Effects of parallel ultrasonic visualization of the prostate in sagittal and cross projections in transrectal biopsy on detectability of prostatic cancer


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Abstract

The results of 526 transrectal prostatic biopsies are available. Mean age of the patients was 64.6 years, mean level of PSA - 10.4 ng/ml, mean size of the prostate - 56 cm3. Biopsy was made in visualization of the prostate in the sagittal projection (ultrasound devices Bruel&Kjaer 1846 and Kretz Voluson 730). Application of Brael&Kjaer Medical 2102 Hawk provides visualization of the prostate during biopsy both in sagittal and cross projection. Double visualizafrcm sVgTiVnraTffiy improved detectabiiity of prostatic cancer in patients with PSA 4-10 ng/ml. In biopsy of the top and peripheral zone there was lengthening of prostatic tissue fragments, reduced fragmentation of the columns, less frequent blank shots of the biopsy gun. The data obtained supports the importance of isolated placement and marking of prostatic tissue fragments in biopsy and allow to recommend wide clinical use of ultrasonic facilities with biplanic sensors providing online sagittal and cross visualization of the prostate.

References

  1. Patel U., Rickards D. Transrectal ultrasound & biopsy of the prostate. London: Martin Dunitz Ltd Press; 2002. 57.
  2. Purohit R. S., Shinohara K., Meng M. V., Carroll P. R. Imaging clinically localized prostate cancer. Urol. Clin. N. Am. 2003; 30 (2): 279-293.
  3. Veltman J., Goossen Т., Laguna P. et al. New technical improvement for TRUS in the diagnosis of prostate cancer. Eur. Urol. 2002; 1 (suppl. 1): 8-14.
  4. Scardino P. Т., Eastham J. A., Pollack A., Sartor A. O. Treatment of organ confined, locally advanced and metastatic prostate cancer. In: American urological association. 2004 Annual meeting. San Francisco; 2004. course 57 PM.
  5. Amling С. L., Spencer С. R., Roberts J. L. Practice patterns in transrectal ultrasound guided prostate biopsy: results of a questionnaire survey of practicing urologists. J. Urol. (Baltimore) 2004; 171 (4, suppl): 478.
  6. Jones J. S., Presti J. Office-based prostate biopsy: local anesthesia and strategies to improve cancer detection. In: American urological associatioin. Annual meeting. San Francisco; 2004. course 66IC.
  7. Scherr D. S., Eastham J., Ohori M., Scardino P. Prostate biopsy techniques and indications: when, where and how? Semin. Urol. Oncol. 2002; 20: 18-31.
  8. Loch Т., Chen M. Computer simulation of prostate biopsies. Eur. Urol. 2002; 1 (suppl. 1): 47-51.

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