Local staging of prostate cancer: Comparative accuracy of T2-weighted endorectal MR imaging and transrectal ultrasound

Abstract

Objective: The objective of this study was to compare the accuracy of T2-weighted magnetic resonance imaging and transrectal ultrasound for staging of prostate cancer. Material and methods: A total of 101 men with biopsy-proven prostate cancer undergoing both T2-weighted endorectal MR imaging and B-mode TRUS for local tumor staging prior to radical prostatectomy were retrospectively identified. Three MR readers rated the likelihood of locally advanced disease using a 5-point scale. An ultrasound reader performed the same rating. Staging accuracy was compared using receiver operating characteristic curves. Results: Staging accuracy was not significantly different between MR imaging and TRUS. Conclusions: T2-weighted MR imaging demonstrates comparable accuracy to B-mode TRUS for depicting locally invasive prostate cancer. © 2012.

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