Multiparametric MRI for Localized Prostate Cancer: Lesion Detection and Staging

Figure 4

Hemorrhage can limit diagnostic confidence. The location of tumor (thick arrow) on T2-weighted imaging (a) is indistinct, with additional low signal areas in the peripheral gland bilaterally that appear mass-like (thin arrows). The location of tumor is confirmed on the apparent diffusion coefficient (ADC) map (b) but dynamic contrast-enhanced (DCE) perfusion (c) is heterogeneous (thin arrows). The precontrast T1-weighted image (d) reveals short T1 corresponding to the areas of low signal on T2-weighted imaging (thin arrows) confirming that this signifies artifact from hemorrhage.

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