Comparison of 3 Tesla MRI to 7 Tesla MRI for Evaluation of Prostate Suspicion Lesions

May 17, 2026 updated by: Assaf-Harofeh Medical Center

A comparison of 3 Tesla MRI to 7 Tesla MRI for Evaluation of Prostate Suspicious Lesions.

Assess the added diagnostic value of ultra-high-field (7T) MRI over the current clinical standard (3T MRI) in detecting and characterizing suspicious prostate lesions. Evaluate whether dynamic deuterated glucose-enhanced imaging at 7T can offer improved contrast without the use of gadolinium-based agents.

Study Overview

Status

Not yet recruiting

Conditions

Detailed Description

Multiparametric MRI (mpMRI) at 3 Tesla is the current standard of care for the evaluation of prostate cancer, but its diagnostic accuracy is limited by false positives, particularly in the transition zone. This leads to unnecessary biopsies and potential overtreatment. Ultra-high-field 7 Tesla (7T) MRI offers higher signal-to-noise ratio, superior spatial and spectral resolution, and the ability to implement advanced imaging techniques without the need for endorectal coils. In addition, dynamic glucose-enhanced MRI at 7T provides a promising alternative to gadolinium-based contrast agents, which are associated with safety concerns.

Study Type

Interventional

Enrollment (Estimated)

200

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • Israel
      • Zrifin, Israel, Israel, 70300
        • The Sagol Center for Hyperbaric Medicine and Research Shamir Medical Center (Assaf Harofeh)
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • male patients referred for clinical 3T prostate MRI at Shamir Medical Center
  • male patients who consent to undergo an additional 7T scan at the Weizmann Institute.

Exclusion Criteria:

  • Contraindications to MRI (e.g., non-compatible implants, pacemakers, severe claustrophobia)
  • diabetes mellitus
  • glucose intolerance
  • hyperglycemia
  • hyperlactatemia
  • chronic kidney disease (GFR <45 mL/min/1.73 m2).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Diagnostic
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: 3 Tesla (3T) versus 7 Tesla (7T) MRI in the assessment of suspicious prostate lesions
Each participant serves as their own control, undergoing both 3T and 7T MRI scans.
Imaging protocols will include multiparametric sequences at both field strengths, with the addition of high-resolution anatomical and optional dynamic glucose-enhanced imaging at 7T.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
ROC analysis of diagnostic performance: 3T versus 7T MRI
Time Frame: Assessed at the time of MRI acquisition during the study imaging visit.
ROC analysis (Receiver Operating Characteristic analysis) - A statistical method used to evaluate and compare diagnostic accuracy. It examines how well a test distinguishes between diseased and non-diseased cases across different thresholds.
Assessed at the time of MRI acquisition during the study imaging visit.
Sensitivity and Specificity of diagnostic performance: 3T versus 7T MRI
Time Frame: Assessed at the time of MRI acquisition during the study imaging visit.

Sensitivity - The ability of the MRI to correctly identify patients who truly have disease (true positive rate). High sensitivity means fewer missed cases.

Specificity - The ability of the MRI to correctly identify patients who do not have disease (true negative rate). High specificity means fewer false alarms or false positives.

Assessed at the time of MRI acquisition during the study imaging visit.
Lesion conspicuity of diagnostic performance: 3T versus 7T MRI
Time Frame: Assessed at the time of MRI acquisition during the study imaging visit.
How clearly and visibly an abnormal lesion can be seen on MRI images compared with surrounding tissue. Higher conspicuity generally makes lesions easier to detect and characterize.
Assessed at the time of MRI acquisition during the study imaging visit.
PI-RADS classification - The Prostate Imaging Reporting and Data System: 3T versus 7T MRI
Time Frame: Assessed at the time of MRI acquisition during the study imaging visit.
a standardized scoring system used in prostate MRI to estimate the likelihood of clinically significant prostate cancer. Scores range from 1 (very low likelihood) to 5 (very high likelihood).
Assessed at the time of MRI acquisition during the study imaging visit.
Quantitative imaging metrics of diagnostic performance: 3T versus 7T MRI
Time Frame: Assessed at the time of MRI acquisition during the study imaging visit.
Numerical measurements derived from MRI images, such as lesion size, signal intensity, contrast ratios, diffusion values (e.g., ADC), or texture features, used to objectively compare imaging performance.
Assessed at the time of MRI acquisition during the study imaging visit.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Shai Efrati, Asaf-Harofhe MC

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

January 1, 2027

Primary Completion (Estimated)

January 1, 2030

Study Completion (Estimated)

January 1, 2030

Study Registration Dates

First Submitted

April 16, 2026

First Submitted That Met QC Criteria

May 17, 2026

First Posted (Actual)

May 22, 2026

Study Record Updates

Last Update Posted (Actual)

May 22, 2026

Last Update Submitted That Met QC Criteria

May 17, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 0230-25-ASF

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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