Prostate Radiotherapy in the Era of Advanced Imaging and Precision Medicine

Figure 1

Multiparametric MRI evaluation and MRI-TRUS fusion biopsy in patient with multifocal intraprostatic lesions. The index lesions based upon MRI were identified in the right mid anterior central gland as an area of (a) T2 hypointensity, (b) increased signal on high -value DW-MRI, (c) early enhancement on DCE-MRI, and (d) diffusion restriction on ADC map of DW-MRI. The right mid anterior central gland lesion demonstrated Gleason 3 + 4 disease on fusion biopsy. A second right base posterior peripheral zone lesion demonstrated Gleason 3 + 3 disease.

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