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Abstract #4796

Quantitatively Differentiating Prostate Cancer, Prostatitis and Benign Prostatic Hyperplasia (BPH) by Diffusion MRI Histology (D-Histo)

Ze-Zhong Ye1, Qingsong Yang 2, Peng Sun 3, Yasheng Zhu4, Chunyu Song5, Joshua Lin6, Jianping Lu2, Yinghao Sun4, and Sheng-Kwei Song3,5,7

1Chemistry, Washington University, St. Louis, MO, United States, 2Radiology, Changhai Hospital, Shanghai, People's Republic of China, 3Radiology, Washington University, St. Louis, MO, United States, 4Urology, Changhai Hospital, Shanghai, People's Republic of China, 5Biomedical Engineering, Washington University, St. Louis, MO, United States, 6Biology, Washington University, St. Louis, MO, United States, 7Hope Center for Neurological Disorder, Washington University, St. Louis, MO, United States

A recent consensus established mpMRI for PCa detection has not had the needed sensitivity or specificity to distinguish prostatitis from PCa. Thus, PCa diagnosis by MRI remains uncertain, resulting in over-diagnosis and over-treatment. For the first time, we demonstrate that the new method, diffusion MRI histology (D-Histo), accurately localizes and quantifies PCa, prostatitis, and BPH. With improved diagnosis accuracy, D-Histo affords effective guidance of treatment planning, and assessment of treatment efficacy.

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