Daniel N. Costa, MD
Department of Abdominal Imaging, Division of Diagnostic Imaging
Present Title & Affiliation
Primary Appointment
Professor, Department of Abdominal Imaging, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas
Education & Training
Degree-Granting Education
| 2001 | Universidade De Sao Paulo, Sao Paulo, BR, Medicine, Doctor of Medicine |
Postgraduate Training
| 2006-2007 | Postgraduate Fellow, Body MRI, Beth Israel Deaconess Medical Center, Boston, Massachusetts |
| 2005-2006 | Postgraduate Fellow, Abdominal Imaging, Instituto de Radiologia do Hospital das Clinicas da Universidade de Sao Paulo, Sao Paulo |
| 2002-2005 | Resident, Radiology, Instituto de Radiologia do Hospital das Clinicas da Universidade de Sao Paulo, Sao Paulo |
Licenses & Certifications
| 2024 | ACLS |
| 2015 | American Board of Radiology |
| 2013 | Texas Medical Board |
Experience & Service
Faculty Academic Appointments
Associate Professor, Department of Advanced Imaging Research Center & Urology, University of Texas Southwestern Medical School, Dallas, TX, 2019 - 2025
Assistant Professor, Department of Radiology & Advanced Imaging Research Center, University of Texas Southwestern Medical School, Dallas, TX, 2011 - 2019
Assistant Professor, Universidade De Sao Paulo, Sao Paulo, 2008 - 2011
Administrative Appointments/Responsibilities
Director of Prostate Imaging & Image-Guided Intervention Program, Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX, 2023 - 2025
Team Leader, American College of Radiology- Learning Network for Prostate MRI Image Quality, 2023 - Present
Chair, American College of Radiology - Practice Parameters and technical standards for prostate MRI, 2023 - Present
Clinical Liaison, UT Southwestern Medical Center, Dallas, Texas, 2012 - 2013
Vice Chief of Clinical Operations, Department of Radiology, Instituto do Câncer do Estado de São Paulo, Sao Paulo, 2008 - 2011
Institutional Committee Activities
Member, American College of Radiology Panel on Appropriateness Criteria - Urologic Imaging, 2023 - 2025
Member, Testicular Cancer Guidelines Expert Panel, 2023 - 2025
Member, American College of Radiology Panel on Appropriateness Criteria-Urologic Imaging, 2022 - Present
Reviewer, NIH Scientific Review Panel - ZRG1 SBIB-A (59), 2021
Judge, Research Judge – Scientific Presentations, 2020
Member, ECOG-ACRIN: Radiomics Working Group, 2020 - Present
Member, PIRADS MRI Working Group, 2017 - Present
Judge, Annual Medical Student Research Forum, 2016 - 2025
Member, Protocol Review and Monitoring Committee, 2013 - 2025
Interviewer, UT Partnership in Advancing Clinical Transition (PACT), 2013 - 2016
Member, Body MRI - Clinical Competency Committee, 2013 - 2025
Interviewer, Medical School Selection Committee, 2012 - 2025
Member, New Parkland Hospital Imaging CT Design Committee, 2012 - 2013
Member, New Parkland Hospital Imaging Equipment Procurement Committee, 2012 - 2013
Member, New Healthcare Delivery Environment, 2012 - 2013
Honors & Awards
| 2024 - Present | Cum Laude Award - Educational Exhibit (Raising the Bar - Quality Considerations in Multiparametric MR Imagin and Targeted Biopsies of the Prostate), Society for Advanced Body Imaging |
| 2023 - Present | Outstanding Scientific Presentation, Society for Advanced Body Imaging |
| 2023 - Present | Cum Laude Award - Educational Exhibit (Periprostatic Anatomy: An Illustrated Review and Implications for Treatment Planning), Society for Advanced Body Imaging |
| 2023 - Present | Abdominal Radiology Solicitation, Abdominal Radiology |
| 2022 - Present | Outstanding Scientific Presentation (Early Efficacy and Safety of MRI-Guided Transurethral Ablation of the Prostate and the Role of Susceptibility-Weighted MRI), Society for Advanced Body Imaging |
| 2022 - Present | Best Oral Abstract (68Ga-PSMA-11 PET/CT time activity curves correlate with prostate cancer aggressiveness), Southwest Chapter of the Society of Nuclear Medicine and Molecular Imaging |
| 2022 - Present | Radiographics manuscript solicitation, RSNA Annual Meeting |
| 2022 - Present | Best Abstract submitted by a Trainee, Southwest Chapter of the Society of Nuclear Medicine and Molecular Imaging |
| 2022 - Present | D Magazine's 2022 Best Doctors or Pediatric Specialists!, D Magazine |
| 2020 - Present | Distinguished Reviewer, Abdominal Radiology Journal |
| 2019 - Present | Leaders in Clinical Excellence, Patient and Family Recognition Award, UT Southwestern Medical Center (Dallas, TX) |
| 2018 - Present | Fellow, Society of Computed Body Tomography and Magnetic Resonance (SCBT-MR) |
| 2018 - Present | Editor's Recognition Award: Radiology, Radiological Society of North America |
| 2017 - Present | Travel Award, 8th Annual 2017 Medical Imaging Technology Showcase, Academy for Biomedical Imaging Research Academic Council |
| 2017 - Present | Golden Apple Award for Excellence in Teaching, Diagnostic Radiology Residency Program, UT Southwestern Medical Center (Dallas, TX) |
| 2015 - Present | Lauterbur Award, Best MRI-related Scientific Presentation for the oral presentation, Society of Computed Body Tomography and Magnetic Resonance (SCBT-MR) |
| 2013 - Present | RadioGraphics Solicitation, Radiological Society of North America |
| 2012 - Present | 1st place Radiology-related category of 3rd Annual Image Contest, Association of University Radiologists |
| 2010 - Present | Cum Laude Award for Educational Exhibit, 40th Radiological Journey of São Paulo (JPR 2010) |
| 2006 - Present | Best Body Imaging Poster, Myometrial contractions mimicking adenomyosis on MR imaging, XXXV Brazilian Radiological Congress |
Professional Memberships
Selected Presentations & Talks
Local Presentations
- 2024. Round Table speaker. Panelist. Kidney Cancer Patient Education Conference. Dallas, Texas, US.
- 2023. GI/GU/MRI. Dallas, Texas, US.
- 2023. Prostate Imaging for Radiation Oncologists. Dallas, Texas, US.
- 2022. Personalized MRI-guided radiation therapy in Prostate Cancer. Personalized MRI-guided Radiation Therapy Workshop. Dallas, Texas, US.
- 2021. Prostate Cancer: Challenges and Opportunities. Dallas, Texas, US.
- 2021. UTSW in-bore biopsy experience, reflex test for path/rad Discordance. Visiting. 2021 Spence Virtual Visiting Professor Event, CUH 2nd Floor Education Center (U2.138). Dallas, Texas, US.
- 2020. Prostate Imaging For Radiation Oncologists. Genitourinary Cancer Lecture Series.
- 2019. Use of multiparametric MRI of the prostate for identification of men with prostate cancer at risk for positive surgical margins. Urology Grand Rounds Lecture Series. Dallas, Texas, US.
- 2018. In-bore MRI-guided prostate biopsy. Urology Grand Rounds Lecture Series. Dallas, Texas, US.
- 2017. Multiparametric MRI: Detection and staging of prostate cancer for radiation oncologists. Radiation Oncology Residents and Faculty. Dallas, Texas, US.
- 2017. Use of Multiparametric MRI of the Prostate for Detection, Biopsy, and Treatment of Prostate Cancer. Radiology Tech Week. Dallas, Texas, US.
- 2016. How MRI can help patients with known or suspected prostate cancer. Prostate Cancer Patient Support Group. Dallas, Texas, US.
- 2015. "Elevated PSA, How soon do I need my prostate MRI?" Appropriate Radiology Imaging for your patient, head to toe. Dallas, Texas, US.
- 2014. MRI-TRUS Fusion Biopsy of the Prostate: Principles and Workflow. Urology Faculty Inservice. Dallas, Texas, US.
- 2013. New Challenges and Frontiers: "Advances in Prostate Cancer MRI". Prostate Cancer Symposium. Dallas, Texas, US.
- 2012. Planning and Building a Research Program in Prostate Cancer. Dallas, Texas, US.
Regional Presentations
- 2022. Prostate cancer focal therapy using MRI-guided transurethral ultrasound ablation: Principles and early results. UT Dallas workshop on imaging and data science. Dallas, Texas, US.
- 2019. State of the Art: MRI in Prostate Cancer. Paul C. Peters Symposium. Dallas, Texas, US.
- 2019. Panelist in Prostate Cancer Session: "Challenging Cases in Prostate Cancer Management.". Panelist. Paul C. Peters Symposium. Dallas, Texas, US.
- 2018. Non-interpretive Resident & Fellow Section Case Review. Texas Radiological Society. Frisco, Texas, US.
- 2018. Multiparametric MRI - Detection of Prostate Cancer. Paul C. Peters Symposium. Dallas, Texas, US.
- 2017. "Multiparametric MRI & MRI/TRUS Fusion BX: a new Paradigm in Prostate CA Diagnosis." The Right Scan From Head to Toe. Grapevine, Texas, US.
- 2017. Prostate Cancer – Unknown Cases. Texas Radiological Society (TRS). Galveston, Texas, US.
- 2017. Controversies in Prostate Cancer Imaging. Texas Radiological Society (TRS). Galveston, Texas, US.
National Presentations
- 2022. Evolution of prostate cancer diagnosis. Pro-TALK Live. Chicago, Illinois, US.
- 2022. Genitourinary Imaging - 101. AUA 2022 Annual Conference. New Orleans, Louisiana, US.
- 2022. MRI-Guided Transurethral Ultrasound Ablation (TULSA) of the Prostate in Men with Localized Prostate Cancer. AUA 2022 Annual Conference. New Orleans, Louisiana, US.
- 2022. MRI-Guided Prostate Cancer Transurethral Ultrasound Ablation, US.
- 2021. Prostate Cancer Tumor Board. Washington D. C, US.
- 2021. GU Imaging 101. Urological Association of Physician Assistants. San Diego, California, US.
- 2021. Case Discussions. Urological Association of Physician Assistants. San Diego, California, US.
- 2019. Targeted Prostate Biopsies - Rationale & Techniques. 2019 Annual Meeting of the American Brachytherapy Society. Miami, Florida, US.
- 2018. Prostate Biopsy: MR-TRUS Fusion & In-Bore. Society of Computed Body Tomography and Magnetic Resonance 2019 Annual Meeting. Washington D. C, US.
- 2018. Case Panel Discussion Member, Team Competitions. Panelist. Society of Computed Body Tomography and Magnetic Resonance 2019 Annual Meeting. Washington D. C, US.
- 2016. Targeted Prostate Biopsies: Implications for Diagnosis and Clinical Management. American Roentgen Ray Society. Los Angeles, California, US.
International Presentations
- 2023. What to expect from the new version of PI-RADS, US.
- 2023. Advances in Biopsy and Minimally Invasive Treatment in Prostate Cancer, US.
- 2022. Role of Multiparametric MRI in Patients with Prostate Cancer on Active Surveillance. Brazilian College of Radiology - Atualiza 2022. Sao Paulo, BR.
- 2022. Hands-On - Case Discussion. Brazilian College of Radiology - Atualiza 2022. Sao Paulo, BR.
- 2021. PI-RADS version 2.1 - What’s new in the literature?. Brazilian College of Radiology 50th Annual Meeting. Sao Paulo, BR.
- 2021. How to establish a successful performance control program for prostate imaging. Webinar, MRI First: Are we ready for mpMRI as a screening tool for prostate cancer?, US.
- 2021. Role of Multiparametric MRI of the Prostate in Men with Suspected Prostate Cancer. The 25th Feres Secaf Radiology Course presented by the Sociedade Paulista de Radiologia, Virtual. Sao Paulo, BR.
- 2020. Role of imaging and targeted biopsies in the management of men with suspected prostate cancer. Sao Paulo, BR.
- 2020. Biopsia prostatica guiada por RM: principios e tecnicas. Brazilian College of Radiology Annual Meeting, Virtual. Sao Paulo, BR.
- 2019. Cases - Body Imaging. Calgary, CA.
- 2019. Multiparametric MRI for Detection of Prostate Cancer. Calgary, CA.
- 2019. Cases - Vascular. Calgary, CA.
- 2019. Targeted Prostate Biopsies: Rationale and Techniques. Calgary, CA.
- 2019. Challenges in Prostate Cancer: Role of Imaging and Targeted Biopsies. Grand Rounds. Calgary, CA.
- 2005. Doppler US in the evaluation of the trans-hepatic intravenous portosystemic shunt: normal and abnormal findings. 35th Radiological Journey of São Paulo. Sao Paulo, BR.
Selected Publications
Peer-Reviewed Articles
- Gilligan T, Lin DW, Adra N, Bagrodia A, Feldman DR, Yamoah K, Aggarwal R, Chandrasekar T, Costa D, Drakaki A, Eggener S, Emamekhoo H, Geynisman DM, Graham L, Humphrey P, Leuva H, Levine EG, Luckenbaugh A, Maughan BL, McGregor B, Monk P, Picus J, Pierorazio P, Rais-Bahrami S, Reichert Z, Rwigema JC, Saylor P, Shah A, Shah S, Singla N, Sircar K, VanderWeele D, Zhumkhawala A, Montgomery S, Sliker B. NCCN Guidelines(R) Insights: Testicular cancer, Version 2.2025. J Natl Compr Canc Netw 23(4), 2025. e-Pub 2025. PMID: 40203876.
- Bochner E, Schulte V, Lotan Y, Meng X, Costa DN. Feasibility and short-term safety of hydrogel spacer before treatment with magnetic resonance imaging-guided transurethral Ultrasound Ablation for Prostate Cancer Treatment. J Endourol 39(4):418-425, 2025. e-Pub 2025. PMID: 39925110.
- Gerena, M, Allen, B, Turkbey, B, Barker, SJ, Costa, D, Flink, C, Meyers, ML, Ramasamy, R, Rosario, J, Sharma, A, Whitworth, P, Williams, WL, Oto, A. ACR Appropriateness Criteria® Acute Onset of Scrotal Pain-Without Trauma, Without Antecedent Mass. Journal of the American College of Radiology 21(11):S364-S371, 2024. e-Pub 2024. PMID: 39488348.
- Costa, D, Nguyen, N, Garant, A, Meng, X, Courtney, K, Shah, RB, Pedrosa, I. The role of the radiologist in the prostate cancer multidisciplinary conference. Abdominal Radiology 49(11):4162-4172, 2024. e-Pub 2024. PMID: 38951230.
- Barker SJ, Soylu E, Allen BC, Auron M, Costa DN, Gerena M, Lotan Y, Rose TL, Solanki A, Surasi DS, Turkbey B, Whitworth P III, Oto A. ACR Appropriateness Criteria(R) pretreatment staging of urothelial cancer: 2024 Update. J Am Coll Radiol 21(11S):S464-S489, 2024. e-Pub 2024. PMID: 39488355.
- Correia, EO, Baydoun, A, Li, Q, Costa, D, Bittencourt, LK. Emerging and anticipated innovations in prostate cancer MRI and their impact on patient care. Abdominal Radiology 49(10):3696-3710, 2024. e-Pub 2024. PMID: 38877356.
- Meng, X, Costa, D. A case of recto-urethral fistula following MRI-guided transurethral ablation (TULSA) of the prostate. Urology Case Reports 56, 2024. e-Pub 2024. PMID: 39263217.
- Recchimuzzi DZ, Diaz de Leon A, Pedrosa I, Travalini D, Latin H, Goldberg K, Meng X, Begovic J, Rayan J, Roehrborn CG, Rofsky NM, Costa DN. Direct MRI-guided in-bore targeted biopsy of the prostate: A step-by-step how to and lessons learned. Radiographics 44(2):e230142, 2024. e-Pub 2024. PMID: 38175803.
- Gold, SA, Goueli, R, Mostardeiro, TR, Carpinito, GP, El-Eishy, A, Mauck, R, Woldu, SL, Strand, DW, Lotan, Y, Roehrborn, CG, Costa, D, Gahan, J. Optimal prostate cancer diagnostic pathways for men with prostatomegaly in the MRI era. Urology 179:95-100, 2023. e-Pub 2023. PMID: 37182648.
- Costa DN, Meng X, Tverye A, Bagrodia A, Recchimuzzi DZ, Xi Y, Arraj P, Shah RB, Subramanian N, de Leon AD, Roehrborn CG, Rofsky NM, Chen H, Pedrosa I. Preoperative multiparametric prostate magnetic resonance imaging structured report informs risk for positive apical surgical margins during radical prostatectomy. J Comput Assist Tomogr 47(1):38-44, 2023. e-Pub 2023. PMID: 35995580.
- Costa, D, Menard, A, Moore, CM, Tamada, T. The Global Reading Room. American Journal of Roentgenology 219(5):842-843, 2022. e-Pub 2022. PMID: 35293230.
- Cai, Q, Costa, D, Metter, CK, Goldberg, K, Roehrborn, CG, Cadeddu, JA, Pedrosa, I, Meng, X, Mostardeiro, TR, Shah, RB. Sensitivity of multiparametric MRI and targeted biopsy for detection of adverse pathologies (Cribriform Gleason pattern 4 and intraductal carcinoma). Urologic Oncology: Seminars and Original Investigations 40(10):452.e1-452.e8, 2022. e-Pub 2022. PMID: 36008255.
- Hannan R, Salamekh S, Desai NB, Garant A, Folkert MR, Costa DN, Mannala S, Ahn C, Mohamad O, Laine A, Kim DWN, Dickinson T, Raj GV, Shah RB, Wang J, Jia X, Choy H, Roehrborn CG, Lotan Y, Timmerman RD. SABR for high-risk prostate cancer: A prospective multilevel MRI-based dose escalation trial. Int J Radiat Oncol Biol Phys 113(2):290-301, 2022. e-Pub 2022. PMID: 34774676.
- Dai, JC, Morgan, TN, Goueli, R, Parrott, D, Kenigsberg, A, Mauck, R, Roehrborn, CG, Strand, DW, Costa, D, Gahan, J. MRI features associated with histology of benign prostatic hyperplasia nodules. Journal of Endourology 36(3):381-386, 2022. e-Pub 2022. PMID: 34549591.
- Sze, C, Cheema, Z, Laviana, AA, Margolis, D, Costa, D, Satya, P, Nacev, A, Kumar, D, Venkataraman, SS, Chughtai, B. Cost-efficient analysis of a portable low field magnetic resonance imaging system for prostate cancer diagnosis. Frontiers in Urology 2, 2022. e-Pub 2022.
- Desai S, Jia L, Diaz de Leon A, Costa DN. Rare prostate cancer mimic on multiparametric MRI: Cowper's gland hyperplasia. Urol Case Rep 38:101675, 2021. e-Pub 2021. PMID: 33898268.
- Nisar MU, Costa DN, Jia L, Oz OK, de Blanche L. 68Ga-DOTATATE PET/CT uptake in prostate with an incidental finding of prostatic acinar adenocarcinoma and metastatic neuroendocrine cancer to the liver. Clin Nucl Med 46(8):e428-e430, 2021. e-Pub 2021. PMID: 34034323.
- Costa DN, Jia L, Subramanian N, Xi Y, Rofsky NM, Recchimuzzi DZ, de Leon AD, Arraj P, Pedrosa I. Prospective PI-RADS v2.1 Atypical Benign Prostatic Hyperplasia Nodules With Marked Restricted Diffusion: Detection of Clinically Significant Prostate Cancer on Multiparametric MRI. AJR Am J Roentgenol 217(2):395-403, 2021. e-Pub 2021. PMID: 32876473.
- McLaughlin MF, Folkert MR, Timmerman RD, Hannan R, Garant A, Hudak SJ, Costa DN, Desai NB. Hydrogel Spacer Rectal Wall Infiltration Associated With Severe Rectal Injury and Related Complications After Dose Intensified Prostate Cancer Stereotactic Ablative Radiation Therapy. Adv Radiat Oncol 6(4):100713, 2021. e-Pub 2021. PMID: 34195499.
- Subramanian N, Recchimuzzi DZ, Xi Y, Diaz de Leon A, Chen H, Xie D, Goldberg K, Rofsky NM, Pedrosa I, Costa DN. Impact of the Number of Cores on the Prostate Cancer Detection Rate in Men Undergoing in-Bore Magnetic Resonance Imaging-Guided Targeted Biopsies. J Comput Assist Tomogr 45(2):203-209, 2021. e-Pub 2021. PMID: 33273160.
- Klotz L, Pavlovich CP, Chin J, Hatiboglu G, Koch M, Penson D, Raman S, Oto A, Futterer J, Serrallach M, Relle J, Lotan Y, Heidenreich A, Bonekamp D, Haider M, Tirkes T, Arora S, Macura KJ, Costa DN, Persigehl T, Pantuck AJ, Bomers J, Burtnyk M, Staruch R, Eggener S. Reply by Authors. J Urol 205(3):779, 2021. e-Pub 2021. PMID: 33355501.
- Costa DN, Cai Q, Xi Y, Recchimuzzi DZ, Subramanian N, Bagrodia A, Rofsky NM, Roehrborn CG, Hornberger B, Shah RB, Goldberg K, Diaz de Leon A, Pedrosa I. Gleason Grade Group Concordance between Preoperative Targeted Biopsy and Radical Prostatectomy Histopathologic Analysis: A Comparison Between In-Bore MRI-guided and MRI-Transrectal US Fusion Prostate Biopsies. Radiol Imaging Cancer 3(2):e200123, 2021. e-Pub 2021. PMID: 33817652.
- Klotz L, Pavlovich CP, Chin J, Hatiboglu G, Koch M, Penson D, Raman S, Oto A, Futterer J, Serrallach M, Relle J, Lotan Y, Heidenreich A, Bonekamp D, Haider M, Tirkes T, Arora S, Macura KJ, Costa DN, Persigehl T, Pantuck AJ, Bomers J, Burtnyk M, Staruch R, Eggener S. Magnetic Resonance Imaging-Guided Transurethral Ultrasound Ablation of Prostate Cancer. J Urol 205(3):769-779, 2021. e-Pub 2021. PMID: 33021440.
- Pirasteh A, Johnson B, Dimitrov IE, Costa DN, Diaz de Leon A, Xi Y, Madhuranthakam AJ, Pedrosa I. Turbo Spin-Echo Diffusion-Weighted Imaging in Prostate Magnetic Resonance Imaging of Men With Pelvic Hardware. J Comput Assist Tomogr 44(4):519-526, 2020. e-Pub 2020. PMID: 32697522.
- Costa DN, Goldberg K, Leon AD, Lotan Y, Xi Y, Aziz M, Freifeld Y, Margulis V, Raj G, Roehrborn CG, Hornberger B, Desai N, Bagrodia A, Francis F, Pedrosa I, Cadeddu JA. Magnetic resonance imaging-guided in-bore and magnetic resonance imaging-transrectal ultrasound fusion targeted prostate biopsies: An adjusted comparison of clinically significant prostate cancer detection rate. Eur Urol Oncol 2(4):397-404, 2019. e-Pub 2019. PMID: 31277776.
- Freifeld Y, Diaz de Leon A, Xi Y, Pedrosa I, Roehrborn CG, Lotan Y, Francis F, Costa DN. Diagnostic performance of prospectively assigned Likert scale scores to determine extraprostatic extension and seminal vesicle invasion with multiparametric MRI of the prostate. AJR Am J Roentgenol 212(3):576-581, 2019. e-Pub 2019. PMID: 30589381.
- Freifeld Y, Xi Y, Passoni N, Woldu S, Hornberger B, Goldberg K, Bagrodia A, Raj G, Margulis V, Cadeddu JA, Lotan Y, Francis F, Pedrosa I, G Roehrborn C, Costa DN. Optimal sampling scheme in men with abnormal multiparametric MRI undergoing MRI-TRUS fusion prostate biopsy. Urol Oncol 37(1):57-62, 2019. e-Pub 2019. PMID: 30446460.
- Costa DN, Xi Y, Aziz M, Passoni N, Shakir N, Goldberg K, Francis F, Roehrborn CG, Leon AD, Pedrosa I. Prospective inclusion of apparent diffusion coefficients in multiparametric prostate MRI structured reports: Discrimination of clinically insignificant and significant cancers. AJR Am J Roentgenol 212(1):109-116, 2019. e-Pub 2019. PMID: 30383404.
- Diaz de Leon A, Costa DN, Francis F, Pedrosa I. Case 258: Granulomatous prostatitis. Radiology 289(1):267-271, 2018. e-Pub 2018. PMID: 30230997.
- Diaz de Leon A, Leyendecker JR, Otero-Muinelo S, Grewal H, Xi Y, Francis F, Pedrosa I, Costa DN. Reproducibility of index lesion size and mean apparent diffusion coefficient values measured by prostate multiparametric MRI: Correlation with whole-mount sectioning of specimens. AJR Am J Roentgenol 211(4):783-788, 2018. e-Pub 2018. PMID: 30160988.
- Xi Y, Liu A, Olumba F, Lawson P, Costa DN, Yuan Q, Khatri G, Yokoo T, Pedrosa I, Lenkinski RE. Low-to-high b value DWI ratio approaches in multiparametric MRI of the prostate: feasibility, optimal combination of b values, and comparison with ADC maps for the visual presentation of prostate cancer. Quant Imaging Med Surg 8(6):557-567, 2018. e-Pub 2018. PMID: 30140618.
- Diaz de Leon A, Costa DN, Francis F, Pedrosa I. Case 258. Radiology 287(3):1070-1072, 2018. e-Pub 2018. PMID: 29782240.
- Costa DN, Passoni NM, Leyendecker JR, de Leon AD, Lotan Y, Roehrborn CG, Otero-Muinelo S, Grewal H, Xi Y, Francis F, Rofsky NM, Pedrosa I. Diagnostic utility of a Likert scale versus qualitative descriptors and length of capsular contact for determining extraprostatic tumor extension at multiparametric prostate MRI. AJR Am J Roentgenol 210(5):1066-1072, 2018. e-Pub 2018. PMID: 29489410.
- Kay FU, Canvasser NE, Xi Y, Pinho DF, Costa DN, Diaz de Leon A, Khatri G, Leyendecker JR, Yokoo T, Lay AH, Kavoussi N, Koseoglu E, Cadeddu JA, Pedrosa I. Diagnostic performance and interreader agreement of a standardized MR imaging approach in the prediction of small renal mass histology. Radiology 287(2):543-553, 2018. e-Pub 2018. PMID: 29390196.
- Friedman P, Costa D, Kapur P. Foamy gland high-grade prostatic intraepithelial neoplasia on core biopsy and subsequent 7 radical prostatectomy: An in depth case report of a rare variant. Hum Pathol 10:32-36, 2017. e-Pub 2017.
- Canvasser NE, Kay FU, Xi Y, Pinho DF, Costa D, de Leon AD, Khatri G, Leyendecker JR, Yokoo T, Lay A, Kavoussi N, Koseoglu E, Cadeddu JA, Pedrosa I. Diagnostic accuracy of multiparametric magnetic resonance imaging to identify clear cell renal cell carcinoma in cT1a renal masses. J Urol 198(4):780-786, 2017. e-Pub 2017. PMID: 28457802.
- Costa DN, Chatzinoff Y, Passoni NM, Kapur P, Roehrborn CG, Xi Y, Rofsky NM, Torrealba J, Francis F, Futch C, Hagens P, Notgrass H, Otero-Muinelo S, Pedrosa I, Chopra R. Improved magnetic resonance imaging-pathology correlation with imaging-derived, 3D-printed, patient-specific whole-mount molds of the prostate. Invest Radiol 52(9):507-513, 2017. e-Pub 2017. PMID: 28379863.
- Zhou H, Hallac RR, Yuan Q, Ding Y, Zhang Z, Xie XJ, Francis F, Roehrborn CG, Sims RD, Costa DN, Raj GV, Mason RP. Incorporating oxygen-enhanced MRI into multi-parametric assessment of human prostate cancer. Diagnostics (Basel) 7(3), 2017. e-Pub 2017. PMID: 28837092.
- Costa DN, Kay FU, Pedrosa I, Kolski L, Lotan Y, Roehrborn CG, Hornberger B, Xi Y, Francis F, Rofsky NM. An initial negative round of targeted biopsies in men with highly suspicious multiparametric magnetic resonance findings does not exclude clinically significant prostate cancer-Preliminary experience. Urol Oncol 35(4):149.e15-149.e21, 2017. e-Pub 2017. PMID: 27939349.
- Yuan Q, Costa DN, Senegas J, Xi Y, Wiethoff AJ, Rofsky NM, Roehrborn C, Lenkinski RE, Pedrosa I. Quantitative diffusion-weighted imaging and dynamic contrast-enhanced characterization of the index lesion with multiparametric MRI in prostate cancer patients. J Magn Reson Imaging 45(3):908-916, 2017. e-Pub 2017. PMID: 27442039.
- Mariotti GC, Costa DN, Pedrosa I, Falsarella PM, Martins T, Roehrborn CG, Rofsky NM, Xi Y, M Andrade TC, Queiroz MR, Lotan Y, Garcia RG, Lemos GC, Baroni RH. Magnetic resonance/transrectal ultrasound fusion biopsy of the prostate compared to systematic 12-core biopsy for the diagnosis and characterization of prostate cancer: multi-institutional retrospective analysis of 389 patients. Urol Oncol 34(9):416.e9-416.e14, 2016. e-Pub 2016. PMID: 27197921.
- Costa DN, Savaris M, Marinoni L, Mathis WN. Two new, brachypterous Limnellia species from the Venezuelan Andes (Diptera: Ephydridae). Zootaxa 4144(3):301-15, 2016. e-Pub 2016. PMID: 27470858.
- Costa DN, Yuan Q, Xi Y, Rofsky NM, Lenkinski RE, Lotan Y, Roehrborn CG, Francis F, Travalini D, Pedrosa I. Comparison of prostate cancer detection at 3-T MRI with and without an endorectal coil: A prospective, paired-patient study. Urol Oncol 34(6):255.e7-255.e13, 2016. e-Pub 2016. PMID: 26971190.
- Costa DN, Lotan Y, Rofsky NM, Roehrborn C, Liu A, Hornberger B, Xi Y, Francis F, Pedrosa I. Assessment of prospectively assigned Likert scores for targeted magnetic resonance imaging-transrectal ultrasound fusion biopsies in patients with suspected prostate cancer. J Urol 195(1):80-7, 2016. e-Pub 2016. PMID: 26192254.
- Lotan Y, Haddad AQ, Costa DN, Pedrosa I, Rofsky NM, Roehrborn CG. Decision analysis model comparing cost of multiparametric magnetic resonance imaging vs. repeat biopsy for detection of prostate cancer in men with prior negative findings on biopsy. Urol Oncol 33(6):266.e9-16, 2015. e-Pub 2015. PMID: 25858102.
- Donato F Jr, Costa DN, Yuan Q, Rofsky NM, Lenkinski RE, Pedrosa I. Geometric distortion in diffusion-weighted MR imaging of the prostate-contributing factors and strategies for improvement. Acad Radiol 21(6):817-23, 2014. e-Pub 2014. PMID: 24709379.
- Diaz de Leon A, Xi Y, Champine J, Costa DN. Achieving ideal computed tomographic scan length in patient with suspected urolithiasis. J Comput Assist Tomogr 38(2):264-7, 2014. e-Pub 2014. PMID: 24448507.
- Costa DN, Bloch BN, Yao DF, Sanda MG, Ngo L, Genega EM, Pedrosa I, DeWolf WC, Rofsky NM. Diagnosis of relevant prostate cancer using supplementary cores from magnetic resonance imaging-prompted areas following multiple failed biopsies. Magn Reson Imaging 31(6):947-52, 2013. e-Pub 2013. PMID: 23602725.
- Costa DN, Codeco CT, Silva MA, Werneck GL. Culling dogs in scenarios of imperfect control: realistic impact on the prevalence of canine visceral leishmaniasis. PLoS Negl Trop Dis 7(8):e2355, 2013. e-Pub 2013. PMID: 23951375.
- Bloch BN, Genega EM, Costa DN, Pedrosa I, Smith MP, Kressel HY, Ngo L, Sanda MG, Dewolf WC, Rofsky NM. Prediction of prostate cancer extracapsular extension with high spatial resolution dynamic contrast-enhanced 3-T MRI. Eur Radiol 22(10):2201-10, 2012. e-Pub 2012. PMID: 22661019.
- Khosa F, Romney BP, Costa DN, Rofsky NM, Manning WJ. Prevalence of noncardiac findings on clinical cardiovascular MRI. AJR Am J Roentgenol 196(4):W380-6, 2011. e-Pub 2011. PMID: 21427300.
- Costa DN, Cavalcanti CF, Sernik RA. Sonographic and CT findings in lipohemarthrosis. AJR Am J Roentgenol 188(4):W389, 2007. e-Pub 2007. PMID: 17377011.
Review Articles
- Costa DN, Gupta AC, Shah RB, Cheney SM, Yano M. Anatomy of the prostate and periprostatic region: A contemporary review, from the AJR Special Series on Critical Anatomy. AJR Am J Roentgenol, 2025. e-Pub 2025. PMID: 40801496.
- Knott, EA, Ward, RD, Costa, D, Giganti, F, Purysko, AS. Prostate Imaging Quality System Version 2 – A Practical Guide. Seminars in Ultrasound, CT and MRI 46(1):83-89, 2025. e-Pub 2025. PMID: 39580036.
- Yuan, Q, Recchimuzzi, DZ, Costa, D. Magnetic resonance perfusion imaging of prostate. Magnetic resonance imaging clinics of North America 32(1):171-179, 2024. e-Pub 2024. PMID: 38007279.
- Costa, D, Recchimuzzi, DZ, Schieda, N. Targeted prostate biopsies—What the radiologist needs to know. Radiologic Clinics of North America 62(1):109-120, 2024. e-Pub 2024. PMID: 37973237.
- Desai, S, Costa, D. PI-RADS and Likert scales for structured reporting in multiparametric MR imaging of the prostate. British Journal of Radiology 95(1131), 2022. e-Pub 2022. PMID: 34586917.
- Purysko AS, Baroni RH, Giganti F, Costa D, Renard-Penna R, Kim CK, Raman SS. PI-RADS Version 2.1: A Critical Review, From the AJR Special Series on Radiology Reporting and Data Systems. AJR Am J Roentgenol 216(1):20-32, 2021. e-Pub 2021. PMID: 32997518.
- Diaz de Leon A, Pirasteh A, Costa DN, Kapur P, Hammers H, Brugarolas J, Pedrosa I. Current challenges in diagnosis and assessment of the response of locally advanced and metastatic renal cell carcinoma. Radiographics 39(4):998-1016, 2019. e-Pub 2019. PMID: 31199711.
- Strand DW, Costa DN, Francis F, Ricke WA, Roehrborn CG. Targeting phenotypic heterogeneity in benign prostatic hyperplasia. Differentiation 96:49-61, 2017. e-Pub 2017. PMID: 28800482.
- Hutchinson RC, Costa DN, Lotan Y. The economic effect of using magnetic resonance imaging and magnetic resonance ultrasound fusion biopsy for prostate cancer diagnosis. Urol Oncol 34(7):296-302, 2016. e-Pub 2016. PMID: 26725249.
- Gupta MK, Khatri G, Bailey A, Pinho DF, Costa D, Pedrosa I. Endoluminal contrast for abdomen and pelvis magnetic resonance imaging. Abdom Radiol (NY) 41(7):1378-98, 2016. e-Pub 2016. PMID: 26907710.
- Diaz de Leon A, Costa D, Pedrosa I. Role of multiparametric MR imaging in malignancies of the urogenital tract. Magn Reson Imaging Clin N Am 24(1):187-204, 2016. e-Pub 2016. PMID: 26613881.
- Costa DN, Pedrosa I, Donato F Jr, Roehrborn CG, Rofsky NM. MR Imaging-transrectal US fusion for targeted prostate biopsies: Implications for diagnosis and clinical management. Radiographics 35(3):696-708, 2015. e-Pub 2015. PMID: 25786055.
- Costa DN, Pedrosa I, Roehrborn C, Rofsky NM. Multiparametric magnetic resonance imaging of the prostate: technical aspects and role in clinical management. Top Magn Reson Imaging 23(4):243-57, 2014. e-Pub 2014. PMID: 25099562.
- Qayyum A, Yu JP, Kansagra AP, Fischer Nv, Costa D, Heller M, Kantartzis S, Plowman RS, Itri J. Academic radiology in the new health care delivery environment. Acad Radiol 20(12):1511-20, 2013. e-Pub 2013. PMID: 24200477.
- Costa DN, Pedrosa I, McKenzie C, Reeder SB, Rofsky NM. Body MRI using IDEAL. AJR Am J Roentgenol 190(4):1076-84, 2008. e-Pub 2008. PMID: 18356458.
- Costa DN. Revisiting the role of magnetic resonance imaging in the characterization of focal hepatic lesions. Radiologia Brasileira 38(5):V-VI. e-Pub 2008.
- Blasbalg R, Baroni RH, Costa DN, Machado MC. MRI features of groove pancreatitis. AJR Am J Roentgenol 189(1):73-80, 2007. e-Pub 2007. PMID: 17579155.
Other Articles
- Costa DN, Menard A, Moore C, Tamada T The Global Reading Room: MRI-targeted prostate biopsy after proctocolectomy. AJR Am J Roentgenol 219(5).
- Hannan R, Salamekh S, Desai NB, Garant A, Folkert MR, Costa DN, Mannala S, Ahn C, Mohamad O, Laine A, Kim DWN, Dickinson T, Raj GV, Shah RB, Wang J, Jia X, Choy H, Roehrborn CG, Lotan Y, Timmerman RD SABR for high-risk prostate cancer: A prospective multilevel MRI-based dose escalation trial. International Journal of Radiation Oncology*Biology*Physics 113(2):290-301.
- Costa DN, Meng X, Tverye A, Diaz de Leon A, Bagrodia A, Xi Y, Arraj P, Shah R, Roehrborn C, Rofsky N, Pedrosa I Preoperative multiparametric prostate MRI structured report informs risk for positive apical surgical margins during radical prostatectomy. Journal of Computer Assisted Tomography.
- Parrot D, Mathews D, Yuan Q, Pinho D, Costa DN, Pedrosa I, Dakanali M, Sun X, Oz O, Bowen S, Rofsky N Dynamic 68Ga- PSMA-11 PET/CT time activity curves correlate with ISUP Prostate Cancer Grade Group. Journal of Nuclear Medicine 63 (Supplement 2):2529.
- Costa DN, Cai Q, Xi Y, Recchimuzzi DZ, Subramanian N, Bagrodia A, Rofsky NM, Roehrborn CG, Hornberger B, Shah RB, Goldberg K, Diaz de Leon A, Pedrosa I Gleason Grade Group concordance between preoperative targeted biopsy and radical prostatectomy histopathologic analysis: A comparison between in-bore MRI-guided and MRI–transrectal US fusion prostate biopsies. Radiology: Imaging Cancer 3(2).
- Eggener S, Koch M, Penson D, Pavlovich C, Chin J, Lotan Y, Raman S, Hatiboglu G, Oto A, Relle J, Futterer J, Serrallach M, Heidenreich A, Haider M, Bonekamp D, Tirkes T, Arora S, Pantuck A, Zagaja G, Sedelaar M, Macura K, Costa DN, Persigehl T, Purysko A, Klotz L PD17-02 Pivotal trial of MRI-guided transurethral ultrasound ablation in men with localized prostate cancer: Two-year follow-up. J Urol.
- Kenigsberg A, Mauck R, Diaz de Leon A, Roehrborn C, Strand D, Costa DN MP42-19 A multiparametric magnetic resonance imaging (MPMRI) pilot study of prostatic peri-urethral fibrosis (PUF), A possible alternative source of luts. J Urol:e611.
- Costa DN, Arraj P, Diaz de Leon A, Recchimuzzi D, Xi Y, Roehrborn C, Cadeddu J, Margulis V, Jia L, Goldberg K, Rofsky N, Pedrosa I, Bagrodia A MP74-01 Multiparametric prostate MRI structured report informs preoperatively of risk for positive apical surgical margins during radical prostatectomy. J Urol.
- Costa DN, Recchimuzzi D, Xi Y, Diaz de Leon A, Roehrborn C, Cadeddu J, Margulis, Jia L, Goldberg K, Rofsky N, Pedrosa I, Bagrodia A MP13-18 Gleason Grade Group concordance between preoperative targeted biopsy and radical prostatectomy: A comparison between in-bore MRI-guided and MRI-TRUS fusion prostate biopsies. J Urol 203:e191-e192.
- Raman S, Futterer J, Oto A, Arora S, Tirkes T, Macura K, Bonekamp D, Haider M, Cool D, Nandalur K, Nicolau C, Costa D, Persigehl T, Purysko A, Staruch R, Burtnyk M, Chin J, Klotz L, Eggener S 3:45 PM Abstract No. 341 Pivotal study of magnetic resonance imaging–guided transurethral ultrasound ablation in men with localized prostate cancer: 12-month clinical and imaging outcomes. Journal of Vascular and Interventional Radiology 31(3, Supplement):S154-S155.
- Desai N, Folkert M, Leiker A, Yan Y, Costa DN, Dess R, Spratt D, Garant A, Hannan R, Timmerman R Prostate oncologic therapy while ensuring neurovascular conservation (POTEN-C): A phase II randomized controlled trial of stereotactic ablative body radiotherapy (SAbR) with or without neurovascular sparing for erectile function preservation in localized prostate cancer. Journal of Clinical Oncology 38, No 6 Supplement.
- Costa D, Diaz de Leon A, Yokoo T, Roehrborn C, Hornberger B, Goldberg K, Subramanian N, Lotan J, Rofsky N, Francis F, Zhou M, Freifeld Y, Pedrosa I MP30-09 Prospectively assigned positive contrast enhancement score detects more clinically significant prostate cancer in multiparametric magnetic resonance imaging using PI-RADS V2. J Urol 201 (Supplement 4):e426-e426.
- Eggener S, Penson D, Pavlovich C, Chin J, Raman SS, Koch M, Futterer J, Relle J, Hatiboglu G, Oto A, Lotan Y, Heidenreich A, Serrallach M, Pantuck A, Arora SS, Macura K, Tirkes T, Costa D, Zagaja G, Persigehl T, Sedelaar JPM, Li W, Staruch R, Burtnyk M, Bonekamp D, Haider M, Klotz L LBA-26 Pivotal trial of MRI-guided transurethral ultrasound ablation in men with localized prostate cancer. J Urol 201 (Supplement 4):e-1004-e-1004.
- Gold SA, Shih JH, Rais-Bahrami S, Bloom JB, Vourganti S, Singla N, Baroni RH, Coker MA, Fialkoff J, Noschang J, Roehrborn CG, Turkbey B, Pinto PA, Hale GR, Rayn KN, Wood J, Merino MJ, Choyke L, Mehralivand S, Nix JW, Gordetsky JB, Porter KK, Thomas JV, Noschang J, Shakir N, Passoni N, Costa D When to biopsy the seminal vesicles: A validated multiparametric magnetic resonance imaging and target driven model to detect seminal vesicle invasion in prostate cancer. J Urol.
- Klotz LH, Hatiboglu G, Futterer J, Persigehl T, Serrallach M, Koch M, Pavlovich C, Lotan Y, Raman S, Relle J, Zagaja G, Haider MA, Arora SS, Staruch RM, Burtnyk MA, Costa D, Oto A, Tirkes T, Sedelaar JPM, Bonekamp D, Heidenreich A, Penson D, Chin J, Eggener S Pivotal study of MRI-guided transurethral ultrasound ablation in men with localized prostate cancer: Preliminary results. European Urology Supplements(18(1)):e620-e621.
- Garant A, Grossman C, King MT, Goel A, Weg E, Costa DN, Zhang H, Gahan J, Aujla K, Hathout L, Folkert MR American Brachytherapy Society (ABS) Rectoprostatic gel spacer consensus statement. Brachytherapy.
Editorials
- Costa DN. Editorial Comment: Which targeted prostate biopsy technique is better-in-bore or MRI-transrectal ultrasound fusion?. AJR Am J Roentgenol 217(5):1130-1131, 2021. PMID: 33728978.
- Costa DN. Multiparametric MRI of the Prostate: Beyond Cancer Detection and Staging. Radiology 299(3):624-625, 2021. PMID: 33851884.
Abstracts
- Costa DN. Fat suppression MRI techniques: An illustrated review. 37th Radiological Journey of São Paulo.
- Costa DN. Mesenteric ischemia: Radiological Findings and Literature Review. 32nd Radiological Journey of São Paulo.
- Costa DN. Ethical Aspects in Radiology. XXXI Brazilian Radiological Congress.
- Costa DN. Contrast-enhanced sonographic evaluation of pancreatic transplantation. European Society of Gastrointestinal and Abdominal Radiology (ESGAR).
- Costa DN. MDCT evaluation of abdominal vasculature in hepatosplenic schistosomiasis. European Society of Gastrointestinal and Abdominal Radiology (ESGAR).
- Costa DN. Pneumatosis intestinalis: Radiological findings and Clinical implications. 36th Radiological Journey of São Paulo.
- Costa DN. Myometrial contractions mimicking adenomyosis on MR imaging, Best Body Imaging Poster. XXXV Brazilian Radiological Congress.
Book Chapters
- Costa DN, Rosfky NM. Principles and Techniques. In: Atlas of Cardiovascular Magnetic Resonance Imaging. Springer.
- Baroni RH, Chate RC, Costa DN, Boiselle PM. Tracheobronchomalacia. In: CT of the Airways. Humana Press, 191-212.
- Costa DN, Rubin GD, Rofsky NM, Hallet RL. Thoracic Aorta. In: CT and MR Angiography: Comprehensive Vascular Assessment. Lippincott Williams & Wilkins, 648-718.
- Costa DN. Diagnostic Imaging [Métodos Radiológicos]. In: Textbook of Oncology [Tratado de Oncologia]. Editora Atheneu.
Patient Reviews
CV information above last modified September 10, 2025