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Three dimensional ultrasound and prostate cancer

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Abstract

Three-dimensional ultrasound (3-D US) is a non-invasive method of producing whole volume images of solid structures. Early work on prostate imaging identified several advantages over 2-D imaging with a good ability to detect intraprostatic lesions. Several 3-D transrectal ultrasound (3-D TRUS) systems are now available for prostate imaging. Initial work using gray scale ultrasound appears promising with reported overall staging accuracies of up to 94%. These results were favourable when compared to other modalities for local staging of prostate cancer. Several adjuncts to 3-D gray scale TRUS have been investigated. A greater sensitivity for cancer detection has been achieved with the addition of power colour Doppler and contrast agents. Further clinical applications for 3-D TRUS include assessing placement of brachytherapy seeds and for cyroablation techniques. Computer enhancement with image registration has shown that 3-D US images can be manipulated to derive more information. Although the results of gray scale imaging alone or with adjuncts and post processing appear promising, these techniques remain largely experimental.

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  1. Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, UK

    S. S. Mehta, A. R. Azzouzi & F. C. Hamdy

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  1. S. S. Mehta
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  2. A. R. Azzouzi
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  3. F. C. Hamdy
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Correspondence to S. S. Mehta.

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Mehta, S.S., Azzouzi, A.R. & Hamdy, F.C. Three dimensional ultrasound and prostate cancer. World J Urol 22, 339–345 (2004). https://doi.org/10.1007/s00345-004-0417-9

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  • DOI: https://doi.org/10.1007/s00345-004-0417-9

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