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Magnetic resonance microscopy may enable distinction between normal histomorphological features and prostate cancer in the resected prostate gland.
Durand, Matthieu; Jain, Manu; Robinson, Brian; Aronowitz, Eric; El Douahy, Youssef; Leung, Robert; Scherr, Douglas S; Ng, Amelia; Donzeau, Dominique; Amiel, Jean; Spincemaille, Pascal; Villers, Arnauld; Ballon, Douglas J.
Afiliação
  • Durand M; Department of Urology, Institute of Prostate Cancer and Lefrak Center for Robotic Surgery, Weill Medical College of Cornell University, New York, NY, USA.
  • Jain M; Department of Urology, Hôpital Pasteur 2, CHU Nice, University of Nice-Sophia-Antipolis, Nice, France.
  • Robinson B; INSERM, U1189, ONCO-THAI, Lille, France.
  • Aronowitz E; Department of Pathology and, Weill Medical College of Cornell University, New York, NY, USA.
  • El Douahy Y; Department of Pathology and, Weill Medical College of Cornell University, New York, NY, USA.
  • Leung R; Department of Radiology, Weill Medical College of Cornell University, New York, NY, USA.
  • Scherr DS; Department of Urology, Institute of Prostate Cancer and Lefrak Center for Robotic Surgery, Weill Medical College of Cornell University, New York, NY, USA.
  • Ng A; Department of Urology, Institute of Prostate Cancer and Lefrak Center for Robotic Surgery, Weill Medical College of Cornell University, New York, NY, USA.
  • Donzeau D; Department of Urology, Institute of Prostate Cancer and Lefrak Center for Robotic Surgery, Weill Medical College of Cornell University, New York, NY, USA.
  • Amiel J; Department of Radiology, Weill Medical College of Cornell University, New York, NY, USA.
  • Spincemaille P; Department of Urology, Hôpital Pasteur 2, CHU Nice, University of Nice-Sophia-Antipolis, Nice, France.
  • Villers A; Department of Urology, Hôpital Pasteur 2, CHU Nice, University of Nice-Sophia-Antipolis, Nice, France.
  • Ballon DJ; Department of Radiology, Weill Medical College of Cornell University, New York, NY, USA.
BJU Int ; 119(3): 414-423, 2017 03.
Article em En | MEDLINE | ID: mdl-27154761
OBJECTIVES: To determine imaging protocol parameters for characterization of prostate tissue at histological length scales. MATERIAL AND METHODS: Rapid acquisition with relaxation enhancement, spin echo and gradient echo fast low angle shot data were acquired using ex vivo 3-Tesla or 7-Tesla magnetic field strengths from fresh prostatectomy specimens (n = 15) obtained from either organ donor or patients with prostate cancer (PCa). To achieve the closest correspondence between histopathological components and magnetic resonance imaging (MRI) results, in terms of resolution and sectioning planes, multiple high-resolution imaging protocols (ranging from a few minutes to overnight) were tested. Ductograms were generated as part of image post-processing. Specimens were subsequently submitted for histopathological evaluation. RESULTS: A total of seven imaging protocols were tested. Ex vivo 7-Tesla MRI identified normal components of prostate glands, including ducts, blood vessels, concretions and stroma at a spatial resolution of 60 × 60 × 60 µm3 to 107 × 107 × 500 µm3 . Malignant glands and nests of tumour cells identified at 60 × 60 × 90 µm3 were highly similar to low-magnification (×2) histopathology. Ductograms enhanced the differentiation between benign and malignant glands. The results of the present study were encouraging, and further work is warranted with a larger sample size. CONCLUSION: We showed that critical histopathological features of the prostate gland can be identified with high-resolution ex vivo MRI examination and this offers promise that MRI microscopy of PCa will ultimately be possible in vivo.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Próstata / Neoplasias da Próstata / Imageamento por Ressonância Magnética Limite: Humans / Male Idioma: En Revista: BJU Int Assunto da revista: UROLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Próstata / Neoplasias da Próstata / Imageamento por Ressonância Magnética Limite: Humans / Male Idioma: En Revista: BJU Int Assunto da revista: UROLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Estados Unidos