Evidence map›Paper›PMID 40391673›Full record

ArticleDiagnostic and interventional radiology (Ankara, Turkey)2026

The role of T1 hyperintensity in differentiating granulomatous prostatitis from prostate cancer: a retrospective analysis of 31 lesions.

Selahattin Durmaz, Mert Kılıç, Bilgen Coşkun, Sergin Akpek, Barış Bakır, Tarık Esen, Metin Vural, Emre Altınmakas

Abstract readMulticenter Study
In one paragraph

Article in Diagnostic and interventional radiology (Ankara, Turkey), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Selahattin DurmazGaziosmanpaşa Training and Research Hospital, Clinic of Radiology, İstanbul, Türkiye.ORCID 0000-0002-2456-9483
Mert KılıçAmerican Hospital, Clinic of Urology, İstanbul, Türkiye.ORCID 0000-0003-1707-3890
Bilgen CoşkunAmerican Hospital, Clinic of Radiology, İstanbul, Türkiye.ORCID 0000-0001-6889-9217
Sergin AkpekAmerican Hospital, Clinic of Radiology, İstanbul, Türkiye.ORCID 0000-0002-9249-7792
Barış Bakırİstanbul University İstanbul Faculty of Medicine, Department of Radiology, İstanbul, Türkiye.ORCID 0000-0002-6587-9787
Tarık EsenAmerican Hospital, Clinic of Urology, İstanbul, Türkiye.ORCID 0000-0002-0961-9374
Metin VuralAmerican Hospital, Clinic of Radiology, İstanbul, Türkiye.ORCID 0000-0003-3755-2397
Emre AltınmakasIcahn School of Medicine at Mount Sinai, Department of Diagnostic, Molecular and Interventional Radiology, New York, USA.ORCID 0000-0002-0727-9230

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the multiparametric magnetic resonance imaging (mpMRI) characteristics of granulomatous prostatitis (GP) and share our experience with 31 pathologically confirmed GP lesions in 19 patients.

methodsThis two-center retrospective study reviewed the pathological and imaging data of 856 patients who underwent prostate biopsy between January 2012 and April 2024. Of these, 19 patients with available prebiopsy mpMRI and a pathologically confirmed diagnosis of GP were included. Additionally, 280 biopsy-naïve patients diagnosed with clinically significant prostate cancer (csPCa) were included as a control group for comparative analysis. Prebiopsy mpMR images of patients with GP were assessed by consensus between two of three radiologists (M.V., B.C., S.D.), evaluating lesion location, size, shape, multifocality, extraprostatic extension (EPE), signal characteristics on T1-, T2-, and diffusion-weighted imaging (DWI), the mean apparent diffusion coefficient (ADC

resultsIn 19 patients, 31 pathologically confirmed GP lesions were identified on prebiopsy mpMRI. Twenty-six lesions were located in the peripheral zone and five in the transitional zone. Multifocal involvement was observed in nine patients (47.3%). Thirty of 31 lesions were hypointense on T2-WI, and seven showed capsular bulging and/or irregularity, suggesting EPE. DWI revealed markedly impeded diffusion in all lesions. The median ADC

conclusionGP shares overlapping imaging features with prostate cancer on mpMRI. However, hyperintensity on T1-WI may serve as a distinguishing feature, potentially reducing unnecessary prostate interventions. Radiologists should consider GP in PI-RADS ≥4 lesions exhibiting T1-WI hyperintensity. Furthermore, given the high incidence of GP following intravesical Bacillus Calmette-Guérin (BCG) therapy, a thorough history of BCG treatment should be obtained. CLINICAL SIGNIFICANCE: GP is recognized for its tendency to mimic PCa on mpMRI, a finding corroborated by this study. However, T1-WI hyperintensity emerged as a promising distinguishing feature for GP. Incorporating this marker into mpMRI interpretation criteria may help reduce unnecessary prostate interventions and improve patient outcomes.

Indexed as

GranulomaMultiparametric Magnetic Resonance ImagingProstatic NeoplasmsProstatitisAgedDiagnosis, DifferentialDiffusion Magnetic Resonance ImagingHumansMaleMiddle AgedProstateRetrospective StudiesBacillus Calmette-Guéringranulomatous prostatitismagnetic resonance imagingprostate cancerT1-weighted imaging

Identifiers

PMID40391673
PMCPMC12766337

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.