APPLICATION OF MULTIPARAMETRIC ULTRASOUND INNOVATIVE DIAGNOSTIC METHODS IN FOCAL DISEASES OF THE PROSTATE GLAND
Keywords:
prostate cancer, strain elatography, dopplerography, early diagnosis, transrectal ultrasound.Abstract
Early and timely detection of prostate cancer (PС) remains one of the actual problems of modern medicine. Today, there is a current focus on developing minimally invasive and accessible methods of diagnosis that are aimed at targeted imaging of the tumor process. One of these techniques is strain elastography - a method of ultrasonic diagnostics (USD) aimed at obtaining a qualitative assessment of color cartogram changes elastic properties of tissues. Research is continuing worldwide to apply strain elastography to early diagnosis of PC.
The aim of this study was to improve the early and differential diagnosis of the foci of the prostate gland by applying modern compression elastography technology
Materials and research methods. The article gives results of transrectal ultrasound (TRUZI) of 146 patients with different foci of prostate gland. The patient’s age ranged from 48 to 82 years.
TRUZI was performed on ultrasonic devices of expert class " Mindray DS70", " Mindray DS80", "Logiq S8 XD CLEAR». The research provided for complex ultrasound with the simultaneous application of the gray scale mode, dopplerographic research and strain elastography in real time.
All patients were divided into three groups. The first group consisted of 47 patients with benign prostate disease, the second group consisted of 70 patients with suspected PC, the third group - 29 patients with histologically verified PC.
Based on the carried out TRUZI patients, specific ultrasound diagnostic criteria obtained in grey mode scale, color Doppler mapping and strain elastography, the application of which will allow the detection of PC in the early stages of the disease.
References
Alekseev B.Ya., Nyushko K.M. Combined treatment of prostate cancer: Clinical observations. Oncourology. 2022; 4: 77–87. (in Russian).
Rudenko O.V., Safonov D.V., Rychtik P.I., Gurbatov S.N., Romanov S.V. Physical bases of elastography. Part 2. Shear wave elastography (lecture). Radiology–Practice. 2019; 4(46): 62–71. (in Russian).
Ferraioli G., Filice C., Castera L., et al. WFUMB Guidelines and Recommendations for Clinical Use of Ultrasound Elastography: Part 3. Liver. Ultrasound in Medicine & Biology. 2018; 41(5): 1161–1179.
Caprin A.D., Alekseev B.Y., Matveev V.B., et al. Prostate cancer. Modern Oncology. 2021; 23(2): 211–247. (in Russian).
Bolotskov A.S., Volkov A.A., Petritsko M.I. Shear wave elastography in the diagnosis of prostate diseases. Medical Bulletin of the North Caucasus. 2013; 8(3): 73–76.