Scopus
YÖKSİS DOI Eşleşti
SJR Q1
A comparative analysis of techniques for measuring tumor contact length in predicting extraprostatic extension
European Journal of Radiology · Aralık 2024
YÖKSİS Kayıtları
A comparative analysis of techniques for measuring tumor contact length in predicting extraprostatic extension
European Journal of Radiology · 2024 SCI-Expanded
Doç. Dr. HALİL ÖZER →
YÖKSİS Kayıtları — ISSN Eşleşmesi
Comparison of diagnostic accuracy of ACR-TIRADS, American Thyroid Association (ATA), and EU-TIRADS guidelines in detecting thyroid malignancy
2020 ISSN: 0720-048X SCI-Expanded Q1
Dr. Öğr. Üyesi İSMAİL DİLEK →
Congenital left ventricular wall abnormalities in adults detected by gated cardiac multidetector computed tomography Clefts aneurysms diverticula and terminology problems
2012 ISSN: 0720048X SCI-Expanded 7 atıf
Prof. Dr. MUSTAFA KOPLAY →
An investigation of the anatomical variations of left atrial appendage by multidetector computed tomographic coronary angiography
2012 ISSN: 0720048X SCI-Expanded 6 atıf
Prof. Dr. MUSTAFA KOPLAY →
Assesment of perfusion in glial tumors with arterial spin labeling comparison with dynamic susceptibility contrast method
2014 ISSN: 0720048X SCI-Expanded
Doç. Dr. HAKAN CEBECİ →
Orbital structures in the pediatric age group: A normative assessment using magnetic resonance imaging
2022 ISSN: 0720-048X SCI-Expanded Q2
Doç. Dr. HALİL ÖZER →
Which one is better for predicting extraprostatic extension on multiparametric MRI: ESUR score, Likert scale, tumor contact length, or EPE grade?
2022 ISSN: 0720-048X SCI-Expanded Q2
Doç. Dr. HALİL ÖZER →
Quantitative measurements and morphological evaluation of fetal cardiovascular structures with fetal cardiac MRI
2023 ISSN: 0720-048X SCI-Expanded Q2
Doç. Dr. ABİDİN KILINÇER →
Quantitative measurements and morphological evaluation of fetal cardiovascular structures with fetal cardiac MRI
2023 ISSN: 0720-048X SCI-Expanded Q2
Prof. Dr. MUSTAFA KOPLAY →
Quantitative measurements and morphological evaluation of fetal cardiovascular structures with fetal cardiac MRI
2023 ISSN: 0720-048X SCI-Expanded Q2
Prof. Dr. MEHMET SEDAT DURMAZ →
A comparative analysis of techniques for measuring tumor contact length in predicting extraprostatic extension
2024 ISSN: 0720-048X SCI-Expanded Q1
Doç. Dr. HALİL ÖZER →
Comparing the diagnostic performance of DSC-MRI and FAPI PET in differentiating tumor progression from treatment-related changes in IDH-Wildtype Glioblastoma: A pilot study
2025 ISSN: 0720-048X SCI-Expanded Q1
Doç. Dr. HASAN ÖNNER →
Makale Bilgileri
ISSN0720048X
Yayın TarihiAralık 2024
Cilt / Sayfa181
Scopus ID2-s2.0-85205261101
Özet
Purpose: This study aims to evaluate the diagnostic performance of curvilinear and linear measurement methods in different magnetic resonance imaging (MRI) sequences for detecting extraprostatic extension (EPE) in prostate cancer, and to evaluate the added value of apparent diffusion coefficient (ADC) in detecting EPE. Methods: A retrospective analysis was conducted on 84 patients who underwent multiparametric MRI (mp-MRI) prior to radical prostatectomy between January 2019 and February 2022. Tumor contact length (TCL) was assessed curvilinearly and linearly on T2-weighted imaging (T2WI), ADC maps, and dynamic contrast-enhanced (DCE) MRI by two radiologists. MRI-based EPE positivity was defined as a curvilinear or linear contact length of >15 mm. Statistical comparisons were conducted using chi-squared and independent samples t-tests, with interreader agreement evaluated using weighted κ statistics. Univariate and multivariate logistic regression identified independent predictors of EPE, and two prediction models were constructed. Diagnostic performance was assessed using receiver operator characteristic (ROC) curve analysis. Results: A total of 32 (38%) and 52 (62%) patients with EPE and non-EPE, respectively, were included in this study. Patients with EPE demonstrated significantly larger tumor sizes, lower ADC values, and lower ADC ratios than those without EPE (p < 0.001). The curvilinear and linear TCL measurements for each sequence exhibited statistically significant correlations with EPE for both readers, with strong interreader agreement. Curvilinear TCL (c-TCL) and linear TCL (l-TCL) on DCE-MRI showed higher area under the curve (AUC) values than the other measurements for EPE prediction (reader 1: 0.815 and 0.803, reader 2: 0.746 and 0.713, respectively). However, there was no statistically significant difference between c-TCL and l-TCL. Multivariable models with mean ADC value improved predictive performance. Model 2 (ADC, ISUP, and c-TCL on DCE images) surpassed model 1 (ADC and c-TCL on DCE images) with an AUC of 0.919 and 0.874, respectively. Conclusion: DCE-MRI demonstrated superior performance in predicting EPE compared to other sequences. Linear and curvilinear measurements had comparable diagnostic performance. Being more practical and easier, radiologists may use l-TCL measurement in daily practice. The mean ADC value provided additional diagnostic value.
Yazarlar (5)
1
Umut Asfuroğlu
ORCID: 0000-0001-6555-6577
2
Berrak Barutcu Asfuroğlu
ORCID: 0000-0003-4556-7433
3
Halil Özer
ORCID: 0000-0003-1141-1094
4
Mehmet Arda İnan
ORCID: 0000-0002-6179-2828
5
Murat Uçar
ORCID: 0000-0003-2650-0065
Anahtar Kelimeler
Extraprostatic extension
Multiparametric prostate MRI
Prostate cancer
Tumor contact length
Kurumlar
Ankara Etlik City Hospital
Ankara Turkey
Gazi University, Faculty of Medicine
Ankara Turkey
Selçuk Üniversitesi
Selçuklu Turkey
Scimago Dergi (ISSN Eşleşmesi)
European Journal of Radiology
Q1
SJR Skoru1,075
H-Index145
YayıncıElsevier Ireland Ltd
ÜlkeIreland
Medicine (miscellaneous) (Q1)
Radiology, Nuclear Medicine and Imaging (Q1)
Metrikler
3
Atıf
5
Yazar
4
Anahtar Kelime