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Abstract #2563

Characterising prostate tumour growth patterns in men on active surveillance: linking ADC features to growth kinetics

Dominic Carlin1,2, Veronica A Morgan1,2, Chris Parker1,3, and Nandita M deSouza1,2

1CRUK Imaging Centre, Institute of Cancer Research, London, United Kingdom, 2MRI Unit, The Royal Marsden NHS Foundation Trust, Sutton, United Kingdom, 3Urology Department, The Royal Marsden NHS Foundation Trust, Sutton, United Kingdom, Sutton, United Kingdom

Tumor growth kinetics of low-risk prostate cancer in 15 men managed by active surveillance with size increase on repeat MRI were correlated with ADC histogram metrics. Measurements were made over 3 time-points at least 1 year apart (mean 3.6 ± 0.95 years). Median growth was 23.1% in the first interval and 49.8% in the second. ADC reduced over time. Accelerated growth during the second time interval correlated with the increase in interquartile range (r=0.6, p=0.02) and shift to more positive skew (r=-0.56, p=0.03) seen during the first time interval, suggesting that increasing heterogeneity and reducing ADC may signal accelerated growth.

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