Abstract #0680
            Using Radiogenomics to Characterize MRI-Guided Prostate Cancer Biopsy Heterogeneity
                      Radka Stoyanova                     1                    , Alan Pollack                     1                    , 						Nicholas Erho                     2                    , Charles Lynne                     3                    , 						Lucia Lam                     2                    , Christine Buerki                     2                    , 						Sakhi Abraham                     1                    , Merce Jorda                     4                    , 						Olexandr Kryvenko                     4                    , Matthew Abramowitz                     1                    , 						Elai Davicioni                     2                    , and Adrian Ishkanian                     1          
            
            1
           
           Radiation Oncology, University of Miami, 
						Miami, Florida, United States,
           
            2
           
           GenomeDx 
						Biosciences, Vancouver, British Columbia, Canada,
           
            3
           
           Urology, 
						University of Miami, Miami, Florida, United States,
           
            4
           
           Pathology, 
						University of Miami, Miami, Florida, United States
          
            
          Current clinicopathological factors explain just a 
						fraction of the observed heterogeneity in prostate 
						cancer patient outcome. In this study we address the 
						question whether quantitative imaging data from 
						multiparametric (MP)-MRI are associated with gene 
						expression characteristics (radiogenomics) and how these 
						in turn relate to Gleason score (GS) and intra-patient 
						versus inter-patient genomic heterogeneity. Quantitative 
						MP-MRI-targeted diagnostic biopsies can potentially 
						improve risk classification by directing pathological 
						and genomic analysis to highest risk index lesions. This 
						is the first demonstration of a link between 
						quantitative imaging features (radiomics) with genomic 
						features in MRI-directed prostate biopsies.
         
				
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