WFUMB Guidelines and Recommendations on the Clinical Use of Ultrasound Elastography: Part 5. Prostate

Abstract

The World Federation for Ultrasound in Medicine and Biology (WFUMB) has produced guidelines for the use of elastography techniques, including basic science, breast, liver and thyroid elastography. Here we present elastography in prostate diseases. For each available technique, procedure, reproducibility, results and limitations are analyzed and recommendations are given. Finally, recommendations are given based on the level of evidence of the published literature and on the WFUMB expert group's consensus. This document has a clinical perspective and is aimed at assessing the usefulness of elastography in the management of prostate diseases.

Current Knowledge in Ultrasound-Based Liver Elastography of Pediatric Patients

“…The summary sensitivity was 81% (95% CI: 71-88) and the specificity was 91% (95% CI: [83][84][85][86][87][88][89][90][91][92][93][94][95][96] for the prediction of significant liver fibrosis. Subgroup analysis revealed that 2D-SWE had an excellent diagnostic performance according to each degree of liver fibrosis.…”

“…Real-time elastography (RTE) has been used mainly for the evaluation of the pancreas [83][84][85][86], the thyroid [87][88][89][90][91][92][93][94], the prostate [95], the breast [5,96] but also for the liver [1,2,7,97]. Published evidence in children is scarce and contradictory [98][99][100].…”

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“…Practitioners need to be competent in the intravenous administration of contrast agents, be familiar with contraindications and be able to manage any possible adverse effects within the medical and legal framework of their country [4,38]. We refer to the educational activities of the collaborating societies of this paper, the World Federation of Ultrasound in Medicine and Biology (WFUMB) [9,23,[93][94][95][96][97][98][99][100][101][102], the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) [1,3,4,11,37,38,49,50,74,79,[103][104][105][106][107][108][109][110][111][112][113][114][115][116][117][118][119] and the CEUS LI-RADS Working Group for Liver Imaging Reporting and Data System (LI-RADS®) [34][35][36][120]…”

The EFSUMB website, a great source for ultrasound information and education

“…In addition to the WFUMB 2015 guidelines on elastography (basic principles [15], liver [17] and breast [16] more papers have been prepared and successfully published. The WFUMB guideline projects (steering committee: Richard Barr, David Cosgrove and Christoph F Dietrich) on prostate [56] and the The WFUMB guideline project on thyroid [57] have been both recently published. The same is true for the WFUMB position paper on point of care ultrasound [58].…”