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.

Abstract

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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