M.Z.Segal ??? ??? ?? ??? Tatarstan ??? ???? ??? ?? ?? ??? ??? ??? Dr. Hasanov Marat Zufarovich ???? ??????.
????:
???, ?????(nodular pathology), ????????(TRUS), ????? ??(Strain Elastography mode), ???????(CEUS)
?
??
66? ??? ??? ?? ??? ???? ??? ???? ??????(VASH 5 ??? ??). ??? PSA ??? 6.9 ng/ml??? ????? ???? ??? ??? ??? ??? ?????.
??? ??
????? Resona 7 ??? ??? ??? ??? ??? ??(TRUS)? ??????. ???? ??? 36ml? ??????, ??? ??(interlobular furrow) ?? ??(right lobe) ????? ?? ?? 15mm? ????? ???? ??? ??? ??? ???????(Fig. 1).
?? ??? ??, B-?? TRUS ???? ??? ?? ??? ????? ??(vascularity) ??? ???????(?? 2).
?????(Strain Elastography) ??
Resona7? Natural Touch Elastography? ???? ???? ??? ??????. ?? ??? ??? ??? 0.56-0.87 ??? ???? ?? ???? ?? ? ??? ??? ???? ?????.
???? ??? ??
???? ???(CEUS)? ??, ?????? 2.4ml? Sonovue(Bracco Swiss, SA, Switzerland)? 3? ?? ??? ?? ?? ??? ????????. ???? ??? ??? ???? ?? ??, ??? ?? ????? ??? ?? ??(parenchyma)? ??? ????? ?????(??. 4).
???? ??? ??( Contrast Imaging Quantification Analysis)
?? ??? ??-?? ??? ??? ??? ?? ?? ??? ??? ???? ???. ?? ??? ??? TTP 16.5?, PI 35.7dB, DT/2 78.6?, AUC 4634.2dB/? ????. ???? ?? ?? ??? ?? ??-?? ??? ???? ?? ? ?? ??? ??? ???? ??? TTP? 63.9?, PI? 27.5dB, AUC? 4429.2dB/? ????. DT/2 ????? ???? ?????(??? 5).
?? ??
???? ???? ???(transrectal) ??? ??? ???? 12? ??? ?? ????? ???????.
?
???? ??: ?? ??? ?? ???? ???(acinar adenocarcinoma )? ??? Gleason(3 + 4)? ?? 7????. ?? ?? ??? ?? ??? ???? ??, ???? ?? ???? ?? ??? ?? ???? ?????. (?? 6).
??
???? ?? ??(Malignant ?neoplasm), T2сsN0M0.
??
????? ???? ??? ??? ??? ??? ?? ?? ???? ???, ??? (hypervascular )???? ?????[1]. ??? ??? ??? ?? ??? ??? ??? ??? ? ?? ??? ???? ?? ?? ?????[2]. ?? ???? ?? ?? ??? ???? ?? ??? ???(multiparametric ultrasound )? ?????. ?????(Strain elastography )? ??? ?? ???? ?? ??? ??? ??? ? ????. ?? ??? ?? ???? ? ??? ??? ???, ?? ??? ?? ??? ?? ??? ?? ??? ??? ??? ??? ???? ?? ? ??? ???? ? ? ??? ?? ?? ?? ????. CEUS? ?? ??? ???? ? ??? ??? ??? ? ????. ? ??, CEUS ??? B ?? ???? ??? ?? ?? ? ???? ????? ??? ???? ??? ??? ????? ?? ???????.
??:
[1] Ellis, W. J., Chetner, M. P., Preston, S. D. & Brawer, M. K., 1994. Diagnosis of Prostatic Carcinoma: The Yield of Serum Prostate Specific Antigen, Digital Rectal Examination and Transrectal Ultrasonography. The Journal of Urology, 152(5, part 1), pp. 1520-1525.
[2]?Postera, A., Mischi, M., Rosette, J. d. l. & Wijkstra, H., 2015. Multiparametric ultrasound in the detection of prostate cancer: a systematic review. World Journal of Urology, 33(11), pp. 1651-1659.
