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Fig. 1 | BMC Urology

Fig. 1

From: Multiparametric transrectal ultrasound for the diagnosis of peripheral zone prostate cancer and clinically significant prostate cancer: novel scoring systems

Fig. 1

Images from a representative patient (age 61 years). a Grayscale US showed a hypoechoic lesion (arrow) in the left peripheral zone with an unclear margin and uneven distribution. b The lesion (arrow) was scored as Adler II–III via CDUS. c SE imaging was blue in the area of the lesion (arrow). d CEUS showed early wash-in/out and high enhancement (arrow). e A focal and slightly hypointense lesion was identified in the left posterior peripheral zone with T2-weighted MRI. f DWI showed a hyperintense lesion. g ADC showed a hypointense lesion. The PI-RADS V2 of this lesion is 5. h Histopathological images (× 200). Upon biopsy, the lesion was diagnosed as PCa with a Gleason score of 5 + 4

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