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 language | English |
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Pages (from-to) | 256-267 |
Number of pages | 12 |
Journal | Prostate |
Volume | 51 |
Issue number | 4 |
DOIs | |
Publication status | Published - 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