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Comparison of diagnostic value of multi‑slice spiral CT and MRI for different pathological stages of prostate cancer

  • Authors:
    • Yanbin Sui
    • Jian Li
    • Zhenxing Zou
    • Yunxia Shi
    • Cuijuan Hao
  • View Affiliations / Copyright

    Affiliations: Department of Medical Image, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong 264000, P.R. China
    Copyright: © Sui et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 5505-5510
    |
    Published online on: April 18, 2019
       https://doi.org/10.3892/ol.2019.10272
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Abstract

Diagnostic value of magnetic resonance imaging (MRI) and multi‑slice spiral CT (MSCT) for different pathological stages of prostate cancer was compared. A total of 112 patients with prostate cancer who underwent surgical pathology in The Affiliated Yantai Yuhuangding Hospital of Qingdao University from February 2014 to January 2016 were enrolled as prostate cancer group, and another 100 patients who received physical health examinations during the same period as the normal group. MSCT and MRI scanning were performed on patients in both groups to analyze their diagnostic value for stages A/B and C/D of prostate cancer. Based on the apparent diffusion coefficient (ADC) value generated by the diffusion‑weighted imaging (DWI) in MRI, there was a significant difference in the ADC value ​​between different stages of prostate cancer (P<0.05); the pathological stage was negatively correlated with the ADC value (r=‑0.7629, P<0.05), and the higher the stage was, the lower the ADC value was. The sensitivity was significantly higher in the MRI group than that in the MSCT group (92.0 vs. 79.5%, P<0.05), and the specificity was significantly higher in the MRI group than that in the MSCT group (90.0 vs. 70.0%, P<0.05). In the diagnosis of stage A and B of prostate cancer, the diagnostic coincidence rate was 86.7% in the MRI group, and 57.8% in the MSCT group (P<0.05); the misdiagnosis rate and missed diagnosis rate were significantly lower in the MRI group than those in the MSCT group (P<0.05). The accuracy of MRI is higher than that of MSCT in the diagnosis of early prostate cancer. Both MRI and MSCT can accurately detect stages C and D of prostate cancer, but the ADC value in MRI has great clinical significance for judging the risk of the tumor. Therefore, MRI is more valuable than MSCT in the diagnosis of patients with different pathological stages of prostate cancer.
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Copy and paste a formatted citation
Spandidos Publications style
Sui Y, Li J, Zou Z, Shi Y and Hao C: Comparison of diagnostic value of multi‑slice spiral CT and MRI for different pathological stages of prostate cancer. Oncol Lett 17: 5505-5510, 2019.
APA
Sui, Y., Li, J., Zou, Z., Shi, Y., & Hao, C. (2019). Comparison of diagnostic value of multi‑slice spiral CT and MRI for different pathological stages of prostate cancer. Oncology Letters, 17, 5505-5510. https://doi.org/10.3892/ol.2019.10272
MLA
Sui, Y., Li, J., Zou, Z., Shi, Y., Hao, C."Comparison of diagnostic value of multi‑slice spiral CT and MRI for different pathological stages of prostate cancer". Oncology Letters 17.6 (2019): 5505-5510.
Chicago
Sui, Y., Li, J., Zou, Z., Shi, Y., Hao, C."Comparison of diagnostic value of multi‑slice spiral CT and MRI for different pathological stages of prostate cancer". Oncology Letters 17, no. 6 (2019): 5505-5510. https://doi.org/10.3892/ol.2019.10272
Copy and paste a formatted citation
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Spandidos Publications style
Sui Y, Li J, Zou Z, Shi Y and Hao C: Comparison of diagnostic value of multi‑slice spiral CT and MRI for different pathological stages of prostate cancer. Oncol Lett 17: 5505-5510, 2019.
APA
Sui, Y., Li, J., Zou, Z., Shi, Y., & Hao, C. (2019). Comparison of diagnostic value of multi‑slice spiral CT and MRI for different pathological stages of prostate cancer. Oncology Letters, 17, 5505-5510. https://doi.org/10.3892/ol.2019.10272
MLA
Sui, Y., Li, J., Zou, Z., Shi, Y., Hao, C."Comparison of diagnostic value of multi‑slice spiral CT and MRI for different pathological stages of prostate cancer". Oncology Letters 17.6 (2019): 5505-5510.
Chicago
Sui, Y., Li, J., Zou, Z., Shi, Y., Hao, C."Comparison of diagnostic value of multi‑slice spiral CT and MRI for different pathological stages of prostate cancer". Oncology Letters 17, no. 6 (2019): 5505-5510. https://doi.org/10.3892/ol.2019.10272
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