Anatomo-Radiological Correlation Comparing Anatomopathological Data from Radical Prostatectomy and Multiparametric Prostate MRI

Abstract

Introduction: In order to characterize the clinical behavior of CaP, pMRI could, thanks to its ability to detect, localize and estimate tumor foci, distinguish silent from invasive and aggressive tumors. Materials and methods: This is a retrospective study including 44 patients collected at the Urology Department of the Mohammed V Military Hospital in Rabat (HMMV) over a 22-month period, from January 2020 to October 2021. Mean age; PSAt; size, dimension and location of lesion on MRI; approach; histological type; positive surgical margins; extracapsular extension; perineural invasion; lymphovascular invasion; seminal vesicle invasion; lymph node involvement; PI-RADS and Gleason scores were collected. Results: According to our study, the histopronostic factors corroborating with PI-RADS are: - Gleason score - extra-capsular extension - seminal vesicle invasion - lymphovascular invasion. Conclusion: Multiparametric MRI offers convincing and promising results for the detection of suspicious lesions. Performed prior to radical prostatectomy, it provides essential information for diagnostic and therapeutic management.