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Table 2 PIRADS2 scoring system using DWI for PZ lesions and T2-weighted for TZ lesions

From: Can mean ADC value and ADC ratio of benign prostate tissue to prostate cancer assist in the prediction of clinically significant prostate cancer within the PI-RADSv2 scoring system?

 

Reader 1 No of cases

Reader 2 No of cases

PIRADS-score (DW finding in PZ an TZ lesions)

 1

No abnormality (i.e., normal) on ADC and high b value DWI

0

0

 2

Indistinct hypointense area on ADC map

7

8

 3

Focal moderate diffusion restriction with focal mildly/moderately hypointense on ADC and isointense/mildly hyperintense on high b value DWI

9

6

 4

Focal marked diffusion restriction with markedly hypointense on ADC and markedly hyperintense on high b value DWI; < 1.5 cm in greatest dimension

26

25

 5

Same as 4 but ≥ 1.5 cm in greatest dimension or definite extraprostatic extension/invasive behavior

20

23

PIRADS-score (T2W finding for TZ lesions)

 1

Homogeneous intermediate signal intensity (normal

0

0

 2

Circumscribed hypointense or heterogeneous encapsulated nodule(s) (BPH)

1

1

 3

Heterogeneous signal intensity with obscured margins Includes others that do not qualify as 2, 4, or 5

1

2

 4

Lenticular or non-circumscribed, homogeneous, moderately hypointense, and < 1.5 cm in greatest dimension

3

2

 5

Same as 4, but ≥ 1.5 cm in greatest dimension or definite extraprostatic extension/invasive behavior

1

1