{"id":"https://openalex.org/W7223204256","doi":"https://doi.org/10.21037/qims-2026-1006","title":"Radiomics\u2010augmented lesion characterization on prostate multiparametric magnetic resonance imaging: first-order features and ratio metrics may improve diagnostic performance in prostate cancer","display_name":"Radiomics\u2010augmented lesion characterization on prostate multiparametric magnetic resonance imaging: first-order features and ratio metrics may improve diagnostic performance in prostate cancer","publication_year":2026,"publication_date":"2026-10-23","ids":{"openalex":"https://openalex.org/W7223204256","doi":"https://doi.org/10.21037/qims-2026-1006","pmid":"https://pubmed.ncbi.nlm.nih.gov/42997770","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13743309"},"language":"en","primary_location":{"id":"doi:10.21037/qims-2026-1006","doi":"https://doi.org/10.21037/qims-2026-1006","is_oa":true,"landing_page_url":"https://doi.org/10.21037/qims-2026-1006","pdf_url":null,"source":{"id":"https://openalex.org/S2764457454","display_name":"Quantitative Imaging in Medicine and Surgery","issn_l":"2223-4292","issn":["2223-4292","2223-4306"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quantitative Imaging in Medicine and Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.21037/qims-2026-1006","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5157734082","display_name":"Christoph Niessen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157716","display_name":"Caritas-Krankenhaus St. Josef","ror":"https://ror.org/04w9ddv64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210157716"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Christoph Niessen","raw_affiliation_strings":["Institute for Radiology, Caritas Hospital St. Josef, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Radiology, Caritas Hospital St. Josef, Regensburg, Germany","institution_ids":["https://openalex.org/I4210157716"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038342977","display_name":"Maximilian Haas","orcid":"https://orcid.org/0000-0003-3132-0130","observed_orcids":["https://orcid.org/0000-0003-3132-0130"]},"institutions":[{"id":"https://openalex.org/I4210157716","display_name":"Caritas-Krankenhaus St. Josef","ror":"https://ror.org/04w9ddv64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210157716"]},{"id":"https://openalex.org/I60668342","display_name":"University of Regensburg","ror":"https://ror.org/01eezs655","country_code":"DE","type":"education","lineage":["https://openalex.org/I60668342"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Maximilian Haas","raw_affiliation_strings":["Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I4210157716","https://openalex.org/I60668342"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111501534","display_name":"Maximilian Burger","orcid":"https://orcid.org/0009-0005-5013-9435","observed_orcids":["https://orcid.org/0009-0005-5013-9435"]},"institutions":[{"id":"https://openalex.org/I4210157716","display_name":"Caritas-Krankenhaus St. Josef","ror":"https://ror.org/04w9ddv64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210157716"]},{"id":"https://openalex.org/I60668342","display_name":"University of Regensburg","ror":"https://ror.org/01eezs655","country_code":"DE","type":"education","lineage":["https://openalex.org/I60668342"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Maximilian Burger","raw_affiliation_strings":["Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I4210157716","https://openalex.org/I60668342"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033759828","display_name":"Simon Udo Engelmann","orcid":"https://orcid.org/0000-0003-3810-3307","observed_orcids":["https://orcid.org/0000-0003-3810-3307"]},"institutions":[{"id":"https://openalex.org/I4210157716","display_name":"Caritas-Krankenhaus St. Josef","ror":"https://ror.org/04w9ddv64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210157716"]},{"id":"https://openalex.org/I60668342","display_name":"University of Regensburg","ror":"https://ror.org/01eezs655","country_code":"DE","type":"education","lineage":["https://openalex.org/I60668342"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Simon Udo Engelmann","raw_affiliation_strings":["Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I4210157716","https://openalex.org/I60668342"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063743645","display_name":"Christoph Eckl","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157716","display_name":"Caritas-Krankenhaus St. Josef","ror":"https://ror.org/04w9ddv64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210157716"]},{"id":"https://openalex.org/I60668342","display_name":"University of Regensburg","ror":"https://ror.org/01eezs655","country_code":"DE","type":"education","lineage":["https://openalex.org/I60668342"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Christoph Eckl","raw_affiliation_strings":["Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I4210157716","https://openalex.org/I60668342"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050899767","display_name":"Elena Vogel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157716","display_name":"Caritas-Krankenhaus St. Josef","ror":"https://ror.org/04w9ddv64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210157716"]},{"id":"https://openalex.org/I60668342","display_name":"University of Regensburg","ror":"https://ror.org/01eezs655","country_code":"DE","type":"education","lineage":["https://openalex.org/I60668342"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Elena Vogel","raw_affiliation_strings":["Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I4210157716","https://openalex.org/I60668342"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018133476","display_name":"Marco Julius Schnabel","orcid":"https://orcid.org/0000-0002-1535-2952","observed_orcids":["https://orcid.org/0000-0002-1535-2952"]},"institutions":[{"id":"https://openalex.org/I4210157716","display_name":"Caritas-Krankenhaus St. Josef","ror":"https://ror.org/04w9ddv64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210157716"]},{"id":"https://openalex.org/I60668342","display_name":"University of Regensburg","ror":"https://ror.org/01eezs655","country_code":"DE","type":"education","lineage":["https://openalex.org/I60668342"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Marco Julius Schnabel","raw_affiliation_strings":["Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I4210157716","https://openalex.org/I60668342"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007644263","display_name":"Christian Stroszczynski","orcid":"https://orcid.org/0000-0003-4828-0067","observed_orcids":["https://orcid.org/0000-0003-4828-0067"]},"institutions":[{"id":"https://openalex.org/I3129555431","display_name":"University Hospital Regensburg","ror":"https://ror.org/01226dv09","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I3129555431"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Christian Stroszczynski","raw_affiliation_strings":["Institute for Radiology, University Hospital Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Radiology, University Hospital Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I3129555431"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059126107","display_name":"Florian Weber","orcid":"https://orcid.org/0000-0001-7480-8828","observed_orcids":["https://orcid.org/0000-0001-7480-8828"]},"institutions":[{"id":"https://openalex.org/I60668342","display_name":"University of Regensburg","ror":"https://ror.org/01eezs655","country_code":"DE","type":"education","lineage":["https://openalex.org/I60668342"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Florian Weber","raw_affiliation_strings":["Institute for Pathology, University of Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Pathology, University of Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I60668342"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159263134","display_name":"Sarah Lena Haas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157716","display_name":"Caritas-Krankenhaus St. Josef","ror":"https://ror.org/04w9ddv64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210157716"]},{"id":"https://openalex.org/I60668342","display_name":"University of Regensburg","ror":"https://ror.org/01eezs655","country_code":"DE","type":"education","lineage":["https://openalex.org/I60668342"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sarah Lena Haas","raw_affiliation_strings":["Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I4210157716","https://openalex.org/I60668342"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159280532","display_name":"Roman Mayr","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157716","display_name":"Caritas-Krankenhaus St. Josef","ror":"https://ror.org/04w9ddv64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210157716"]},{"id":"https://openalex.org/I60668342","display_name":"University of Regensburg","ror":"https://ror.org/01eezs655","country_code":"DE","type":"education","lineage":["https://openalex.org/I60668342"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Roman Mayr","raw_affiliation_strings":["Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I4210157716","https://openalex.org/I60668342"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5065716505","display_name":"Christoph Pickl","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210157716","display_name":"Caritas-Krankenhaus St. Josef","ror":"https://ror.org/04w9ddv64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210157716"]},{"id":"https://openalex.org/I60668342","display_name":"University of Regensburg","ror":"https://ror.org/01eezs655","country_code":"DE","type":"education","lineage":["https://openalex.org/I60668342"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Christoph Pickl","raw_affiliation_strings":["Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Caritas Hospital St. Josef, University of Regensburg, Regensburg, Germany","institution_ids":["https://openalex.org/I4210157716","https://openalex.org/I60668342"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5157734082"],"corresponding_institution_ids":["https://openalex.org/I4210157716"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.77695639,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"11","first_page":"886","last_page":"886"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12422","display_name":"Radiomics and Machine Learning in Medical Imaging","score":0.9390000104904175,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12422","display_name":"Radiomics and Machine Learning in Medical Imaging","score":0.9390000104904175,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10124","display_name":"Prostate Cancer Diagnosis and Treatment","score":0.05139999836683273,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11885","display_name":"MRI in cancer diagnosis","score":0.005799999926239252,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/prostate-cancer","display_name":"prostate cancer","score":0.9509999752044678},{"id":"https://openalex.org/keywords/multiparametric-mri","display_name":"multiparametric MRI","score":0.8090000152587891},{"id":"https://openalex.org/keywords/radiomics","display_name":"radiomics","score":0.9679999947547913},{"id":"https://openalex.org/keywords/clinically-significant-prostate-cancer","display_name":"clinically significant prostate cancer","score":0.7540000081062317},{"id":"https://openalex.org/keywords/pi-rads-v2-1","display_name":"PI-RADS v2.1","score":0.9520000219345093},{"id":"https://openalex.org/keywords/first-order-features","display_name":"first-order features","score":0.5590000152587891},{"id":"https://openalex.org/keywords/psa-density","display_name":"PSA density","score":0.9290000200271606},{"id":"https://openalex.org/keywords/diffusion-weighted-imaging","display_name":"diffusion-weighted imaging","score":0.8989999890327454},{"id":"https://openalex.org/keywords/dynamic-contrast-enhanced-imaging","display_name":"dynamic contrast-enhanced imaging","score":0.8450000286102295},{"id":"https://openalex.org/keywords/t2-weighted-imaging","display_name":"T2-weighted imaging","score":0.9900000095367432},{"id":"https://openalex.org/keywords/peripheral-zone","display_name":"peripheral zone","score":0.8100000023841858},{"id":"https://openalex.org/keywords/transition-zone","display_name":"transition zone","score":0.9779999852180481},{"id":"https://openalex.org/keywords/diagnostic-performance","display_name":"diagnostic performance","score":0.36000001430511475}],"concepts":[{"id":"https://openalex.org/C2780192828","wikidata":"https://www.wikidata.org/wiki/Q181257","display_name":"Prostate cancer","level":3,"score":0.7961999773979187},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7918000221252441},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5540000200271606},{"id":"https://openalex.org/C2776235491","wikidata":"https://www.wikidata.org/wiki/Q9625","display_name":"Prostate","level":3,"score":0.5146999955177307},{"id":"https://openalex.org/C143409427","wikidata":"https://www.wikidata.org/wiki/Q161238","display_name":"Magnetic resonance imaging","level":2,"score":0.49939998984336853},{"id":"https://openalex.org/C2910607126","wikidata":"https://www.wikidata.org/wiki/Q48790829","display_name":"Multiparametric MRI","level":4,"score":0.483599990606308},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.4075999855995178},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.36970001459121704},{"id":"https://openalex.org/C71472368","wikidata":"https://www.wikidata.org/wiki/Q676880","display_name":"Text mining","level":2,"score":0.27399998903274536},{"id":"https://openalex.org/C2991879385","wikidata":"https://www.wikidata.org/wiki/Q181257","display_name":"Prostate adenocarcinoma","level":4,"score":0.2615000009536743},{"id":"https://openalex.org/C40993552","wikidata":"https://www.wikidata.org/wiki/Q514654","display_name":"Gold standard (test)","level":2,"score":0.25369998812675476}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.21037/qims-2026-1006","doi":"https://doi.org/10.21037/qims-2026-1006","is_oa":true,"landing_page_url":"https://doi.org/10.21037/qims-2026-1006","pdf_url":null,"source":{"id":"https://openalex.org/S2764457454","display_name":"Quantitative Imaging in Medicine and Surgery","issn_l":"2223-4292","issn":["2223-4292","2223-4306"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quantitative Imaging in Medicine and Surgery","raw_type":"journal-article"},{"id":"pmid:42997770","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42997770","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quantitative imaging in medicine and surgery","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.21037/qims-2026-1006","doi":"https://doi.org/10.21037/qims-2026-1006","is_oa":true,"landing_page_url":"https://doi.org/10.21037/qims-2026-1006","pdf_url":null,"source":{"id":"https://openalex.org/S2764457454","display_name":"Quantitative Imaging in Medicine and Surgery","issn_l":"2223-4292","issn":["2223-4292","2223-4306"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Quantitative Imaging in Medicine and Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3033153307","https://openalex.org/W4413735253","https://openalex.org/W4386362738","https://openalex.org/W4205214366","https://openalex.org/W4409182495","https://openalex.org/W3039819587","https://openalex.org/W3179413533","https://openalex.org/W4391881982","https://openalex.org/W4382982542","https://openalex.org/W4404747263"],"abstract_inverted_index":{"Background:":[0],"Multiparametric":[1],"magnetic":[2,29],"resonance":[3,30],"imaging":[4,31,85,91,99,102,108],"(mpMRI)":[5],"is":[6],"increasingly":[7],"recognized":[8],"as":[9],"an":[10,231],"important":[11],"diagnostic":[12,43,138,244,278],"modality":[13],"in":[14,218,267,282,285],"the":[15,39,46,58,88,136,148,163,200,206,268,283,297],"evaluation":[16],"of":[17,38,60,140,233,300],"prostate":[18,40,63],"cancer.":[19],"This":[20],"analysis":[21],"sought":[22],"to":[23,111,134,203,296],"investigate":[24],"whether":[25],"simple,":[26],"ratio-normalized":[27,251],"quantitative":[28,141,178,219,237,252,298],"(MRI)":[32],"biomarkers":[33,142],"obtained":[34],"from":[35,97,181],"routine":[36],"mpMRI":[37,77],"provide":[41,241],"incremental":[42,137,243,262,277],"value":[44,139,245,263,279],"beyond":[45,143,246,280],"Prostate":[47],"Imaging":[48],"Reporting":[49],"and":[50,104,109,123,177,184,224,258],"Data":[51],"System":[52],"version":[53],"2.1":[54],"(PI-RADS":[55],"v2.1)":[56],"for":[57,159,264],"detection":[59],"clinically":[61,222],"significant":[62,223,226,276],"cancer":[64],"(csPCa).":[65],"Methods:":[66],"In":[67,147,205],"this":[68,286],"retrospective":[69],"single-center":[70],"study,":[71],"129":[72],"men":[73],"underwent":[74],"pre-biopsy":[75],"3-Tesla":[76],"followed":[78],"by":[79,125],"MRI/ultrasound":[80],"fusion-guided":[81],"biopsy.":[82],"Quantitative":[83],"first-order":[84],"features":[86],"representing":[87],"three":[89],"principal":[90],"domains":[92],"underlying":[93],"PI-RADS":[94,144,154,171,228,247,257,281,301],"were":[95,117,132],"derived":[96],"T2-weighted":[98],"(T2WI),":[100],"diffusion-weighted":[101],"(DWI),":[103],"dynamic":[105],"contrast-enhanced":[106],"(DCE)":[107],"normalized":[110],"intra-patient":[112],"reference":[113],"tissue.":[114],"The":[115],"analyses":[116,213],"performed":[118],"on":[119],"a":[120,292],"lesion-specific":[121],"basis":[122],"stratified":[124],"anatomical":[126],"zone.":[127],"Zone-specific":[128],"logistic":[129],"regression":[130],"models":[131],"constructed":[133],"assess":[135],"v2.1.":[145,248],"Results:":[146],"peripheral":[149],"zone":[150,208],"(PZ;":[151],"99":[152],"lesions),":[153,211],"alone":[155,229],"exhibited":[156],"moderate":[157],"discrimination":[158,188],"csPCa":[160,266],"[area":[161],"under":[162],"curve":[164],"(AUC)":[165],"=0.723].":[166],"An":[167],"integrative":[168],"model":[169],"combining":[170],"with":[172,256],"prostate-specific":[173],"antigen":[174],"density":[175],"(PSAD)":[176],"MRI-derived":[179],"ratios":[180],"DWI,":[182],"T2WI,":[183],"DCE":[185],"significantly":[186],"improved":[187],"[AUC":[189],"=0.901,":[190],"95%":[191],"confidence":[192],"interval":[193],"(CI):":[194],"0.839-0.964].":[195],"After":[196],"bootstrap-based":[197],"optimism":[198],"correction,":[199],"AUC":[201,232],"decreased":[202],"0.879.":[204],"transition":[207],"(TZ;":[209],"30":[210],"univariable":[212],"revealed":[214],"no":[215,274],"consistent":[216],"differences":[217],"parameters":[220,238,254,272],"between":[221],"non-clinically":[225],"lesions.":[227],"yielded":[230],"0.670,":[234],"while":[235],"ratio-based":[236],"did":[239],"not":[240],"meaningful":[242],"Conclusions:":[249],"Simple,":[250],"MRI":[253,305],"integrated":[255],"PSAD":[259],"showed":[260],"potential":[261],"detecting":[265],"PZ.":[269],"Conversely,":[270],"these":[271],"demonstrated":[273],"statistically":[275],"TZ":[284],"limited":[287],"cohort.":[288],"These":[289],"findings":[290],"support":[291],"zone-aware,":[293],"pragmatic":[294],"approach":[295],"augmentation":[299],"using":[302],"routinely":[303],"available":[304],"metrics.":[306]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-23T00:00:00"}
