Fig. 9
From: Pitfalls in Interpreting mp-MRI of the Prostate: A Pictorial Review with Pathologic Correlation
Prominent peri-prostatic bundle with no ERC. a Axial T2-weighted fast spin-echo image showing an ill-defined hypointense area in posterior left peripheral zone, suspected for cancer. b Axial DWI image with b value = 3000 mm2/sec, and c ADC map image showing no areas of significant restriction of water diffusivity. d Axial perfusion gradient-echo T1-weighted image, and e colour DCE MR map showing no enhancing areas in left peripheral zone with and enhancing neuro-vascular bundles adherent to the glandular profile. According to he PIRADSv2 scoring system, the score for T2, DCE and DWI is, respectively: 2, + and 4; the overall score is 4 (based on dominant sequence), which means that the presence of clinically significant cancer is equivocal