The goal of this study was to assess the association of multiparametric MRI (mpMRI) radiomic features with histopathological and genomic markers of prostate cancer (PCa) aggressiveness. mpMRI histogram and texture features showed multiple significant correlations with Gleason score, modified Gleason score Grade Group and genomics Decipher risk score. General linear models showed high accuracy for prediction of the histopathological and genomics features (accuracy range 0.77-0.94). The results indicate that MRI radiomics analysis is promising for noninvasive assessment of PCa aggressiveness on the histopathological and genomics levels.
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