Standard magnetic resonance imaging of the prostate lacks sensitivity in the diagnosis and staging of prostate cancer.

The efficacy of RSI-MRI technique was compared with standard MRI for detecting extraprostatic extension (EPE).
28 PCa patients underwent MRI and RSI-MRI prior to radical prostatectomy and 10 patients had pT3 (prostate cancer, stage 3) disease.
Of the 27 patients who were evaluated, preoperative standard MRI identified two of the nine-pT3 extraprostatic extension.
RSI-MRI identified EPE in eight of nine (89%) patients. RSI-MRI correctly identified pT2 disease in the remaining 18 patients.
RSI-MRI technology is feasible and shows promise for substantially improving PCa imaging.
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