Comparison of conventional transrectal ultrasound, magnetic resonance imaging, and micro-ultrasound for visualizing prostate cancer in an active surveillance population: A feasibility study Article Swipe
Gregg Eure
,
Daryl Fanney
,
J.B. Lin
,
Brian Wodlinger
,
Sangeet Ghai
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.5489/cuaj.5361
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.5489/cuaj.5361
Introduction: Active surveillance monitoring of prostate cancer is unique in that most patients have low-grade disease that is not well-visualized by any common imaging technique. High-resolution (29 MHz) micro-ultrasound is a new, real-time modality that has been demonstrated to be sensitive to significant prostate cancer and effective for biopsy targeting. This study compares micro-ultrasound imaging with magnetic resonance imaging (MRI) and conventional ultrasound for visualizing prostate cancer in active surveillance. Methods: Nine patients on active surveillance were imaged with multiparametric (mp) MRI prior to biopsy. During the biopsy procedure, imaging and target identification was first performed using conventional ultrasound, then using micro-ultrasound. The mpMRI report was then unblinded and used to determine cognitive fusion targets. Using micro-ultrasound, biopsy samples were taken from targets in each modality, plus 12 systematic samples. Results: mpMRI and micro-ultrasound both demonstrated superior sensitivity to Gleason sum 7 or higher cancer compared to conventional ultrasound (p=0.02 McNemar’s test). Micro-ultrasound detected 89% of clinically significant cancer, compared to 56% for mpMRI. Conclusions: Micro-ultrasound may provide similar sensitivity to clinically significant prostate cancer as mpMRI and visualize all significant mpMRI targets. Unlike mpMRI, micro-ultrasound is performed in the office, in real-time during the biopsy procedure, and so is expected to maintain the cost-effectiveness of conventional ultrasound. Larger studies are needed before these results may be applied in a clinical setting.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.5489/cuaj.5361
- https://cuaj.ca/index.php/journal/article/download/5361/3796
- OA Status
- diamond
- Cited By
- 49
- References
- 26
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2889262718
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2889262718Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.5489/cuaj.5361Digital Object Identifier
- Title
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Comparison of conventional transrectal ultrasound, magnetic resonance imaging, and micro-ultrasound for visualizing prostate cancer in an active surveillance population: A feasibility studyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2018Year of publication
- Publication date
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2018-08-30Full publication date if available
- Authors
-
Gregg Eure, Daryl Fanney, J.B. Lin, Brian Wodlinger, Sangeet GhaiList of authors in order
- Landing page
-
https://doi.org/10.5489/cuaj.5361Publisher landing page
- PDF URL
-
https://cuaj.ca/index.php/journal/article/download/5361/3796Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
- OA URL
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https://cuaj.ca/index.php/journal/article/download/5361/3796Direct OA link when available
- Concepts
-
Prostate cancer, Medicine, Ultrasound, Magnetic resonance imaging, Prostate, Radiology, Biopsy, Prostate biopsy, Cancer, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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49Total citation count in OpenAlex
- Citations by year (recent)
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2025: 10, 2024: 5, 2023: 6, 2022: 9, 2021: 7Per-year citation counts (last 5 years)
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26Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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