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Magnetic resonance diffusion characteristics of histologically defined prostate cancer in humans
The contrast provided by diffusion‐sensitive magnetic resonance offers the promise of improved tumor localization in organ‐confined human prostate cancer (PCa). Diffusion tensor imaging (DTI) measurements of PCa were performed in vivo, in patients undergoing radical prostatectomy, and later, ex vivo...
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Published in: | Magnetic resonance in medicine 2009-04, Vol.61 (4), p.842-850 |
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container_title | Magnetic resonance in medicine |
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creator | Xu, Junqian Humphrey, Peter A. Kibel, Adam S. Snyder, Abraham Z. Narra, Vamsidhar R. Ackerman, Joseph J.H. Song, Sheng-Kwei |
description | The contrast provided by diffusion‐sensitive magnetic resonance offers the promise of improved tumor localization in organ‐confined human prostate cancer (PCa). Diffusion tensor imaging (DTI) measurements of PCa were performed in vivo, in patients undergoing radical prostatectomy, and later, ex vivo, in the same patients' prostatectomy specimens. The imaging data were coregistered to histological sections of the prostatectomy specimens, thereby enabling unambiguous characterization of diffusion parameters in cancerous and benign tissues. Increased cellularity, and hence decreased luminal spaces, in peripheral zone PCa led to approximately 40% and 50% apparent diffusion policy (ADC) decrease compared with benign peripheral zone tissues in vivo and ex vivo, respectively. In contrast, no significant diffusion anisotropy differences were observed between the cancerous and noncancerous peripheral zone tissues. However, the dense fibromuscular tissues in prostate, such as stromal tissues in benign prostatic hyperplasia in central gland, exhibited high diffusion anisotropy. A tissue classification method is proposed to combine DTI and T2‐weighted image contrasts that may provide improved specificity of PCa detection over T2‐weighted imaging alone. PCa identified in volume rendered MR images qualitatively correlates well with histologically determined PCa foci. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc. |
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Diffusion tensor imaging (DTI) measurements of PCa were performed in vivo, in patients undergoing radical prostatectomy, and later, ex vivo, in the same patients' prostatectomy specimens. The imaging data were coregistered to histological sections of the prostatectomy specimens, thereby enabling unambiguous characterization of diffusion parameters in cancerous and benign tissues. Increased cellularity, and hence decreased luminal spaces, in peripheral zone PCa led to approximately 40% and 50% apparent diffusion policy (ADC) decrease compared with benign peripheral zone tissues in vivo and ex vivo, respectively. In contrast, no significant diffusion anisotropy differences were observed between the cancerous and noncancerous peripheral zone tissues. However, the dense fibromuscular tissues in prostate, such as stromal tissues in benign prostatic hyperplasia in central gland, exhibited high diffusion anisotropy. A tissue classification method is proposed to combine DTI and T2‐weighted image contrasts that may provide improved specificity of PCa detection over T2‐weighted imaging alone. PCa identified in volume rendered MR images qualitatively correlates well with histologically determined PCa foci. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.</description><identifier>ISSN: 0740-3194</identifier><identifier>EISSN: 1522-2594</identifier><identifier>DOI: 10.1002/mrm.21896</identifier><identifier>PMID: 19215051</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aged ; Algorithms ; apparent diffusion coefficient (ADC) ; Diffusion Magnetic Resonance Imaging - methods ; diffusion tensor imaging (DTI) ; fractional anisotropy (FA) ; Humans ; Image Enhancement - methods ; Image Interpretation, Computer-Assisted - methods ; Male ; Middle Aged ; prostate carcinoma (PCa) ; Prostatic Neoplasms - pathology ; Reproducibility of Results ; Sensitivity and Specificity</subject><ispartof>Magnetic resonance in medicine, 2009-04, Vol.61 (4), p.842-850</ispartof><rights>Copyright © 2009 Wiley‐Liss, Inc.</rights><rights>2009 Wiley-Liss, Inc. 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5486-4d055700ff0081d13d289751dcf29e4cd1050cb50f69737ccaa7f76acde75df83</citedby><cites>FETCH-LOGICAL-c5486-4d055700ff0081d13d289751dcf29e4cd1050cb50f69737ccaa7f76acde75df83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmrm.21896$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmrm.21896$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,315,786,790,891,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19215051$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Junqian</creatorcontrib><creatorcontrib>Humphrey, Peter A.</creatorcontrib><creatorcontrib>Kibel, Adam S.</creatorcontrib><creatorcontrib>Snyder, Abraham Z.</creatorcontrib><creatorcontrib>Narra, Vamsidhar R.</creatorcontrib><creatorcontrib>Ackerman, Joseph J.H.</creatorcontrib><creatorcontrib>Song, Sheng-Kwei</creatorcontrib><title>Magnetic resonance diffusion characteristics of histologically defined prostate cancer in humans</title><title>Magnetic resonance in medicine</title><addtitle>Magn. Reson. Med</addtitle><description>The contrast provided by diffusion‐sensitive magnetic resonance offers the promise of improved tumor localization in organ‐confined human prostate cancer (PCa). Diffusion tensor imaging (DTI) measurements of PCa were performed in vivo, in patients undergoing radical prostatectomy, and later, ex vivo, in the same patients' prostatectomy specimens. The imaging data were coregistered to histological sections of the prostatectomy specimens, thereby enabling unambiguous characterization of diffusion parameters in cancerous and benign tissues. Increased cellularity, and hence decreased luminal spaces, in peripheral zone PCa led to approximately 40% and 50% apparent diffusion policy (ADC) decrease compared with benign peripheral zone tissues in vivo and ex vivo, respectively. In contrast, no significant diffusion anisotropy differences were observed between the cancerous and noncancerous peripheral zone tissues. However, the dense fibromuscular tissues in prostate, such as stromal tissues in benign prostatic hyperplasia in central gland, exhibited high diffusion anisotropy. A tissue classification method is proposed to combine DTI and T2‐weighted image contrasts that may provide improved specificity of PCa detection over T2‐weighted imaging alone. PCa identified in volume rendered MR images qualitatively correlates well with histologically determined PCa foci. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.</description><subject>Aged</subject><subject>Algorithms</subject><subject>apparent diffusion coefficient (ADC)</subject><subject>Diffusion Magnetic Resonance Imaging - methods</subject><subject>diffusion tensor imaging (DTI)</subject><subject>fractional anisotropy (FA)</subject><subject>Humans</subject><subject>Image Enhancement - methods</subject><subject>Image Interpretation, Computer-Assisted - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>prostate carcinoma (PCa)</subject><subject>Prostatic Neoplasms - pathology</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><issn>0740-3194</issn><issn>1522-2594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNqFkU1vEzEQhi1ERUPhwB9APiFx2HbsXa_XFySUQgA1RUIFJC7G9Udi2LWDvQvk3-M2aYED4jSW5plH43kRekTgmADQkyENx5R0or2DZoRRWlEmmrtoBryBqiaiOUT3c_4CAELw5h46JIISBozM0OelWgU7eo2TzTGooC023rkp-xiwXquk9GiTzwXJODq8Ls_Yx5XXqu-32FjngzV4k2Ie1WixvlIk7ANeT4MK-QE6cKrP9uG-HqH3L19czF9VZ28Xr-fPzyrNmq6tGgOMcQDnADpiSG1oJzgjRjsqbKMNAQb6koFrBa-51kpxx1uljeXMuK4-Qs923s10OVijbRiT6uUm-UGlrYzKy787wa_lKn6XNXTlLm0RPNkLUvw22TzKwWdt-14FG6csWw4dpVD_F6TQcEEbUsCnO1CX4-Rk3e02BORVcLIEJ6-DK-zjP9f_Te6TKsDJDvjhe7v9t0ku3y1vlNVuoiRmf95OqPS1_KXmTH48X8jFxemn-QfyRkL9C5DwtKY</recordid><startdate>200904</startdate><enddate>200904</enddate><creator>Xu, Junqian</creator><creator>Humphrey, Peter A.</creator><creator>Kibel, Adam S.</creator><creator>Snyder, Abraham Z.</creator><creator>Narra, Vamsidhar R.</creator><creator>Ackerman, Joseph J.H.</creator><creator>Song, Sheng-Kwei</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200904</creationdate><title>Magnetic resonance diffusion characteristics of histologically defined prostate cancer in humans</title><author>Xu, Junqian ; Humphrey, Peter A. ; Kibel, Adam S. ; Snyder, Abraham Z. ; Narra, Vamsidhar R. ; Ackerman, Joseph J.H. ; Song, Sheng-Kwei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5486-4d055700ff0081d13d289751dcf29e4cd1050cb50f69737ccaa7f76acde75df83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Algorithms</topic><topic>apparent diffusion coefficient (ADC)</topic><topic>Diffusion Magnetic Resonance Imaging - methods</topic><topic>diffusion tensor imaging (DTI)</topic><topic>fractional anisotropy (FA)</topic><topic>Humans</topic><topic>Image Enhancement - methods</topic><topic>Image Interpretation, Computer-Assisted - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>prostate carcinoma (PCa)</topic><topic>Prostatic Neoplasms - pathology</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xu, Junqian</creatorcontrib><creatorcontrib>Humphrey, Peter A.</creatorcontrib><creatorcontrib>Kibel, Adam S.</creatorcontrib><creatorcontrib>Snyder, Abraham Z.</creatorcontrib><creatorcontrib>Narra, Vamsidhar R.</creatorcontrib><creatorcontrib>Ackerman, Joseph J.H.</creatorcontrib><creatorcontrib>Song, Sheng-Kwei</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Magnetic resonance in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xu, Junqian</au><au>Humphrey, Peter A.</au><au>Kibel, Adam S.</au><au>Snyder, Abraham Z.</au><au>Narra, Vamsidhar R.</au><au>Ackerman, Joseph J.H.</au><au>Song, Sheng-Kwei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Magnetic resonance diffusion characteristics of histologically defined prostate cancer in humans</atitle><jtitle>Magnetic resonance in medicine</jtitle><addtitle>Magn. Reson. Med</addtitle><date>2009-04</date><risdate>2009</risdate><volume>61</volume><issue>4</issue><spage>842</spage><epage>850</epage><pages>842-850</pages><issn>0740-3194</issn><eissn>1522-2594</eissn><notes>Preliminary reports of this work may be found in the Proceedings of the 12-15th Annual Meetings of International Society for Magnetic Resonance in Medicine. 2004. p. 2508, 2005. p. 2125, 2006. p. 174, and 2007. p. 3666.</notes><notes>istex:9A6D65BEE0EF665F725578BAFD7BD580B3D6C7D6</notes><notes>U.S. Army DOD Prostate Cancer Program Pre-doctoral Fellowship - No. PC050667</notes><notes>Washington University Small Animal Imaging Resource - a NCI funded Small Animal Imaging Resource Program facility - No. R24 CA83060</notes><notes>Midwest Stone Institute</notes><notes>Small Animal Imaging Core of the Alvin J. Siteman Cancer Center - a NCI Comprehensive Cancer Center - No. P30 CA91842</notes><notes>NINDS center core grant - No. P30 NS048056</notes><notes>ark:/67375/WNG-GTDZCV1J-0</notes><notes>ArticleID:MRM21896</notes><notes>Preliminary reports of this work may be found in the Proceedings of the 12–15th Annual Meetings of International Society for Magnetic Resonance in Medicine. 2004. p. 2508, 2005. p. 2125, 2006. p. 174, and 2007. p. 3666.</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>The contrast provided by diffusion‐sensitive magnetic resonance offers the promise of improved tumor localization in organ‐confined human prostate cancer (PCa). Diffusion tensor imaging (DTI) measurements of PCa were performed in vivo, in patients undergoing radical prostatectomy, and later, ex vivo, in the same patients' prostatectomy specimens. The imaging data were coregistered to histological sections of the prostatectomy specimens, thereby enabling unambiguous characterization of diffusion parameters in cancerous and benign tissues. Increased cellularity, and hence decreased luminal spaces, in peripheral zone PCa led to approximately 40% and 50% apparent diffusion policy (ADC) decrease compared with benign peripheral zone tissues in vivo and ex vivo, respectively. In contrast, no significant diffusion anisotropy differences were observed between the cancerous and noncancerous peripheral zone tissues. However, the dense fibromuscular tissues in prostate, such as stromal tissues in benign prostatic hyperplasia in central gland, exhibited high diffusion anisotropy. A tissue classification method is proposed to combine DTI and T2‐weighted image contrasts that may provide improved specificity of PCa detection over T2‐weighted imaging alone. PCa identified in volume rendered MR images qualitatively correlates well with histologically determined PCa foci. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>19215051</pmid><doi>10.1002/mrm.21896</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Algorithms apparent diffusion coefficient (ADC) Diffusion Magnetic Resonance Imaging - methods diffusion tensor imaging (DTI) fractional anisotropy (FA) Humans Image Enhancement - methods Image Interpretation, Computer-Assisted - methods Male Middle Aged prostate carcinoma (PCa) Prostatic Neoplasms - pathology Reproducibility of Results Sensitivity and Specificity |
title | Magnetic resonance diffusion characteristics of histologically defined prostate cancer in humans |
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