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Abstract #1063

Multiparametric 3T prostate MRI in patients with elevated PSA and no previous biopsy

Ivan Jambor 1 , Esa Khknen 2 , Pekka Taimen 3 , Harri Merisaari 4 , Jani Saunavaara 5 , Kalle Alanen 6 , Branislav Obsitnik 7 , Heikki Minn 4 , Viera Lehotska 8 , and Hannu Aronen 1

1 Departement of Diagnostic Radiology, University of Turku, Turku, Finland, 2 Department of Surgery, Turku University Hospital, Turku, Finland, 3 Department of Pathology, University of Turku, Turku, Finland, 4 Turku PET centre, University of Turku, Turku, Finland, 5 Medical Imaging Centre of Southwest Finland, Turku University Hospital, Turku, Finland, 6 Department of Pathology, Turku University Hospital, Turku, Finland, 7 Department of Urology, St. Elisabeth Oncology Institute, Bratislava, Slovakia, 8 Department of Radiology, St. Elisabeth Oncology Institute, Bratislava, Finland

Fifty-five patients with elevated PSA (>4 ng/ml), no previous biopsy and low risk of prostate cancer (PCa) underwent mpMRI at 2 institutions (41 at institution A and 14 patients at institution B), consisting of anatomical T2-weighted imaging (T2wi), diffusion weighted imaging (DWI), proton magnetic resonance spectroscopy and dynamic contrast enhanced MRI, using surface array coils followed by MRI targeted TRUS-guided biopsy in addition to 12 core systematic biopsy. The use of T2wi+DWI was shown to be an accurate tool for initial decision management and targeting biopsy in patients with elevated PSA.

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