Effectiveness of Application of Transrectal Real-time Tissue Elastography and Transrectal Ultrasonography in Diagnosis of Prostatic Carcinoma
XU Li-yun1a, LIU Cui-xia1b, HAN Dong1c, WANG Chang-xia2
1. a. Color Ultrasonic Room; b. Department of Functional Inspection; c. Department of Imaging, Changping District Hospital of Traditional Chinese Medicine, Beijing 102200, China; 2. Department of Oncology, Baotou Cancer Hospital, Baotou Inner Mongolia 014000, China
Abstract:Objective To discuss the clinical effectiveness of application of TRTE (Transrectal Real-time Tissue Elastography) and TRUS (Transrectal Ultrasonography) in diagnosis of prostatic carcinoma. Methods TRTE and TRUS were performed in 51 suspected prostatic carcinoma patients prior to puncture examinations so as to compare the two testing methods and the combination of both methods diagnosis results with the biopsy results. And the diagnostics efficiency index was also calculated. Results Of 51 patients, 24 patients were diagnosed with prostate cancer and 27 patients with benign prostate disease through pathological examinations. In contrast with pathological examinations, the sensitivity and specificity of TRUS in diagnosis of prostate carcinoma were 79.17% and 59.26% respectively with Kappa=0.379 (P <0.001) versus TRTE’s 83.33% and 70.37% respectively with Kappa=0.532 (P <0.001). The sensitivity and specificity of TRUS combined with TRTE in diagnosis of prostate carcinoma were 87.50% and 92.60% with Kappa=0.803 (P<0.001). Conclusion Application of combination of TRTE and TRUS in differential diagnosis of prostate carcinoma demonstrated its remarkably-improved sensitivity, specificity and consistency with pathological findings.
许立云,刘翠霞,韩冬,王长霞. TRTE和TRUS在检查前列腺癌中的应用价值[J]. 中国医疗设备, 2015, 30(11): 43-46.
XU Li-yun, LIU Cui-xia, HAN Dong, WANG Chang-xia. Effectiveness of Application of Transrectal Real-time Tissue Elastography and Transrectal Ultrasonography in Diagnosis of Prostatic Carcinoma. China Medical Devices, 2015, 30(11): 43-46.