Diagnostic Utility of a Likert Scale Versus Qualitative Descriptors and Length of Capsular Contact for Determining Extraprostatic Tumor Extension at Multiparametric Prostate MRI

AJR. American Journal of Roentgenology
Daniel N CostaIvan Pedrosa

Abstract

The purpose of this study is to determine the reproducibility and diagnostic performance of a Likert scale in comparison with the European Society of Urogenital Radiology (ESUR) criteria and tumor-pseudocapsule contact length (TCL) for the detection of extraprostatic extension (EPE) at multiparametric MRI. This was a retrospective review of all men who underwent multiparametric MRI followed by prostatectomy between November 2015 and July 2016. Multiparametric 3-T MRI studies with an endorectal coil were independently reviewed by five readers who assigned the likelihood of EPE using a 1-5 Likert score, ESUR criteria, and TCL (> 10 mm). EPE outcome (absent or present) for the index lesion at whole-mount histopathologic analysis was the standard of reference. Odds ratios (ORs) and areas under the ROC curve (Az) were used for diagnostic accuracy. The interreader agreement was determined using a weighted kappa coefficient. A p < 0.05 was considered significant. Eighty men met the eligibility criteria. At univariate analysis, the Likert score showed the strongest association (OR, 1.8) with EPE, followed by prostate-specific antigen level (OR, 1.7), ESUR score (OR, 1.6), and index lesion size (OR, 1.2). At multivariable analysis, high...Continue Reading

References

Nov 1, 1988·Radiology·M BezziH M Pollack
Aug 27, 2002·European Radiology·Marc R EngelbrechtJelle O Barentsz
Jul 31, 2004·Urologic Oncology·Ithaar H DerweeshEric A Klein
Sep 23, 2006·Radiology·Robert D RosenbergRachel Ballard-Barbash
Oct 23, 2009·The New England Journal of Medicine·Hashim Uddin Ahmed
Sep 14, 2010·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Hemamali SamaratungaUNKNOWN ISUP Prostate Cancer Group
Nov 9, 2010·European Urology·Axel HeidenreichUNKNOWN European Association of Urology
Feb 11, 2012·European Radiology·Jelle O BarentszUNKNOWN European Society of Urogenital Radiology
Sep 24, 2015·Journal of Magnetic Resonance Imaging : JMRI·Andrew B RosenkrantzSamir S Taneja
Apr 12, 2016·AJR. American Journal of Roentgenology·David M Panicek, Hedvig Hricak
Jan 11, 2017·Current Problems in Diagnostic Radiology·Bonmyong Lee, Matthew T Whitehead

❮ Previous
Next ❯

Citations

Feb 13, 2020·Abdominal Radiology·Michael J MagnettaAlessandro Furlan
Jan 30, 2019·Annual Review of Medicine·Baris Turkbey, Peter L Choyke
Mar 1, 2019·Prostate Cancer and Prostatic Diseases·Kazuhiro MatsumotoMasahiro Jinzaki
May 16, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Tae Hyung KimHebert Alberto Vargas
Oct 21, 2020·European Journal of Radiology·Charlotte ChristopheRaphaële Renard-Penna

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.