Diagnostic value of whole-tumor ADC histogram parameters combined with ISUP grade and MRI-EPE score for predicting extracapsular extension in PI-RADS 4–5 prostate cancer
The combined model, incorporating ISUP grade, MRI-EPE score, and peritumoral ADC histogram features (peri1_Minimum and peri3_Minimum) enables robust prediction of EPE in PI-RADS 4–5 prostate cancer.