Quantitative microbubble enhanced transrectal ultrasound as a tool for monitoring hormonal treatment of prostate carcinoma

RJ Eckersley*, JPM Sedelaar, MJK Blomley, H Wijkstra, NM deSouza, DO Cosgrove, JJMCH de la Rosette

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

75 Citations (Scopus)

Abstract

Background. We quantified changes in Prostate carcinoma vascularity treated with anti-androgens using color Doppler and power transrectal ultrasound in combination with microbubble contrast agent Levovist(R).

Methods. Thirty-six men with prostate carcinoma were studied at baseline and at intervals during treatment. At each attendance, Levovist(R) (10 ml, 300 mg/ml) was given as an iv bolus. Using quantitative analysis, we calculated the pre-enhancement scores, arrival time, time to peak, peak value, and area under the time-enhancement curve (AUC). These were compared to pre-treatment values and serial PSA measurements.

Results. The pre-enhancement, peak value, and AUC each showed a marked response with reductions within one week. The average AUC declined to 68%+/-9% (mean+/-standard error) by week 1, 56%+/-9% by week 3, and 20%+/-4% by week 6. A strong correlation with changes in the mean PSA (r=0.95, P

Conclusion. The vascular enhancement declined with therapy, similar to PSA. Microbubble enhanced ultrasound can show early response to treatment.

Original languageEnglish
Pages (from-to)256-267
Number of pages12
JournalProstate
Volume51
Issue number4
DOIs
Publication statusPublished - 1 Jun 2002

Keywords

  • contrast enhanced ultrasound imaging
  • prostate cancer
  • hormonal treatment
  • treatment follow-up
  • COLOR DOPPLER US
  • CONTRAST AGENT
  • MICROVESSEL DENSITY
  • PATHOLOGICAL STAGE
  • CANCER
  • SONOGRAPHY
  • TUMOR
  • ULTRASONOGRAPHY
  • QUANTIFICATION
  • PERSPECTIVES

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