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New Type of Ultrasound Scan Can Diagnose Prostate Cancer Cases with High Accuracy

By MedImaging International staff writers
Posted on 02 Mar 2022

An ultrasound scan can be used to detect cases of prostate cancer, according to new research. More...

Researchers at the Imperial College London (London, UK) have found that a new type of ultrasound scan can diagnose most prostate cancer cases with good accuracy in a clinical trial involving 370 men. The ultrasound scans missed only 4.3% more clinically important prostate cancer cases – cancer that should be treated rather than monitored – compared to magnetic resonance imaging (MRI) scans currently used to detect prostate cancer. The team believes that an ultrasound scan should be used as a first test in a community healthcare setting and in low and middle income countries which do not have easy access to high quality MRI scans. They say it could be used in combination with current MRI scans to maximize cancer detection.

One of the main methods to diagnose prostate cancer is a special type of MRI scan called a multi-parametric MRI (mpMRI) scan, which helps doctors see if there is any cancer inside the prostate and how quickly the cancer is likely to grow. However, the scan takes 40 minutes and is expensive. The new study looked at the use of a different kind of imaging called multiparametric ultrasound (mpUSS), which uses sound waves to look at the prostate. The test involves the use of a probe called a transducer to make the images of the prostate. It is placed into the rectum and it sends out sound waves that bounce off organs and other structures. These are then made into pictures of the organs.

The doctor doing the test also uses extra special types of ultrasound imaging that look at how stiff the tissue is and how much blood supply tissue has. These are called elastography, doppler and contrast-enhancement with microbubbles. As cancers are more dense and have greater blood supply, they show up more clearly. Although mpUSS is more widely available than mpMRI there has been no large-scale studies to validate its effectiveness as a test to detect prostate cancer cases.

In the new trial, called cancer diagnosis by multiparametric ultrasound of the prostate (CADMUS), the team recruited 370 men at risk of prostate cancer. They were identified following initial tests such as a prostate-specific antigen (PSA) test– a blood test to help detect prostate cancer – and/or an abnormal digital rectal examination - a test that examines a person's lower rectum, pelvis, and lower belly. The men were given both mpUSS and mpMRI scans at separate visits. This was then followed by biopsies - which involves using thin needles to take small samples of tissue from the prostate to analyse under a microscope to check cancer – for 257 patients who had a positive mpUSS or mpMRI test result. The team then compared the results from the tests.

Cancer was detected in 133 men, with 83 men diagnosed with clinically significant cancer. Individually, mpUSS detected 66 cases of clinically significant cancer compared to mpMRI which detected 77 cases. Although mpUSS detected 4.3% fewer clinically-important prostate cancers compared to mpMRI the researchers said this method would lead to 11.1 per cent more patients being biopsied. This was because the mpUSS sometimes showed up abnormal areas even though there was no cancer. The researchers believe that the test can be used as an alternative to mpMRI as a first test for patients at risk of prostate cancer, particularly where mpMRI cannot be carried out. Both imaging tests missed clinically-important cancers detected by the other, so using both would increase the detection of clinically-important prostate cancers compared to using each test alone.

“MRI scans are one of the tests we use to diagnose prostate cancer. Although effective these scans are expensive, take up to 40 minutes to perform and are not easily available to all. Also, there are some patients who are unable to have MRI scans such as those with hip replacements or claustrophobia fears. As cancer waiting lists build as a result of the COVID-19 pandemic, there is a real need to find more efficient and cheaper tests to diagnose prostate cancer,” said Professor Hashim Ahmed, lead author of the study and Chair of Urology at Imperial College London. “Our study is the first to show that a special type of ultrasound scan can be used as a potential test to detect clinically significant cases of prostate cancer. The can detect most cases of prostate cancer with good accuracy, although MRI scans are slightly better. We believe that this test can be used in low and middle income settings where access to expensive MRI equipment is difficult and cases of prostate cancer are growing.”

Related Links:
Imperial College London 


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82 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1
83 (365.01884460449): SELECT show_live FROM jos_com_show_setting LIMIT 1
84 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1
85 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1
86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1
87 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
88 (52.928924560547): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294791803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
89 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294791803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
90 (42.200088500977): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
91 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (116.10984802246): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1
105 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
106 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
107 (87.976455688477): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294791803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (79.154968261719): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294791803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
109 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
110 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
111 (64.13459777832): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294791803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (597.00012207031): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294791803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
113 (669.95620727539): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (412.94097900391): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
115 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
116 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
117 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
118 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
119 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
120 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
121 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
122 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
123 (535.96496582031): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
124 (!!!!! 23890.972137451): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
125 (635.14709472656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294791803 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294791803 AND type='deeppockets_item' AND published='1' LIMIT 1
126 (!!!!! 14614.105224609): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (804.90112304688): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
128 (66.995620727539): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (37.193298339844): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
130 (58.889389038086): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
132 (499.01008605957): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (92.983245849609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
134 (51.975250244141): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (44.107437133789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
136 (525.95138549805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (433.20655822754): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
138 (47.922134399414): SELECT name FROM jos_deeppockets WHERE id=214
139 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=214
140 (740.05126953125): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (649.92904663086): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
142 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
143 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
144 (!!!!! 10093.927383423): TRUNCATE TABLE jos_trademed_module
145 (137.0906829834): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294791803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (83.92333984375): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294791803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
147 (!!!!! 1075.0293731689): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
149 (114.20249938965): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
150 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
151 (!!!!! 1482.0098876953): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
152 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
153 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
154 (52.928924560547): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294791803 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294791803 AND type='deeppockets_item' AND published='1' LIMIT 1
155 (51.021575927734): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)
156 (39.100646972656): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)
157 (44.822692871094): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
158 (170.94612121582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
159 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791803 AND published='1' LIMIT 1
160 (69.141387939453): select jos_twitters.link from jos_twitters where cat=10
161 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10
162 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10
163 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10