Innovative Methods of Diagnostics of Focal Diseases of the Prostate Gland

Early and timely detection of prostate cancer (PC) remains one of the pressing problems of modern medicine. Today, minimally invasive and affordable diagnostic methods aimed at targeted visualization of the tumor process continue to be developed. One of these methods is compression elastography - a method of ultrasound diagnostics (US) aimed at obtaining a qualitative assessment of the color map of changes in the elastic properties of tissues. Research continues around the world aimed at using compression elastography in the early diagnosis of PC.

The aim of this study was to improve early and differential diagnostics of focal lesions of the prostate gland by using modern compression elastography technology.

Materials and methods of the study. The article presents the results of transrectal ultrasound (TRUS) of 146 patients with various focal lesions of the prostate gland. The age of the patients in this study ranged from 52 to 86 years.

TRUS was performed on expert-class ultrasound machines “ Mindray DS-70”, “ Mindray DS-80”, “ Logiq S 8 XD CLEAR ". The study included a comprehensive ultrasound examination with simultaneous use of gray scale mode, Doppler ultrasonography and compression elastography in real time.

All patients were divided into 3 groups. The first group consisted of 47 patients with benign diseases of the prostate gland (PG), the second group consisted of 70 patients with suspected prostate cancer, the third group consisted of 29 patients with histologically verified prostate cancer.

Based on the conducted TRUS of patients, specific ultrasound diagnostic criteria were identified, obtained in gray-scale mode, color Doppler mapping mode and compression elastography, the use of which will allow detecting prostate cancer in the early stages of the disease.