Publication Date:
2017-02-10
Description:
Purpose To explore the morphological and functional characteristics of prostatic arterial embolization (PAE) in a canine model of benign prostatic hyperplasia (BPH) with 3T multiparametric magnetic resonance imaging (mp-MRI) and whole-mount step-section pathology correlation. Materials and Methods Eight adult male beagle dogs with hormone-induced BPH underwent 3T mp-MRI before and 1, 3, and 6 months after PAE, with subsequent whole-mount step-section pathologic assessment. Images were acquired using T 1 -weighted images ( T 1 WI), T 2 WI, 3D-SPACE, diffusion-weighted imaging (DWI), susceptibility-weighted imaging (SWI), T 2 -mapping, and dynamic contrast-enhanced (DCE) sequences. Variance analysis was performed to assess statistical differences in prostatic volume (PV), apparent diffusion coefficient (ADC), and T 2 values. Pearson correlation analysis was performed to correlate ADC, T 2 , and PV. Results The PV decreased from baseline to 1, 3, and 6 months after PAE from (25.88 ± 7.09) cm 3 to (6.48 ± 2.08) cm 3 , (6.48 ± 3.39) cm 3 , (6.20 ± 2.88) cm 3 . The ADC values sequentially decreased from baseline to 1, 3, and 6 months after PAE from (1497.06 ± 222.72) × 10 −6 mm 2 /s to (1056.00 ± 189.46) × 10 −6 mm 2 /s, (950.48 ± 77.85) × 10 −6 mm 2 /s, (980.98 ± 107.78) × 10 −6 mm 2 /s. The T 2 values decreased from baseline to 1, 3, and 6 months after PAE were (83.74 ± 5.29) msec, (68.72 ± 5.66) msec, (53.96 ± 15.04) msec, (49.81 ± 13.34) msec, respectively. ADC and T 2 values were positively correlated with PV ( r = 0.823 and 0.744, respectively). Microhemorrhages and hemosiderin were found on SWI after PAE. Conclusion 3T mp-MRI may facilitate noninvasive assessment of morphological and functional changes of BPH after PAE. Level of Evidence: 1 J. Magn. Reson. Imaging 2017
Print ISSN:
1053-1807
Electronic ISSN:
1522-2586
Topics:
Medicine
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