Utility of Ultrasound in the Diagnosis, Treatment, and Follow-up of Prostate Cancer: State of the Art.
Prostate cancer screening currently consists of serum prostate-specific antigen and digital rectal examination, followed by transrectal ultrasound-guided biopsy for diagnostic confirmation. Although the current paradigm of prostate cancer screening has led to a decrease in advanced disease and cancer-related mortality, these techniques have limitations in terms of sensitivity and specificity, resulting in missed cancers that are clinically significant and the overdetection of clinically insignificant cancers. New imaging techniques and technologies are required to improve the detection of prostate cancer. This article summarizes the use of novel ultrasound techniques and technologies in the detection, biopsy, and treatment of prostate cancer.
Department of Radiology, Keck Medical Center of USC, Los Angeles, California; and frank.chen@med.usc.edu.
Frank K
FK
Chen
Department of Urology, Keck Medical Center of USC, Los Angeles, California.
Andre Luis
AL
de Castro Abreu
Department of Radiology, Keck Medical Center of USC, Los Angeles, California; and.
Suzanne L
SL
Palmer
D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000379:methods*; D019317:Evidence-Based Medicine; D057086:High-Intensity Focused Ultrasound Ablation / Q000379:methods*; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D008297:Male; D011468:Prostatectomy / Q000379:methods; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods*
Doppler ultrasound; MRI/TRUS targeted biopsy; genitourinary; prostate cancer; surveillance biopsy; transrectal ultrasound