Hi Lingxiao,
Thanks for your query.
We have double-checked this case (patient 10522
, study 100532
), and indeed, the annotation (made under a radiologist's supervision) seems to be correct. Morphological appearance on T2W, high signal value on DWI, and low signal value on ADC, for the region covered by the annotation (shown in my screenshot below), seems consistent with what you would expect of csPCa. Exact slice that you've shared in your example image is near the base of the prostate gland, where the csPCa lesion seems to be extending into or invading the seminal vesicles.
For more clarity, I would highly recommend scrolling through at least all three axial MRI sequences (i.e. files ending in _t2w.mha
, _hbv.mha
, _adc.mha
) in parallel, and in 3D, with the annotation overlaid on top. At my end, I use ITK-SNAP v3.80 to do this. I would also recommend reading the following article to get familar with the interpretation of csPCa in MRI (helped me a lot back when I got started):
If you want to dive into even more details, then you can have a look at the PI-RADS v2.1 guidelines.
Hope this helps.