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Abstract #1067

Multiparametric MRI to Differentiate High-Risk From Low-Risk Prostate Cancer

Olga Starobinets 1 , Jeffry Simko 2,3 , Kyle Kuchinsky 2 , John Kornak 4 , John Kurhanewicz 1,5 , Dan Vigneron 1,5 , Peter Carroll 3 , Kirsten Greene 3 , and Susan Noworolski 1,5

1 Graduate Group in Bioengineering, University of California, San Francisco and Berkeley, San Francisco, CA, United States, 2 Pathology, University of California, San Francisco, CA, United States, 3 Urology, University of California, San Francisco, CA, United States, 4 Epidemiology and Biostatistics, University of California, San Francisco, CA, United States, 5 Radiology and Biomedical Imaging, University of California, San Francisco, CA, United States

The purpose of this study was to use semi-quantitative and pharmacokinetically modeled parameters derived from dynamic contrast-enhanced (DCE) MRI, diffusion MR and MRI to differentiate high-risk from low-risk prostate cancers using digitally aligned whole-mount pathology as the standard of reference. High-risk prostate cancer had significantly lower ADC (p<0.05) and washout slope (p<0.05) than low-risk prostate cancer. A logistic regression combination of parameters provided improved discrimination (AUC=0.95). Without ADC, a combined model yielded AUC of 0.87 for discriminating high versus low risk prostate cancer.

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