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Insights into Imaging
Fig. 12 | Insights into Imaging

Fig. 12

From: False positive and false negative diagnoses of prostate cancer at multi-parametric prostate MRI in active surveillance

Fig. 12

A 63-year-old patient with elevated PSA and previously negative non-targeted TRUS-guided biopsy with persistent clinical suspicion of prostate cancer underwent MP-MRI in two separate sessions within 3 months demonstrating the loss of contrast with BLADE/PROPELLER imaging. Axial T2W BLADE a, b1000 mm²/s EPI b and ADC map c demonstrate a suspicious focus of restricted diffusion in the left middle anterior horn of the PZ (white arrows), which is not visible on axial T2W BLADE (black arrow in a). Repeat examination performed using T2W FSE (d) reveals a T2 hypointense nodule in the same location (black arrow in d) with persistent restricted diffusion (white arrows in e and f)

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