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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

From: Diagnostic accuracy of the different pulse sequences of multi-parametric prostate MRI in the diagnosis of prostate cancer in the peripheral and transitional zones

Fig. 4

A 74 year old male patient having serum PSA level of 59 ng/ml and gland volume of 130 cm3. A Axial T2WI demonstrates a fairly-defined nodule of low signal with obscured margins (arrow) measuring about 1.8 × 1.2 cm along its maximum axial dimensions involving the transitional zone at the left mid gland level (score 3). B showing diagramatic representation of the lesion. C and D Axial high b value DWI and axial ADC demonstrate marked high DWI and marked low ADC value (score 5), (According to bpMRI, the final PI-RADS category was 4). E Axial DCE demonstrates positive contrast enhancement (According to mpMRI, the final PI-RADS category was 4). Histopathology showed prostatic adenocarcinoma of Gleason score 7 (4 + 3) at the left mid gland level

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