Usefulness of Bi-Parametric Magnetic Resonance Imaging with b=1,800 s/mm² Diffusion-Weighted Imaging for Diagnosing Clinically Significant Prostate Cancer

Abstract

Recent large randomized controlled studies have demonstrated the usefulness of multi-parametric magnetic resonance imaging (mpMRI) for prostate cancer (PCa) detection [1,2]. Target biopsy based on mpMRI

Cost-effectiveness analysis of short biparametric magnetic resonance imaging protocol in men at risk of prostate cancer

“…In addition, MP-MRI protocol has some disadvantages, including longer time and higher cost, and the use of gadolinium-based contrast agents that may be problematic for patients with a glomerular filtration rate < 30 ml/min; moreover, the risk of potential brain accumulation is well described (8). For these reasons some authors have proposed a short protocol, using the biparametric MRI (BP-MRI) (9)(10)(11). The diagnostic value of BP-MRI in detecting suspected lesions in the peripheral zone (PZ) and the transitional zone (TZ) has been validated (10)(11) and is justified because: a) ensures lesion identification and localization in any prostatic area; b) avoids the use of gadolinium-DTPA; c) examination lasts about 15 minutes; d) allows money saving.…”