Multiparametric MRI diagnostic value in a case of prostate cancer

Abstract

Prostate cancer (PC) is one of the most prevalent malignant tumour in men, especially in elderly patients. The aim of this paper is to present and illustrate the utility of multiparametric (MP) MRI in the diagnostic of PC. A 66 years old patient with clincal suspicion of PC was explored by MP MRI. The MR examination included T2-wi, dynamic contrast-enhanced (DCE) MRI and diffusion-weighted imaging (DWI) acquisitions. The final MR diagnosis was prostate tumor with the TNM-stage T4 N1 Mx. Radical prostatectomy revealed a Gleason score 7 (4+3) adenocarcinoma with extraprostatic extension. This case report shows the utility of MP MRI exam in characterizing and for the management of PC.