3-D tissue typing of prostate tissue based on spectral parameters

Prostate cancer is the highest-incidence and second-leading cancer killer of men in the US. Its diagnosis now relies virtually exclusively on biopsy, but because of the poor specificity and sensitivity of conventional ultrasound many unnecessary biopsies are performed and many justified biopsies fail to sample cancer that is present. Ultrasonic spectrum analysis of radio-frequency (rf) echo signals may offer a means of improving the sensitivity and specificity of ultrasonic means of guiding biopsies. These improvements could reduce unnecessary biopsies, and particularly, false-negative biopsies by improving biopsy guidance. Our results are encouraging for differentiating cancerous from non-cancerous tissue, they typically produce ROC curve areas of approximately 0.9, which represents sensitivity and specificity superior to other imaging means of determining whether biopsy is required.

[1]  B. Frentzel-Beyme [Sonography of the prostate]. , 1994, Der Radiologe.

[2]  D. Pode,et al.  The clinical utility of transrectal ultrasound and digital rectal examination in the diagnosis of prostate cancer. , 1994, The British journal of radiology.

[3]  Yu Wang,et al.  Ultrasonic tissue typing of prostate tissue , 1994, 1994 Proceedings of IEEE Ultrasonics Symposium.

[4]  Kirk Ta,et al.  The role of transrectal ultrasound (TRUS) in the evaluation of cancer of the prostate. , 1994 .

[5]  F. L. Lizzi,et al.  Power Spectra Measurements of Ultrasonic Backscatter from Ocular Tissues , 1975 .

[6]  M. Chancellor,et al.  Value of transrectal prostate ultrasonography pre-transurethral prostatectomy in screening for occult prostate carcinoma. , 1993, Urology.

[7]  E. Feleppa,et al.  Relationship of Ultrasonic Spectral Parameters to Features of Tissue Microstructure , 1987, IEEE Transactions on Ultrasonics, Ferroelectrics and Frequency Control.

[8]  E J Feleppa,et al.  Diagnostic spectrum analysis in ophthalmology: a physical perspective. , 1986, Ultrasound in medicine & biology.

[9]  E. Feleppa,et al.  Theoretical framework for spectrum analysis in ultrasonic tissue characterization. , 1983, The Journal of the Acoustical Society of America.

[10]  Hammerer Pg Sonographic diagnosis of prostatic cancer , 1994 .

[11]  M. Stilmant,et al.  Transrectal ultrasound screening for prostatic adenocarcinoma with histopathologic correlation. Factors affecting specificity , 1993, Cancer.

[12]  E. Feleppa,et al.  Focal and diffuse liver disease studied by quantitative microstructural sonography. , 1985, Radiology.

[13]  Helmut Ermert,et al.  Tissue characterization of the prostate using Kohonen-maps , 1994, 1994 Proceedings of IEEE Ultrasonics Symposium.