Extracapsular extension on MRI indicates a more aggressive cell cycle progression genotype of prostate cancer.

Purpose: To explore associations between magnetic resonance imaging (MRI) features of prostate cancer and expression levels of cell cycle genes, as assessed by the Prolaris® test. Materials and methods: Retrospective analysis of 118 PCa patients with genetic testing of biopsy specimen and prostate M...

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Publicado en:Abdominal Radiology Vol. 44; no. 8; pp. 2864 - 2874
Autores principales: Wibmer, Andreas G., Robertson, Nicola L., Hricak, Hedvig, Zheng, Junting, Capanu, Marinela, Stone, Steven, Ehdaie, Behfar, Brawer, Michael K., Vargas, Hebert Alberto
Formato: Journal Article
Publicado: Springer Nature Aug2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00261-019-02023-1
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        atl: Extracapsular extension on MRI indicates a more aggressive cell cycle progression genotype of prostate cancer.
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          Wibmer, Andreas G.
          Robertson, Nicola L.
          Hricak, Hedvig
          Zheng, Junting
          Capanu, Marinela
          Stone, Steven
          Ehdaie, Behfar
          Brawer, Michael K.
          Vargas, Hebert Alberto
        affil: Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, 10065, New York, NY, USA
      sug:
      ab: Purpose: To explore associations between magnetic resonance imaging (MRI) features of prostate cancer and expression levels of cell cycle genes, as assessed by the Prolaris® test. Materials and methods: Retrospective analysis of 118 PCa patients with genetic testing of biopsy specimen and prostate MRI from 08/2013 to 11/2015. Associations between the cell cycle risk (CCR) score and MRI features [i.e., PI-RADSv2 score, extracapsular extension (ECE), quantitative metrics] were analyzed with Fisher's exact test, nonparametric tests, and Spearman's correlation coefficient. In 41 patients (34.7%), test results were compared to unfavorable features on prostatectomy specimen (i.e., Gleason group ≥ 3, ECE, lymph node metastases). Results: Fifty-four (45.8%), 60 (50.8%), and 4 (3.4%) patients had low-, intermediate-, and high-risk cancers according to American Urological Association scoring system. Patients with ECE on MRI had significantly higher mean CCR scores (reader 1: 3.9 vs. 3.2, p = 0.015; reader 2: 3.6 vs. 3.2, p = 0.045). PI-RADSv2 scores and quantitative MRI features were not associated with CCR scores. In the prostatectomy subset, ECE on MRI (p = < 0.001–0.001) and CCR scores (p = 0.049) were significantly associated with unfavorable histopathologic features. Conclusion: The phenotypic trait of ECE on MRI indicates a more aggressive genotype of prostate cancer.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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