Prostate imaging reporting and data system correlation with Gleason score: Pathological aspects of magnetic resonance imaging findings.

التفاصيل البيبلوغرافية
العنوان:	Prostate imaging reporting and data system correlation with Gleason score: Pathological aspects of magnetic resonance imaging findings.
المؤلفون:	Yokoo P; Department of Radiology, Internal Medicine Branch, Hospital de Clinicas, Federal University of Paraná, Curitiba, Brazil., de Oliveira Salvador GL; Department of Radiology, Internal Medicine Branch, Hospital de Clinicas, Federal University of Paraná, Curitiba, Brazil., Castillo JJAQ; Department of Pathology, Diagnostic Aid Branch, Hospital de Clinicas, Federal University of Paraná, Curitiba, Brazil., Basso ACN; Department of Radiology, Internal Medicine Branch, Hospital de Clinicas, Federal University of Paraná, Curitiba, Brazil., Amaral RSD; Department of Radiology, Internal Medicine Branch, Hospital de Clinicas, Federal University of Paraná, Curitiba, Brazil., de Campos ROP; Department of Radiology, Internal Medicine Branch, Hospital de Clinicas, Federal University of Paraná, Curitiba, Brazil., Barreto RAY; Department of Radiology, Internal Medicine Branch, Hospital de Clinicas, Federal University of Paraná, Curitiba, Brazil., Orozco OFG; Department of Urology, Surgery Branch, Hospital de Clinicas, Federal University of Paraná, Curitiba, Brazil., Cavalli AC; Department of Urology, Surgery Branch, Hospital de Clinicas, Federal University of Paraná, Curitiba, Brazil., Zaparolli M; Department of Radiology, Internal Medicine Branch, Hospital de Clinicas, Federal University of Paraná, Curitiba, Brazil.
المصدر:	Urologia [Urologia] 2019 Nov; Vol. 86 (4), pp. 189-196. Date of Electronic Publication: 2019 Jul 14.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Sage Publications Country of Publication: United States NLM ID: 0417372 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6075 (Electronic) Linking ISSN: 03915603 NLM ISO Abbreviation: Urologia Subsets: MEDLINE
أسماء مطبوعة:	Publication: 2018- : Thousand Oaks, CA : Sage Publications Original Publication: Treviso : Libreria Editrice Canova
مواضيع طبية MeSH:	Magnetic Resonance Imaging, Prostatic Neoplasms/diagnostic imaging , Prostatic Neoplasms/*pathology, Adult ; Aged ; Aged, 80 and over ; Biopsy ; Correlation of Data ; Data Systems ; Humans ; Male ; Middle Aged ; Neoplasm Grading ; Prostatectomy ; Prostatic Neoplasms/surgery ; Reproducibility of Results ; Research Design ; Retrospective Studies
مستخلص:	Objective: Prostate cancer has a high prevalence and mortality, being the most diagnosed urologic cancer. Prostatic magnetic resonance imaging showed high sensitivity in the detection of clinically significant neoplasia and agreement with the Gleason score. Therefore, we attempted to evaluate the diagnostic accuracy of the prostate imaging reporting and data system, using biopsy and prostatectomy as the reference standard. The secondary goal of correlating prostatic magnetic resonance imaging findings and anatomopathological samples is obtained. Materials and Methods: We retrospectively analyzed seventy-nine 1.5 Tesla prostatic magnetic resonance imaging scans in patients aged 31 to 86 years, performed at the Clinical Hospital of the Federal University of Paraná between January 2015 and February 2018. Results: Considering all 79 patients, prostatic magnetic resonance imaging was able to diagnose tumor in 47 patients (59.4%). Considering the peripheral zone, the prostatic magnetic resonance imaging had a sensitivity of 75.0% (95% confidence interval: 52.1%-98.0%), specificity of 89.5% (95% confidence interval: 66.0%-100%), 94.4% positive predictive value (95% confidence interval: 71.0%-100%), 66.7% negative predictive value (95% confidence interval: 43.0%-69.0%), 83.8% Positive Likelihood Ratio (PVR) (95% confidence interval: 60.0%-100%), 27.9% Negative Likelihood Ratio (RVN) (95% confidence interval: 5.0%-50.0 %), and accuracy of 86.3% (95% confidence interval: 63.0%-100%). The receiver operating characteristic curve obtained demonstrated the sensitivity variation according to the prostate imaging reporting and data system score of the patients, obtaining an area under the curve of 84.8 for a prostate imaging reporting and data system cutoff of 3. Conclusion: The use of the prostate imaging reporting and data system score is useful for the screening and classification of prostate cancer, due to its easy reproducibility, even in a population with an unknown prostate cancer prevalence, which can be easily correlated with biopsy studies and/or radical prostatectomy.
فهرسة مساهمة:	Keywords: Gleason; Urology; magnetic resonance; prostate cancer; prostate imaging reporting and data system
تواريخ الأحداث:	Date Created: 20190716 Date Completed: 20200220 Latest Revision: 20220410
رمز التحديث:	20240628
DOI:	10.1177/0391560319858482
PMID:	31303145
قاعدة البيانات:	MEDLINE

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تدمد:	1724-6075
DOI:	10.1177/0391560319858482