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• W1987441102 abstract "Abstract Objective To assess the ability of multiparametric prostate magnetic resonance imaging (mpMRI) to detect prostate cancer in patients with prior negative transrectal prostate biopsy (TPB). Materials and methods mpMRI (TSE-T2-w, DWI and DCE sequences) was performed on 1.5 T (Magnetom Avanto; Siemens Healthcare Solutions) in 150 patients suspicious of prostate cancer and with negative TPB. European Society of Urogenital Radiology (ESUR) criteria were used (score 1: clinically significant disease is highly unlikely to be present; score 2: clinically significant cancer is unlikely to be present; score 3: clinically significant cancer is equivocal; score 4: clinically significant cancer is likely to be present; score 5: clinically significant cancer is highly likely to be present). PSA measurement (total and free), digital rectal examination (DRE), transrectal ultrasound (TRU) and a second TPB (at least 14 cylinders) were performed in all patients. Variables were submitted for independent blind analysis. The accuracy of each test was measured. Stepwise selection model for prediction of prostate cancer in second TPB was developed. Results Mean age was 66.2 ± 5 years (51–77), mean PSA 11.3 ± 9.6 ng/mL (0.9–75) and mean prostatic volume 82.2 ± 42 (20–250) cc. DRE was suspicious in 11 (7.3%) patients. The mean number of cylinders per patient sampled in second TRB was 17.6 ± 2.7(14–22). Second TRB was positive in 28 patients (18.7%). mpMRI was positive (score 3–5) in 102 (68%), test sensibility was 92.9% and the NPV was 95.8%. The risk of prostate cancer diagnosis in second TPB is modified by: PSA velocity >0.75 (OR 1.04 [0.99–1.08]; p  = 0.06), free/total ratio PSA p  = 0.06), each cc. of prostate volume (OR 0.98 [0.97–1]; p  = 0.017) and mpMRI 3–5 (OR 7.87 [1.78–34.7]; p  = 0.006). Multivariate analysis reveals that mpMRI (OR 7.41 [1.65–33.28]; p  = 0.009) and prostatic volume (OR 0.31 [0.12–0.78]; p  = 0.01) are independent risk predictors of prostate cancer. Conclusions According to ESUR guidelines and in patients with prior negative prostate biopsy, mpMRI is a valuable tool for the prediction of prostate cancer in second TPB. Lower the prostate volume, the higher the reliability." @default.
• W1987441102 created "2016-06-24" @default.
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• W1987441102 date "2015-03-01" @default.
• W1987441102 modified "2023-09-24" @default.
• W1987441102 title "Multiparametric magnetic resonance imaging predicts the presence of prostate cancer in patients with negative prostate biopsy" @default.
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• W1987441102 doi "https://doi.org/10.1016/j.acuroe.2015.01.006" @default.
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