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Updated: Dec 26, 2025

A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
Published on: March 21, 2025
Age-related and zonal anatomical microstructure features of normal prostatic tissues: a preliminary study with
Xiangyu Wang1, Yuli Wang1, Liang Zeng1
1Department of Radiology, The First Affiliated Hospital of Shenzhen University, Health Science Center, Shenzhen Second People's Hospital, 3002 SunGangXi Road, Shenzhen, 518035, China.
Purpose:
This study aimed to explore the differences in VERDICT parameters for normal prostatic tissues among different regions and age groups.
Materials And Methods:
In total, 31 male volunteers were included in the study. Vascular, extracellular and restricted diffusion for cytometry in tumors (VERDICT) model parameters (fIC, intracellular volume fraction; fEES, extracellular-extravascular space fraction; and fVASC, vascular fraction) were calculated based on the whole prostate volume and the peripheral zone (PZ), central gland (CG) and anterior fibromuscular stroma (AS) regions of interest (ROIs). Agreement between two readers was determined by calculating the intraclass correlation coefficient. Two-way ANOVA was used to identify significant differences among age groups and regions within the prostate. Age-related and area-related changes in these parameters were assessed using Spearman's correlation coefficients.
Results:
There were differences in the parameters among regions of the prostate (P < 0.05). In the PZ, there was a negative correlation between age and fIC (r = - 0.66, P < 0.001, adjusted P < 0.001), and age was positively correlated with fEES (r = 0.69, P < 0.001, adjusted P < 0.001) but had no correlation with fVASC. In the CG ROI, there was a positive correlation between age and fEES (r = 0.56, P < 0.001, adjusted P < 0.001) but no correlation between age and fVASC, similar to the results for the PZ. There were no correlations between age and VERDICT parameters in the AS.
Conclusion:
VERDICT parameters vary among different regions of the prostate and correlate with age. These findings are in agreement with histological theory.
Insights
Vascular, extracellular and restricted diffusion for cytometry in tumors (VERDICT) parameters differ across prostate regions and correlate with age. These findings align with prostate histology, offering insights into normal tissue variations.
Area of Science:
- Radiology and Imaging
- Prostate Cancer Research
- Biomedical Engineering
Background:
- Understanding normal prostate tissue characteristics is crucial for accurate disease detection.
- Vascular, extracellular and restricted diffusion for cytometry in tumors (VERDICT) is an advanced imaging technique that provides insights into tissue microstructure.
- Previous studies have not fully elucidated regional and age-related variations in VERDICT parameters within normal prostate tissue.
Purpose of the Study:
- To investigate the differences in VERDICT parameters (intracellular volume fraction [fIC], extracellular-extravascular space fraction [fEES], and vascular fraction [fVASC]) in normal prostate tissues across different anatomical regions (peripheral zone [PZ], central gland [CG], anterior fibromuscular stroma [AS]).
- To explore the correlation between age and these VERDICT parameters in different prostate regions.
Main Methods:
- 31 male volunteers underwent MRI scans.
- VERDICT model parameters (fIC, fEES, fVASC) were calculated for the whole prostate and specific regions (PZ, CG, AS).
- Statistical analyses, including two-way ANOVA and Spearman's correlation, were used to assess differences among regions and age groups and to evaluate age-related changes.
Main Results:
- Significant differences in VERDICT parameters were observed among prostate regions (P < 0.05).
- In the PZ, age negatively correlated with fIC (r = -0.66) and positively with fEES (r = 0.69).
- In the CG, age positively correlated with fEES (r = 0.56), while no significant correlations were found in the AS.
Conclusions:
- VERDICT parameters exhibit regional variability within the normal prostate.
- Age is a significant factor influencing VERDICT parameters, particularly fIC and fEES in the PZ and fEES in the CG.
- These findings support histological understanding and may aid in the interpretation of prostate MRI.
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Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...