Prostatic carcinoma: staging by clinical assessment, CT, and MR imaging. Academic Article uri icon

Overview

abstract

  • The sensitivity, specificity, accuracy, and positive and negative predictive values of clinical assessment, computed tomography (CT), and magnetic resonance (MR) imaging were compared in the differentiation of stage B from stage C prostatic carcinoma. Forty-six patients who had undergone radical prostatectomy were included in the study. Surgical-pathologic staging was considered the "truth measure." Clinical staging had an accuracy of 61%, and CT, 65%. Accuracy for MR imaging depended on the instrument parameters and plane of section used. When only transverse T1-weighted images were analyzed, MR accuracy was 61%. However, when transverse T1- and T2-weighted images supplemented by additional T2-weighted coronal or sagittal images were studied, accuracy increased to 83%. At present, MR imaging is the most accurate diagnostic modality for the local staging of carcinoma of the prostate, but for optimal results, multiple sequences and two orthogonal planes of imaging are needed.

publication date

  • February 1, 1987

Research

keywords

  • Magnetic Resonance Spectroscopy
  • Prostatic Neoplasms
  • Tomography, X-Ray Computed

Identity

Scopus Document Identifier

  • 0023158478

Digital Object Identifier (DOI)

  • 10.1148/radiology.162.2.3797645

PubMed ID

  • 3797645

Additional Document Info

volume

  • 162

issue

  • 2