Мультипараметрическая магнитно-резонансной томография в оценке местной распространенности (T-стадии) рака предстательной железы: мультицентровое исследование

Objective: To evaluate the possibilities and significance of preoperative multiparametric magnetic resonance imaging (mpMRI) in assessing the local staging of prostate cancer (PCa) versus postoperative pathomorphological examination. Materials and methods: The study included 83 men aged 54 to 87 years (median 66 years) with a verified diagnosis of prostate cancer. All patients underwent mpMRI of the pelvis prior to performing radical surgical treatment (radical prostatectomy-RP). The RP was performed no later than 2 weeks after the mpMRI. Results: Sensitivity, specificity, diagnostic accuracy, prediction of positive (PPV) and negative (NPV) results in the evaluation of extracapsular proliferation were: 89.5%, 90.6%, 91%, 88.0% and 92.3% respectively; in the evaluation of tumor invasion of seminal vesicles - 85.2%, 95.4%, 90%, 85.7% and 95.6%. Conclusion: The results of preoperative staging of patients with PCa through the use of mpMRI demonstrate high sensitivity, specificity and overall diagnostic accuracy, as well as high NPV and PPV. The introduction of extensive use of preoperative staging of patients with PCa by mpMRI can help to more personalize stratify groups of patients when choosing the tactics of radical treatment. The prescription of hormone therapy before the mpMRI can reduce the detectability of local advanced forms of PCa.