MRI evaluation of benign prostatic hyperplasia: Correlation with international prostate symptom score

Güneyli, Serkan; Ward, Emily; Peng, Yahui; Yousuf, Ambereen; Trilisky, Igor; Westin, Charles; Antic, Tatjana; Oto, Aytekin

doi:10.1002/jmri.25418

Cited by 33 publications

(26 citation statements)

References 35 publications

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“…Park et al [1] found that higher PUA ≥ 34°was significantly correlated with IPSS in BPH patients. In contrast to this study, Guneyli et al [2] stated that PUA had no significant correlation with IPSS, which is in line with our findings.…”

Section: Discussionsupporting

confidence: 89%

“…The relationship between TZV and TPV as regards the IPSS was controversial. Guneyli et al [2] described a significant correlation between TZV and TPV with IPSS. However, Kaplan et al [14] described a stronger correlation between TZV and IPSS and a weak correlation between TPV and IPSS.…”

Section: Discussionmentioning

confidence: 97%

“…Symptoms of BPH start to develop after the age of 40 years, and the incidence becomes greater than 50% by the age of 60 years and 90% by the age of 85 years [1]. Patients with BPH usually suffer from LUTS including obstructive urinary symptoms (incomplete emptying, intermittent voiding, straining, and weak stream) and irritative urinary symptoms (frequent voiding, nocturia, and urgency) [2].…”

Section: Introductionmentioning

confidence: 99%

“…Digital rectal examination (DRE), the International Prostate Symptom Score (IPSS), uroflowmetry, postvoid residual urine (PVR), serum prostate-specific antigen (PSA) levels, and imaging modalities, e.g., transrectal ultrasound (TRUS) are commonly used in the evaluation of BPH and also for follow-up of treatment outcome [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…The total score is the sum of the seven questions ranging from 0 to 35. The patients are classified according to IPSS score into three groups: mild, 0-7; moderate, [8][9][10][11][12][13][14][15][16][17][18][19]; and severe, 20-35 [1,2].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of different MRI parameters in benign prostatic hyperplasia-induced bladder outlet obstruction

Eldib

Moussa

Sebaey

2019

Egypt J Radiol Nucl Med

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Background: Benign prostatic hyperplasia (BPH) is a common health problem faced by aging men and can be associated with bladder outlet obstruction (BOO). BPH patients usually suffer from lower urinary tract symptoms (LUTS) including obstructive and irritative urinary symptoms. The purpose of the current study was to clarify the correlation between MRI-derived prostate measurements and BPH-induced symptoms and findings including International Prostate Symptom Score (IPSS), uroflowmetry, and Postvoid residual urine (PVR). Methods: In all, 34 patients (mean age was 58 ± 8 years, range 43 to 73 years) were examined by prostate MRI, uroflowmetry, postvoid residual urine, and fulfilled International Prostate Symptom Score questionnaire in this prospective study. The MRI-derived measurements including total prostate volume, transition zone volume, transition zone index, prostatic urethral angle, intravesical prostatic protrusion, and anterior fibromuscular stroma distance were correlated with International Prostate Symptom Score, uroflowmetry including maximum flow rate (Q max) and Q max grades, and postvoid residual urine using Pearson correlation coefficients (r) and multiple linear regression. Relationship between BPH types was correlated with the same parameters using one-way analysis of variance. Results: We found a strong significant correlation between total prostate volume, transition zone volume, and transition zone index with International Prostate Symptom Score, Q max , Q max grades, and postvoid residual urine; however, in multiple linear regression analysis, all of them were found to be significant parameters for International Prostate Symptom Score. Also, our study showed a strong significant correlation between anterior fibromuscular stroma distance and intravesical prostatic protrusion with International Prostate Symptom Score and postvoid residual urine; however, in multiple linear regression analysis, only intravesical prostatic protrusion was found to be a significant parameter for postvoid residual urine. Our results also revealed a significant correlation between BPH types with Q max , Q max grades, International Prostate Symptom Score, and postvoid residual urine. Conclusion: Several MRI-derived prostate parameters (total prostatic volume, transition zone volume, transition zone index, prostatic urethral angle, intravesical prostatic protrusion, anterior fibromuscular stroma distance, and BPH types) correlating significantly with the International Prostate Symptom Score, uroflowmetry parameters (Q max and Q max grades), and postvoid residual urine.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Evaluation of different MRI parameters in benign prostatic hyperplasia-induced bladder outlet obstruction

Eldib

Moussa

Sebaey

2019

Egypt J Radiol Nucl Med

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Impact of the bladder detrusor muscular ring on lower urinary tract symptoms due to benign prostatic hyperplasia: A quantitative MRI analysis

Nandalur¹,

Walker²,

Ye³

et al. 2022

The Prostate

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Background: The etiology of lower urinary tract symptoms secondary to benign prostatic hyperplasia (LUTS/BPH) remains uncertain. Objective: The purpose of our study was to quantitatively analyze anatomic characteristics on magnetic resonance imaging (MRI) to assess novel independent factors for symptoms. Methods: This retrospective single-institution study evaluated treatment-naïve men who underwent prostate MRI within 3 months of international prostate symptom score (IPSS) scoring from June 2021 to February 2022. Factors measured on MRI included: size of the detrusor muscular ring (DMR) surrounding the bladder outlet, central gland (CG) mean apparent diffusion coefficient (ADC), levator hiatus (LH) volume, intrapelvic volume, intravesicular prostate protrusion (IPP) volume, CG volume, peripheral zone (PZ) volume, prostate urethra angle (PUA), and PZ background ordinal score. Multivariable logistic regression and receiver operating characteristic analysis were used to analyze factors for moderate/severe (IPSS ≥ 8) and severe LUTS/BPH (IPSS ≥ 20).

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Zonal Anatomy of Prostate on MRI

Czarniecki

Yacoub

2020

Prostate MRI Essentials

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MRI evaluation of benign prostatic hyperplasia: Correlation with international prostate symptom score

Abstract: 3 J. Magn. Reson. Imaging 2017;45:917-925.

Cited by 33 publications

References 35 publications

Evaluation of different MRI parameters in benign prostatic hyperplasia-induced bladder outlet obstruction

Evaluation of different MRI parameters in benign prostatic hyperplasia-induced bladder outlet obstruction

Impact of the bladder detrusor muscular ring on lower urinary tract symptoms due to benign prostatic hyperplasia: A quantitative MRI analysis

Zonal Anatomy of Prostate on MRI

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