1. A direct comparison of contrast-enhanced ultrasound and dynamic contrast-enhanced magnetic resonance imaging for prostate cancer detection and prediction of aggressiveness.
- Author
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Baur, Alexander D. J., Schwabe, Julia, Rogasch, Julian, Maxeiner, Andreas, Penzkofer, Tobias, Stephan, Carsten, Rudl, Marc, Hamm, Bernd, Jung, Ernst-Michael, and Fischer, Thom
- Subjects
ENDORECTAL ultrasonography ,MAGNETIC resonance imaging ,EXOCRINE glands ,CONTRAST-enhanced ultrasound ,BIOPSY ,PROSTATE tumors ,CANCER invasiveness ,COMPARATIVE studies ,ENDOSCOPIC ultrasonography ,RESEARCH methodology ,MEDICAL cooperation ,PROSTATE ,RECTUM ,RESEARCH ,EVALUATION research ,PREDICTIVE tests ,CONTRAST media ,TUMOR grading ,DIAGNOSIS - Abstract
Introduction: Dynamic contrast-enhanced (DCE) magnetic resonance imaging (MRI) and contrast-enhanced ultrasound (CEUS) analyse tissue vascularization. We evaluated if CEUS can provide comparable information as DCE-MRI for the detection of prostate cancer (PCa) and prediction of its aggressiveness.Material and Methods: A post-hoc evaluation of 92 patients was performed. In each patient CEUS and DCE-MRI parameters of the most suspicious lesion identified on MRI were analysed. The predictive values for discrimination between benign lesions, low-/intermediate- and high-grade PCa were evaluated. Results of targeted biopsy served as reference standard (benign lesions, n=51; low- and intermediate-grade PCa [Gleason grade group 1 and 2], n=22; high-grade PCa [≥ Gleason grade group 3], n=19).Results: In peripheral zone lesions of all tested CEUS parameters only time to peak (TTPCEUS) showed significant differences between benign lesions and PCa (AUC 0.65). Of all tested DCE-MRI parameters, rate constant (Kep) was the best discriminator of high-grade PCa in the whole prostate (AUC 0.83) and in peripheral zone lesions (AUC 0.89).Conclusion: DCE-MRI showed a superior performance for detection of PCa and prediction of its aggressiveness. CEUS and DCE-MRI performed better in peripheral zone lesions than in transition zone lesions.Key Points: • DCE-MRI gathers information about vascularization and capillary permeability characteristics of tissues. • DCE-MRI can detect PCa and predict its aggressiveness. • CEUS also gathers information about vascularization of tissues. • For detection of PCa and prediction of aggressiveness DCE-MRI performed superiorly. • Both imaging techniques performed better in peripheral zone lesions. [ABSTRACT FROM AUTHOR]- Published
- 2018
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