorcontrib>Jinzaki, Masahiro</creatorcontrib><creatorcontrib>Fujii, Yasuhisa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arita, Yuki</au><au>Yoshida, Soichiro</au><au>Waseda, Yuma</au><au>Takahara, Taro</au><au>Ishii, Chikako</au><au>Ueda, Ryo</au><au>Kwee, Thomas C.</au><au>Miyahira, Kei</au><au>Ishii, Ryota</au><au>Okuda, Shigeo</au><au>Jinzaki, Masahiro</au><au>Fujii, Yasuhisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic value of computed high b-value whole‐body diffusion-weighted imaging for primary prostate cancer</atitle><jtitle>European journal of radiology</jtitle><addtitle>Eur J Radiol</addtitle><date>2021-04</date><risdate>2021</risdate><volume>137</volume><spage>109581</spage><epage>109581</epage><pages>109581-109581</pages><artnum>109581</artnum><issn>0720-048X</issn><eissn>1872-7727</eissn><abstract>•Computed DWI is a post-processing technique without additional acquisition time.•Computed DWI can be implemented in whole-body MRI protocols for prostate cancer.•Computed WB-DWI has good diagnostic performance for primary prostate cancer. To investigate the utility of post-acquisition computed diffusion-weighted imaging (cDWI) for primary prostate cancer (PCa) evaluation in biparametric whole‐body MRI (bpWB-MRI). Patients who underwent pelvic MRI for PCa screening and subsequent bpWB-MRI for staging were included. Two radiologists assessed the diagnostic performance of the following datasets for clinically significant PCa diagnosis (grade group ≥2 according to the Prostate Imaging-Reporting and Data System, version 2.1): bpMRI2000 (axial DWI scans with a b-value of 2,000 s/mm2 + axial T2WI scans from pre-biopsy pelvic MRI), computed bpWB-MRI2000 (computed WB-DWI scans with a b-value of 2,000 s/mm2 + axial WB-T2WI scans), and native bpWB-MRI1000 (native axial WB-DWI scans with a b-value of 1,000 s/mm2 + axial WB-T2WI scans). Systemic biopsy was used as reference standard. Fifty-one patients with PCa were included. The areas under the curve (AUCs) of bpMRI2000 (0.89 for reader 1 and 0.86 for reader 2) and computed bpWB-MRI2000 (0.86 for reader 1 and 0.83 for reader 2) were significantly higher (p &lt; 0.001) than those of native bpWB-MRI1000 (0.67 for both readers). No significant difference was observed between the AUCs of bpMRI2000 and computed bpWB-MRI2000 (p = 0.10 for reader 1 and p = 0.25 for reader 2). The diagnostic performance of computed bpWB-MRI2000 was similar to that of dedicated pelvic bpMRI2000 for primary PCa evaluation. cDWI can be recommended for implementation in standard WB-MRI protocols to facilitate a one-step evaluation for concurrent detection of primary and metastatic PCa.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>33578087</pmid><doi>10.1016/j.ejrad.2021.109581</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-9319-1373</orcidid><orcidid>https://orcid.org/0000-0002-5285-0352</orcidid><orcidid>https://orcid.org/0000-0001-8302-155X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Biopsy
Diffusion Magnetic Resonance Imaging
Diffusion-weighted magnetic resonance imaging
Humans
Magnetic Resonance Imaging
Male
Prostate cancer
Prostatic Neoplasms - diagnostic imaging
Whole-body imaging
title Diagnostic value of computed high b-value whole‐body diffusion-weighted imaging for primary prostate cancer
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