Fig. 2
From: Pitfalls in Interpreting mp-MRI of the Prostate: A Pictorial Review with Pathologic Correlation
a Axial T2-weighted fast spin-echo image (5525/110) and b axial T2-weighted fat saturated fast spin-echo image (4941/116) showing a hypointense zone at the mid-peripheral gland in the median posterior location. c Axial perfusion, gradient-echo T1-weighted, d gradient-echo T1-weighted subtracted image and e colour DCE MR map displaying mild enhancement of the hypointense zone. f Axial DWI image with b value = 1000 and g 3000 mm2/sec and h ADC map showing restricted diffusion phenomena of water molecules in the hypointense focus detected on T2-weighted images (white arrows). According to the PIRADSv2 scoring system, the score for T2, DCE and DWI is, respectively: 3, + and 4; the overall score is 4, which means highly clinically significant cancer is likely to be present. i Photomicrograph shows the area in the posterior middle third of the gland (black arrows)