Using 320-slice perfusion computed tomography in visuali zation of prostate cancer

Visualization of prostate cancer remains an actual problem in urology and oncology. Purpose of the study – evaluation of prostate cancer visualization using 320-slice perfusion computed tomography (PCT). PCT results of 15 patients with suspected prostate cancer were evaluated. Studies were performed...

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Main Authors: N. V. Sosnowski, E. V. Rozengauz, M. I. Shkolnik, D. V. Nesterov, A. A. Arzumanov
Format: Article
Language:Russian
Published: Academician I.P. Pavlov First St. Petersburg State Medical University 2016-12-01
Series:Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова
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Online Access:https://www.sci-notes.ru/jour/article/view/338
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author N. V. Sosnowski
E. V. Rozengauz
M. I. Shkolnik
D. V. Nesterov
A. A. Arzumanov
author_facet N. V. Sosnowski
E. V. Rozengauz
M. I. Shkolnik
D. V. Nesterov
A. A. Arzumanov
author_sort N. V. Sosnowski
collection DOAJ
description Visualization of prostate cancer remains an actual problem in urology and oncology. Purpose of the study – evaluation of prostate cancer visualization using 320-slice perfusion computed tomography (PCT). PCT results of 15 patients with suspected prostate cancer were evaluated. Studies were performed with the 320-slice spiral computed tomography Aquilion One (Toshiba, Japan). Perfusion of the prostate was calculated by the maximum gradient. Next, the areas of interest were placed on each perfusion map. For each of the areas of interest, the following indicators were calculated: the average blood flow velocity, normalized blood flow velocity, the difference of blood flow velocity in the contralateral areas of interest, the difference of the normalized blood flow velocity in the contralateral areas of interest. Differences between indexes depending on the results of histological examination for each area of interest were evaluated by the variance analysis and by pairwise comparison with the Tukey’s criterion. Statistical significance of differences was assessed by the specialized computer language R v 3.2, using pROC packets. Totally, 180 biopsies were obtained. 19 – prostate cancer Σ Gleason 6, 17 – prostate cancer Σ Gleason 7, 5 – prostate cancer Gleason Σ 8, 7 – inflammation, 121 – not pathological, 11 – prostatic intraepithelial neoplasia (PIN). The areas under the ROC curves for the studied parameters were: average blood flow velocity 0.6343, normalized blood flow velocity 0.5300, difference of blood flow velocity in contralateral areas of interest 0.5875, difference of normalized blood flow velocity in the contralateral areas of interest 0.6263. The results of our study shows low sensitivity of the method in detection of lowgrade prostate cancer.
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series Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова
spelling doaj-art-a0d3b341b90248af97cc89994a332e8f2025-08-20T03:35:28ZrusAcademician I.P. Pavlov First St. Petersburg State Medical UniversityУчёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова1607-41812541-88072016-12-01234768010.24884/1607-4181-2016-23-4-76-80313Using 320-slice perfusion computed tomography in visuali zation of prostate cancerN. V. Sosnowski0E. V. Rozengauz1M. I. Shkolnik2D. V. Nesterov3A. A. Arzumanov4ФГБУ РНЦРХТФГБУ РНЦРХТФГБУ РНЦРХТФГБУ РНЦРХТФГБУ РНЦРХТVisualization of prostate cancer remains an actual problem in urology and oncology. Purpose of the study – evaluation of prostate cancer visualization using 320-slice perfusion computed tomography (PCT). PCT results of 15 patients with suspected prostate cancer were evaluated. Studies were performed with the 320-slice spiral computed tomography Aquilion One (Toshiba, Japan). Perfusion of the prostate was calculated by the maximum gradient. Next, the areas of interest were placed on each perfusion map. For each of the areas of interest, the following indicators were calculated: the average blood flow velocity, normalized blood flow velocity, the difference of blood flow velocity in the contralateral areas of interest, the difference of the normalized blood flow velocity in the contralateral areas of interest. Differences between indexes depending on the results of histological examination for each area of interest were evaluated by the variance analysis and by pairwise comparison with the Tukey’s criterion. Statistical significance of differences was assessed by the specialized computer language R v 3.2, using pROC packets. Totally, 180 biopsies were obtained. 19 – prostate cancer Σ Gleason 6, 17 – prostate cancer Σ Gleason 7, 5 – prostate cancer Gleason Σ 8, 7 – inflammation, 121 – not pathological, 11 – prostatic intraepithelial neoplasia (PIN). The areas under the ROC curves for the studied parameters were: average blood flow velocity 0.6343, normalized blood flow velocity 0.5300, difference of blood flow velocity in contralateral areas of interest 0.5875, difference of normalized blood flow velocity in the contralateral areas of interest 0.6263. The results of our study shows low sensitivity of the method in detection of lowgrade prostate cancer.https://www.sci-notes.ru/jour/article/view/338prostate cancerperfusion computed tomographygleason scoreblood flow velocity
spellingShingle N. V. Sosnowski
E. V. Rozengauz
M. I. Shkolnik
D. V. Nesterov
A. A. Arzumanov
Using 320-slice perfusion computed tomography in visuali zation of prostate cancer
Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова
prostate cancer
perfusion computed tomography
gleason score
blood flow velocity
title Using 320-slice perfusion computed tomography in visuali zation of prostate cancer
title_full Using 320-slice perfusion computed tomography in visuali zation of prostate cancer
title_fullStr Using 320-slice perfusion computed tomography in visuali zation of prostate cancer
title_full_unstemmed Using 320-slice perfusion computed tomography in visuali zation of prostate cancer
title_short Using 320-slice perfusion computed tomography in visuali zation of prostate cancer
title_sort using 320 slice perfusion computed tomography in visuali zation of prostate cancer
topic prostate cancer
perfusion computed tomography
gleason score
blood flow velocity
url https://www.sci-notes.ru/jour/article/view/338
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