Transrectal ultrasound versus magnetic resonance imaging in the estimation of prostate volume as compared with radical prostatectomy specimens.
BACKGROUND
There are relatively few studies that compare the use of transrectal ultrasound (TRUS) to magnetic resonance imaging (MRI) to estimate the prostate volume. In this study, we compared the prostate volumes measured with MRI and TRUS with a surgical specimen volume.


METHODS
Seventy-three patients underwent TRUS examination of the prostate prior to radical prostatectomy. All specimens were weighed and measured when freshly excised. The corresponding volume measurements calculated using TRUS and MRI were compared retrospectively with the measured volumes of freshly excised prostate.


RESULTS
The volume measured with TRUS and MRI was linearly related to the radical prostatectomy volume. The estimated increase in the prostate volumes measured with TRUS and MRI per specimen volume was 0.9508 and 0.9331 by regression analysis, respectively. If the prostate volumes were <35 cm(3), the prostate volumes measured with MRI overestimated the specimen volumes. If the prostate volumes were >35 cm(3), the prostate volumes measured with MRI underestimated the specimen volumes. The classic ellipsoid formula was adequate for determining the prostate volume.


CONCLUSIONS
In this study, MRI and TRUS gave different volumes. MRI is more accurate than TRUS for determining the prostate volume. However, because TRUS is inexpensive, noninvasive, and almost as accurate as MRI, it should be the preferred method for measuring the prostate volume.
Lee
Jae Seok
JS
Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.
Chung
Byung Ha
BH
D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009929:Organ Size; D011237:Predictive Value of Tests; D011467:Prostate / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000601:surgery; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D014463:Ultrasonography; D036761:Ultrasound, High-Intensity Focused, Transrectal