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This study will enroll 200 men with clinical suspicion of prostate cancer due to higher serum level of PSA than 2.5 ng/ml or abnormal digital rectal examination.
Anatomical magnetic resonance imaging (MRI) and diffusion weighted imaging (DWI) at 3 Tesla (T) magnetic field using surface coils will be used to non-invasively predict the presence or absence of prostate cancer.
Targeted TRUS guided biopsy based on MRI findings will be performed in addition to routine twelve core TRUS biopsy.
Moreover, selected serum and urine biomarkers as well as biomarkers extracted from fresh biopsy sample will be collected and correlated with the presence or absence of prostate cancer.
Specific aims of the current study are as follows:
i) To determine the sensitivity, specificity and accuracy of a novel rapid anatomical MRI and DWI at 3T magnetic field for the detection of prostate cancer in correlation with systematic TRUS guided biopsy
ii) To determine the sensitivity, specificity and accuracy of selected serum, urine and tissue biomarkers for detection of prostate cancer
iii) To develop statistical model for diagnosis of prostate cancer incorporating findings of a novel rapid MRI/DWI and selected biomarkers
iv) To assess the applicability of TRUS guided prostate biopsy based on MRI finding in patient with no previous prostate biopsy
v) To develop and validate an imaging protocol which will become the standard protocol for prostate imaging at Medical Imaging Centre of Southwest Finland (VSKK) / TYKS, Turku, Finland.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MRI and biomarkers | Other | Prostate MRI. Blood and urine biomarkers. Both prior to biopsy. Tissue samples during prostatectomy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prostate MRI | Other | MRI of the prostate prior to prostate biobsy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sensitivity, specificity and accuracy of MRI and DWI at 3T magnetic field for the detection of prostate cancer in correlation with systematic TRUS guided biopsy | Baseline (MRI prior to prostate biopsy) |
| Measure | Description | Time Frame |
|---|---|---|
| Sensitivity, specificity and accuracy of selected serum, urine and tissue biomarkers for detection of prostate cancer | Serum and urine samples before prostate biopsy and tissue samples during prostatectomy | Baseline and during procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hannu J Aronen, M.D. Ph.D. | Contact | +358 2 3133896 | hannu.aronen@utu.fi |
| Name | Affiliation | Role |
|---|---|---|
| Hannu J Aronen, M.D. Ph.D. | Diagnostic radiology University of Turku | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Urology, Turku University Hospital | Recruiting | Turku | Western Finland Province | FI-20520 | Finland |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |