Transrectal doppler ultrasound during prostate biopsy: Clinical utility and limitations

Ezquer, Aníbal; Hrescak, M.C. Ortega; Sanagua, C.; Roggia-Rebullida, P.; López, R.A. Medina; Cenice, Fernando; Veglia, Francisco; Fernández, A.

doi:10.1016/j.acuroe.2014.11.011

Cited by 9 publications

(5 citation statements)

References 38 publications

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“…Thus far, patients with abnormally elevated PSA level, prostate nodules, and abnormal lesions found by imaging systems are often subjected to transrectal or perineal system plus targeted prostate biopsies to determine the presence of PCa. 12 The combination of these two techniques could improve the detection rate of PCa, thus functioning as the best prostate biopsy approach at present. 13 more effective in the diagnosis of PCa lesions, and its sensitivity and specificity for the diagnosis of PCa are relatively high.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Prostate Cancer Detection Rate Between Transperineal COG-TB and Transperineal FUS-TB in Patients with PSA ≤20 ng/mL

Liang

Cheng

et al. 2020

Journal of Endourology

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Background: The combination of prebiopsy MRI and transperineal targeted biopsies is being increasingly used to obtain tissues from patients with suspected prostate cancer (PCa). Objective: To investigate the difference in PCa detection rate between transperineal cognitive fusion TB (COG-TB) and transperineal software fusion TB (FUS-TB). Participants: The present study included 163 male patients with suspected PCa who had not undergone prostate biopsy, had a prostate-specific antigen (PSA) level of £20 ng/mL, and had been examined by bi-parameter MRI and confirmed to have prostate nodules by prostate imaging reporting and data system version 2 (PI-RADS V2) scores ‡3 (from December 3, 2018 to October 7, 2019). Intervention: Seventy-one patients underwent transperineal COG-TB, and 92 patients underwent transperineal FUS-TB. The detection rate of the first four needles was compared. Results: No significant difference was found in the overall detection rate of PCa between COG-TB and FUS-TB (60.56% vs 51.08%, p = 0.228). This result was consistent even after stratifying by PI-RADS score. There was also no significant difference between COG-TB and FUS-TB in the detection rate of clinically significant PCa (p = 0.641). Moreover, COG-TB and FUS-TB showed no difference in the detection rate of PCa with different Gleason scores. Conclusions: In patients with suspected PCa with PSA £20 ng/mL and PI-RADS ‡3, FUS-TB was comparable to COG-TB in the detection rate of PCa.

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Section: Discussionmentioning

confidence: 99%

A Comparative Study of Prostate Cancer Detection Rate Between Transperineal COG-TB and Transperineal FUS-TB in Patients with PSA ≤20 ng/mL

Liang

Cheng

et al. 2020

Journal of Endourology

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“…This is because there is a lack of studies that correlate Doppler ultrasound with radical prostatectomy results. From 2012 to 2023, four studies evaluated the performance of Doppler ultrasound in detecting prostate cancer, but the outcomes were based on biopsy results only [55][56][57][58]. The review was also supposed to discuss the results of multiparametric ultrasound in detecting prostate cancer, but only one study included in the review provided outcomes based on radical prostatectomy results.…”

Section: Discussionmentioning

confidence: 99%

The Performance of Different Parametric Ultrasounds in Prostate Cancer Diagnosis: Correlation with Radical Prostatectomy Specimens

Jawli,

Nabi,

Huang

2024

Cancers

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Background: Prostate cancer is a prevalent cancer among men. Multiparametric ultrasound [mpUS] is a diagnostic instrument that uses various types of ultrasounds to diagnose it. This systematic review aims to evaluate the performance of different parametric ultrasounds in diagnosing prostate cancer by associating with radical prostatectomy specimens. Methodology: A review was performed on various ultrasound parameters using five databases. Systematic review tools were utilized to eliminate duplicates and identify relevant results. Reviewers used the Quality Assessment of Diagnostic Accuracy Results [QUADAS-2] to evaluate the bias and applicability of the study outcomes. Result: Between 2012 and 2023, eleven studies were conducted to evaluate the performance of the different ultrasound parametric procedures in detecting prostate cancer using grayscale TRUS, SWE, CEUS, and mpUS. The high sensitivity of these procedures was found at 55%, 88.6%, 81%, and 74%, respectively. The specificity of these procedures was found to be 93.4%, 97%, 88%, and 59%, respectively. This high sensitivity and specificity may be associated with the large lesion size. The studies revealed that the sensitivity of these procedures in diagnosing clinically significant prostate cancer was 55%, 73%, 70%, and 74%, respectively, while the specificity was 61%, 78.2%, 62%, and 59%, respectively. Conclusions: The mpUS procedure provides high sensitivity and specificity in PCa detection, especially for clinically significant prostate cancer.

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“…The angiogenesis and microvascular proliferation associated with prostate cancer can be seen as a disturbed perfusion pattern on Doppler ultrasound [32]. A recent prospective series of 111 patients undergoing transrectal systematic biopsy reported a sensitivity of 81% and specificity of 68% [33] for power Doppler. Colour Doppler ultrasound was examined by Cheng and colleagues in 500 patients with 11.7% of detected cancers identified by colour Doppler alone [34].…”

Section: Discussionmentioning

confidence: 99%

Multiparametric ultrasound versus multiparametric MRI to diagnose prostate cancer (CADMUS): a prospective, multicentre, paired-cohort, confirmatory study

Grey

Scott

Shah

et al. 2022

The Lancet Oncology

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Transrectal doppler ultrasound during prostate biopsy: Clinical utility and limitations

Cited by 9 publications

References 38 publications

A Comparative Study of Prostate Cancer Detection Rate Between Transperineal COG-TB and Transperineal FUS-TB in Patients with PSA ≤20 ng/mL

A Comparative Study of Prostate Cancer Detection Rate Between Transperineal COG-TB and Transperineal FUS-TB in Patients with PSA ≤20 ng/mL

The Performance of Different Parametric Ultrasounds in Prostate Cancer Diagnosis: Correlation with Radical Prostatectomy Specimens

Multiparametric ultrasound versus multiparametric MRI to diagnose prostate cancer (CADMUS): a prospective, multicentre, paired-cohort, confirmatory study

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