MRI Spectroscopy in Screening of Prostate Cancer

Background: The purpose of this study was to evaluate the suitability of MR Spectroscopy in screening for prostate cancer in comparison to T2-weighted MR imaging. Materials and Methods: Forty-six patients with biopsy confirmed prostate cancer underwent combined endorectal-body-phased-array MRI at 1....

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Veröffentlicht in:Anticancer research 2007-01, Vol.27 (1B), p.687-693
Hauptverfasser: GOEB, Katja, ENGEHAUSEN, Dirk G, KRAUSE, F. Steffen, HOLLENBACH, Hans-Peter, NIEDOBITEK, Gerald, BUETTNER, Maike, FRANGOU, Phroso, ENGELHARD, Karl
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container_end_page 693
container_issue 1B
container_start_page 687
container_title Anticancer research
container_volume 27
creator GOEB, Katja
ENGEHAUSEN, Dirk G
KRAUSE, F. Steffen
HOLLENBACH, Hans-Peter
NIEDOBITEK, Gerald
BUETTNER, Maike
FRANGOU, Phroso
ENGELHARD, Karl
description Background: The purpose of this study was to evaluate the suitability of MR Spectroscopy in screening for prostate cancer in comparison to T2-weighted MR imaging. Materials and Methods: Forty-six patients with biopsy confirmed prostate cancer underwent combined endorectal-body-phased-array MRI at 1.5T (Tesla). Twelve patients were additionally examined with 3D-spectroscopy sequence. The results of the spectroscopy were compared with the findings of T2-weighted MR imaging and the histological examination of radical prostatectomy specimens. Results: With 3D-spectroscopy, a choline+creatine/citrate-ratio of 0.45 for healthy tissue and a ratio of 1.90 for tumor tissue were found and a significant difference between the groups was demonstrated. In 6 cases diagnosis of tumor localization was improved with spectroscopy in comparison with T2-weighted imaging alone. Conclusion: 3D-spectroscopy is a suitable technique for improving MR imaging of prostate cancer. This method can improve the diagnostic accuracy of T2-weighted imaging alone. At present, 3D-CSI spectroscopy alone can not be recommended with sufficient validity.
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Steffen ; HOLLENBACH, Hans-Peter ; NIEDOBITEK, Gerald ; BUETTNER, Maike ; FRANGOU, Phroso ; ENGELHARD, Karl</creator><creatorcontrib>GOEB, Katja ; ENGEHAUSEN, Dirk G ; KRAUSE, F. Steffen ; HOLLENBACH, Hans-Peter ; NIEDOBITEK, Gerald ; BUETTNER, Maike ; FRANGOU, Phroso ; ENGELHARD, Karl</creatorcontrib><description>Background: The purpose of this study was to evaluate the suitability of MR Spectroscopy in screening for prostate cancer in comparison to T2-weighted MR imaging. Materials and Methods: Forty-six patients with biopsy confirmed prostate cancer underwent combined endorectal-body-phased-array MRI at 1.5T (Tesla). Twelve patients were additionally examined with 3D-spectroscopy sequence. The results of the spectroscopy were compared with the findings of T2-weighted MR imaging and the histological examination of radical prostatectomy specimens. Results: With 3D-spectroscopy, a choline+creatine/citrate-ratio of 0.45 for healthy tissue and a ratio of 1.90 for tumor tissue were found and a significant difference between the groups was demonstrated. In 6 cases diagnosis of tumor localization was improved with spectroscopy in comparison with T2-weighted imaging alone. Conclusion: 3D-spectroscopy is a suitable technique for improving MR imaging of prostate cancer. This method can improve the diagnostic accuracy of T2-weighted imaging alone. 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Prostate gland</subject><ispartof>Anticancer research, 2007-01, Vol.27 (1B), p.687-693</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18562238$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17348461$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GOEB, Katja</creatorcontrib><creatorcontrib>ENGEHAUSEN, Dirk G</creatorcontrib><creatorcontrib>KRAUSE, F. 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Results: With 3D-spectroscopy, a choline+creatine/citrate-ratio of 0.45 for healthy tissue and a ratio of 1.90 for tumor tissue were found and a significant difference between the groups was demonstrated. In 6 cases diagnosis of tumor localization was improved with spectroscopy in comparison with T2-weighted imaging alone. Conclusion: 3D-spectroscopy is a suitable technique for improving MR imaging of prostate cancer. This method can improve the diagnostic accuracy of T2-weighted imaging alone. At present, 3D-CSI spectroscopy alone can not be recommended with sufficient validity.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Choline - analysis</subject><subject>Citrates - analysis</subject><subject>Creatine - analysis</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Magnetic Resonance Spectroscopy - methods</subject><subject>Male</subject><subject>Mass Screening - methods</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Prostatic Neoplasms - diagnosis</subject><subject>Prostatic Neoplasms - metabolism</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. 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Urinary tract diseases</topic><topic>Prostatic Neoplasms - diagnosis</topic><topic>Prostatic Neoplasms - metabolism</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GOEB, Katja</creatorcontrib><creatorcontrib>ENGEHAUSEN, Dirk G</creatorcontrib><creatorcontrib>KRAUSE, F. 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The results of the spectroscopy were compared with the findings of T2-weighted MR imaging and the histological examination of radical prostatectomy specimens. Results: With 3D-spectroscopy, a choline+creatine/citrate-ratio of 0.45 for healthy tissue and a ratio of 1.90 for tumor tissue were found and a significant difference between the groups was demonstrated. In 6 cases diagnosis of tumor localization was improved with spectroscopy in comparison with T2-weighted imaging alone. Conclusion: 3D-spectroscopy is a suitable technique for improving MR imaging of prostate cancer. This method can improve the diagnostic accuracy of T2-weighted imaging alone. At present, 3D-CSI spectroscopy alone can not be recommended with sufficient validity.</abstract><cop>Attiki</cop><pub>International Institute of Anticancer Research</pub><pmid>17348461</pmid><tpages>7</tpages></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Aged
Biological and medical sciences
Choline - analysis
Citrates - analysis
Creatine - analysis
Humans
Magnetic Resonance Imaging - methods
Magnetic Resonance Spectroscopy - methods
Male
Mass Screening - methods
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - metabolism
Reproducibility of Results
Sensitivity and Specificity
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
title MRI Spectroscopy in Screening of Prostate Cancer
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