Application of multiparametric magnet–resonance tomography in diagnosis of clinically significant prostatic cancer


Keywords: prostatic cancer; multiparametric magnet–resonance tomography; diagnosis; Gleason scale, diffusion–weighted image; PI–RADS system

Abstract

Objective. To estimate diagnostic efficacy of application of multiparametric magnet–resonance tomography (mpMRT) for revealing of clinically significant prostatic cancer.

Маterials and methods. Into the investigation 26 patients with suspicion on presence of prostatic cancer were included. In all the patients a complex clinical examination was conducted, including mpMRT. The images obtained in mpMRT were estimated in accordance to the PI–RADS system (Prostate Imаging–Reporting and Data System).

Results. The tumor was estimated in accordance to the PI–RADS system in 1 point in 2 (7.69%) patients, 2 points – in 5 (19.23%), 3 points – in 8 (30.77%), 4 points – in 6 (23.08%) and 5 points – in 5 (19.23%) patients. In the patients, owing 5 points in accordance to the tumor radiology estimated, the rate of revealing of clinically significant prostatic cancer have constituted 100%. Of a total number 6 patients, owing 4 points in accordance to the tumor radiology estimated, in 5 (83.33%) a clinically significant prostatic cancer was diagnosed, аnd in 1 (16.67%) patient – clinically nonsignificant variant of the tumor. Of a total number 8 patients, owing 3 points in accordance to the tumor radiology estimated, in 4 (66.67%) a clinically significant prostatic cancer was diagnosed, in 1 (16.67%) patient – clinically nonsignificant variant of the tumor, and in 1 (16.67%) – benign prostatic hyperplasia.

Conclusion. Application of mpMRT and a PI–RADS system in 85.7% patients have permitted to reveal a clinically significant prostatic cancer and to escape unnecessary procedures of the puncture biopsy in absence of its radiation features.

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Author Biographies


Yu. O. Mytsyk, Danylo Galytskyi Lviv National Medical University

Mytsyk Yulian Olegovych - MD, DSci(med), Associate Professor
Department of Urology
Danylo Halytsky Lviv National Medical University
69 Pekarska str, Lviv, Ukraine, 79010,
mytsyk.yulian@gmail.com
http://orcid.org/0000-0002-8513-2349


Yu. S. Kobilnyk, Danylo Galytskyi Lviv National Medical University

Kobilnyk Yuriy Stepanovych - MD., Assistant Professor,
Department of Urology
Danylo Halytsky Lviv National Medical University
69 Pekarska str, Lviv, Ukraine, 79010,
jurij_kobilnyk@ukr.net
https://orcid.org/0000-0003-3251-7429


Yu. B. Borys, Danylo Galytskyi Lviv National Medical University

Borys Yuriy Bohdanovych - MD, DSci(med), Professor,
Chief of the Department of Urology
Danylo Halytsky Lviv National Medical University
69 Pekarska str, Lviv, Ukraine, 79010,
volborys@ukr.net
https://orcid.org/0000-0002-7510-5363


I. Yu. Dutka, Меdical Centre «Euvroklinik», Lviv

Dutka Ihor Yurievych - MD, PhD, Associate Professor,
Medical center “Euroclinic”,
Lviv, Ukraine, Mykolaychuka, 9,
i.dutka@euroclinic.com.ua
https://orcid.org/0000-0001-5539-4412


I. M. Komnatska, Меdical Centre «Euvroklinik», Lviv

Komnatska Iryna Myroslavivna - MD.,
Medical center “Euroclinic”,
Lviv, Ukraine, Mykolaychuka, 9,
komnatska@gmail.com
https://orcid.org/0000-0003-0769-7114


D. Z. Vorobets, Danylo Galytskyi Lviv National Medical University

Vorobets Dmytro Zynoviyovych - MD, DSci(med), Professor
Department of Urology
Danylo Halytsky Lviv National Medical University
69 Pekarska str, Lviv, Ukraine, 79010,
dv@ukr.net
https://orcid.org/0000-0002-8431-5151


V. Ya. Dmytriv, Lviv Regional Clinical Hospital

Dmytriv Volodymyr Yaroslavovych - MD
Department of Urology,
Lviv regional hospital, Lviv, Ukraine,
https://orcid.org/0000-0002-2935-0536


R. R. Zagorujko, Danylo Galytskyi Lviv National Medical University

Zagorujko Roman Rostyslavovych - Assistant Professor, MD, PhD,
Department of Urology
Danylo Halytsky Lviv National Medical University
69 Pekarska str, Lviv, Ukraine, 79010,
https://orcid.org/0000-0002-7750-7278

Published
2019-02-28
How to Cite
Mytsyk, Y. O., Kobilnyk, Y. S., Borys, Y. B., Dutka, I. Y., Komnatska, I. M., Vorobets, D. Z., Dmytriv, V. Y., & Zagorujko, R. R. (2019). Application of multiparametric magnet–resonance tomography in diagnosis of clinically significant prostatic cancer. Klinicheskaia Khirurgiia, 86(3), 41-45. https://doi.org/10.26779/2522-1396.2019.03.41
Section
General Problems of Surgery