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Fig. 4 | Insights into Imaging

Fig. 4

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

Fig. 4

A 50-year-old patient with rising PSA and a typical anterior tumour involving the right side of the gland. Axial T2W TSE (a) demonstrates an amorphous, off midline, lenticular-shaped, ill-defined low T2 SI region (white arrow) with low SI (black arrow) on the ADC (b) map due to restricted diffusion (note increased SI on trace b1000 mm²/s EPI (white arrow in c) and type III contrast curve kinetics on DCE (d). A targeted TRUS biopsy was performed and confirmed Gleason score 4 + 3 = 7 tumour anteriorly. Corresponding microscopic image from TRUS biopsy (e) demonstrates Gleason pattern 4 tumour

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