Poster électronique

Apport du couple IRM - échographie de contraste avant biopsie de prostate
X. Coutouly, V. Perot, A. Cimpean, G. Robert, C. Calvet - Bordeaux - France
Congrès 2008
Résumé
Objectifs
Déterminer l'intérêt du double guidage IRM - échographie de contraste dans la détection des cancers de prostate.
Matériels et méthodes
Etude prospective réalisée chez des patients ayant un taux de PSA élevé et au moins une série de biopsie négative. Vingt patients ont eu une IRM morphologique, des séquences de spectroIRM et une IRM dynamique à la recherche de cibles pour la réalisation de biopsie. Les patients ont eu dans un deuxième temps une échographie de contraste de la prostate à la recherche des cibles définies précédemment en IRM. Des biopsies ont été réalisées dans le même temps sur les zones cibles et sur toute la prostate avec 2 biopsies par zones anatomiques.
Résultats
Six patients ont eu des biopsies positives. L'IRM dynamique a été la principale modalité pour la détection des zones cibles. L'échographie de contraste a retrouvé les zones cibles de l'IRM dynamique le plus souvent. Elle n'a pas trouvé de zones cibles supplémentaires. De nombreuses limites sont néanmoins à signaler avec notamment le faible nombre de patients, les modifications du protocole d'IRM dynamique.
Conclusion
L'échographie de contraste couplée à l'IRM permettrait d'améliorer la détection du cancer de la prostate.
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2017-08-31 21.51 :
Shana Phillips

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