Contrast-Enhanced Ultrasonography for the Early Evaluation of Prostate Artery Embolization
| Autor: | Marc Sapoval, Nadia Moussa, Carole Déan, Maxime Barat, Olivier Pellerin, C. Del Giudice, Tom Boeken, Alessandro Di Gaeta, Nicolas Thioun |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty animal structures Prostatic Hyperplasia Contrast Media Symptoms score 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Prostate Artery embolization medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Aged Ultrasonography Aged 80 and over Reproducibility business.industry Ultrasound Reproducibility of Results Middle Aged Embolization Therapeutic medicine.anatomical_structure Semiquantitative Method Treatment Outcome Quartile Quality of Life Radiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiovascular and interventional radiology. 43(10) |
| ISSN: | 1432-086X |
| Popis: | To prospectively evaluate the feasibility and reproducibility of the semiquantitative measurement of the unenhanced area of the prostate by trans-abdominal contrast-enhanced ultrasound (CEUS) performed immediately after prostate artery embolization (PAE) as a prognostic factor of success.Thirty-nine patients with PAE were prospectively included. They all underwent pre- and post-PAE trans-abdominal prostate CEUS. Two readers independently evaluated the pre- and post-PAE unenhanced area using a semiquantitative method: unenhanced areas were measured on 3 different slices (basis, middle, and apex) and reported to the whole prostate area. The mean of the three measures was reported semiquantitatively in classes of ten percent and quartiles. We evaluated correlation with clinical success, at 3 months after PAE, defined as a 25% reduction in the International Prostatic Symptoms Score and a Quality of life 3.Twenty-three patients who had bilateral PAE were analyzed. Pre-PAE trans-abdominal prostate CEUS showed visible early and marked enhancement of the entire prostate in all patients. After PAE, all patients had a semiquantitatively measured unenhanced area 25%. The semiquantitative measurement was found to be highly reproducible, with an interclass correlation 0.8. No correlation was found between the area of unenhanced tissue and clinical success evaluated at 3 months.Trans-abdominal prostate CEUS performed early after PAE provides reproducible results and is a valuable tool to evaluate unenhanced areas of the prostate.3, local non random sample. |
| Databáze: | OpenAIRE |
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