PMID- 30753222 OWN - NLM STAT- MEDLINE DCOM- 20191111 LR - 20200309 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 14 IP - 2 DP - 2019 TI - Histogram analysis of prostate cancer on dynamic contrast-enhanced magnetic resonance imaging: A preliminary study emphasizing on zonal difference. PG - e0212092 LID - 10.1371/journal.pone.0212092 [doi] LID - e0212092 AB - BACKGROUND: This study evaluated the performance of histogram analysis in the time course of dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) for differentiating cancerous tissues from benign tissues in the prostate. METHODS: We retrospectively analyzed the histograms of DCE-MRI of 30 patients. Histograms within regions of interest(ROI) in the peripheral zone (PZ) and transitional zone (TZ) were separately analyzed. The maximum difference wash-in slope (MWS) and delay phase slope (DPS) were defined for each voxel. Differences in histogram parameters, namely the mean, standard deviation (SD), the coefficient of variation (CV), kurtosis, skewness, interquartile range (IQR), percentile (P10, P25, P75, P90, and P90P10), Range, and modified full width at half-maximum (mFWHM) between cancerous and benign tissues were assessed. RESULTS: In the TZ, CV for ROIs of 7.5 and 10mm was the only significantly different parameter of the MWS (P = 0.034 and P = 0.004, respectively), whereas many parameters of the DPS (mean, skewness, P10, P25, P50, P75 and P90) differed significantly (P = <0.001-0.016 and area under the curve [AUC] = 0.73-0.822). In the PZ, all parameters of the MWS exhibited significant differences, except kurtosis and skewness in the ROI of 7.5mm(P = <0.001-0.017 and AUC = 0.865-0.898). SD, IQR, mFWHM, P90P10 and Range were also significant differences in the DPS (P = 0.001-0.035). CONCLUSION: The histogram analysis of DCE-MRI is a potentially useful approach for differentiating prostate cancer from normal tissues. Different histogram parameters of the MWS and DPS should be applied in the TZ and PZ. FAU - Lai, Chih-Ching AU - Lai CC AD - Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan. FAU - Huang, Pin-Hsun AU - Huang PH AD - Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan. FAU - Wang, Fu-Nien AU - Wang FN AD - Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan. FAU - Shen, Shu-Huei AU - Shen SH AUID- ORCID: 0000-0002-2776-4671 AD - Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan. AD - School of Medicine, Taipei, National Yang-Ming University, Taipei, Taiwan. FAU - Wang, Hsin-Kai AU - Wang HK AD - Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan. AD - School of Medicine, Taipei, National Yang-Ming University, Taipei, Taiwan. FAU - Liu, Hsian-Tzu AU - Liu HT AD - Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan. AD - School of Medicine, Taipei, National Yang-Ming University, Taipei, Taiwan. FAU - Chung, Hsiao-Jen AU - Chung HJ AD - School of Medicine, Taipei, National Yang-Ming University, Taipei, Taiwan. AD - Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan. FAU - Lin, Tzu-Ping AU - Lin TP AD - School of Medicine, Taipei, National Yang-Ming University, Taipei, Taiwan. AD - Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan. FAU - Chang, Yen-Hwa AU - Chang YH AD - School of Medicine, Taipei, National Yang-Ming University, Taipei, Taiwan. AD - Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan. FAU - Pan, Chin-Chen AU - Pan CC AD - School of Medicine, Taipei, National Yang-Ming University, Taipei, Taiwan. AD - Department of Pathology, Taipei Veterans General Hospital, Taipei, Taiwan. FAU - Peng, Shin-Lei AU - Peng SL AD - Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung, Taiwan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190212 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Contrast Media) SB - IM MH - Aged MH - *Contrast Media MH - Humans MH - *Image Processing, Computer-Assisted MH - *Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Neoplasm Grading MH - Prostatic Neoplasms/*diagnostic imaging/pathology MH - ROC Curve MH - Retrospective Studies PMC - PMC6372178 COIS- The authors have declared that no competing interests exist. EDAT- 2019/02/13 06:00 MHDA- 2019/11/12 06:00 PMCR- 2019/02/12 CRDT- 2019/02/13 06:00 PHST- 2017/10/04 00:00 [received] PHST- 2019/01/28 00:00 [accepted] PHST- 2019/02/13 06:00 [entrez] PHST- 2019/02/13 06:00 [pubmed] PHST- 2019/11/12 06:00 [medline] PHST- 2019/02/12 00:00 [pmc-release] AID - PONE-D-17-35851 [pii] AID - 10.1371/journal.pone.0212092 [doi] PST - epublish SO - PLoS One. 2019 Feb 12;14(2):e0212092. doi: 10.1371/journal.pone.0212092. eCollection 2019.