Prostate Cancer
Conditions
Keywords
Contrast Enhanced Ultrasound (CEUS), Prostate cancer, Quantification, Prostate biopsies, Transrectal ultrasound (TRUS), Microbubbles
Brief summary
With Contrast Enhanced UltraSound (CEUS) cancer induced neovascularisation can be visualised with the potential to improve ultrasound imaging for prostate cancer detection and localisation significantly. The past years numerous studies have been performed with CEUS, all basing their results on subjective judgement of the investigator. CEUS image interpretation is difficult and requires a well-trained expert. To overcome these difficulties CEUS quantification techniques can be of use. The techniques used in this protocol have been developed in cooperation with the Technical University in Eindhoven (TU/e) and BRACCO, Geneva. The investigators hypothesize improvement of the PCa detection rate with quantification, compared with subjective CEUS interpretation and known numbers in literature. Also a comparison between quantification results and tumour differentiation grade (Gleason score) will be made, the investigators hypothesize a positive correlation.
Interventions
2.4 ml Bolus Injection by intravenous canule. Multi-repeatable (up to 4 bolus) if necessary.
Sponsors
Study design
Eligibility
Inclusion criteria
Population: All patients already scheduled for biopsy because of a raised Prostate-Specific Antigen (PSA) and/ or abnormal Digital Rectal Examination (DRE) in the Academic Medical Centre (AMC), excluding patients who do meet the
Exclusion criteria
. Inclusion criteria: * age ≥ 18 years * signed informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quantification prediction compared with prostate biopsy histology | 3 years | Prostate cancer detection rate by quantification. Answering the question: What is the difference in, for malignancy suspicious, areas between CEUS quantification and subjective interpretation in relation to the histological biopsy results? |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quantification prediction compared with prostate biopsy histology | 3 years | Prostate cancer Gleason score compared to quantification results Answering the question: Is there a relation between Gleason score and quantification results? |
Countries
Netherlands