Abstract

Significance Gleason scores and ultimately the aggressiveness of prostate cancers determined using transrectal ultrasound (TRUS)-guided biopsy procedures could result in incorrect diagnosis in addition to patient discomfort. The Gleason scores determined from TRUS-guided biopsies often differ from immediate repeat biopsies and the biopsies determined following whole excision of the prostate. Our approach presents a highly accurate and automated method for differentiating between the high ≥7 and low Gleason score 6(3+3), as well as between 7(3+4) and 7(4+3) Gleason score cancers through multiparametric MRI combined with texture features computed on the same images. Noninvasive and accurate techniques such as ours can benefit patient care without subjecting them to unnecessary interventions.