ABSTRACT
Seventy-80% of prostatic carcinoma develops in the peripheral gland. Transrectal ultrasound (TRUS) has the capacity to identify nodules or hypoechogenic areas in the peripheral zone, suspected to be carcinoma. We describe a new echographic technic with endorectal probe (target compression test), to study hypoechogenic areas or nodules in the peripheral gland, during TRUS examination. Thirty-three patients, aged 49-77 years, with prostatic peripheral hypoechoic lesion at transrectal ultrasound, were studied. All patients underwent prostatic biopsy. Ten of the 11 positive patients (non compressible lesion) at the target compression test resulted to be affected by adenocarcinoma. Only 3 of the 22 negative patients (compressible lesion) at the target compression test resulted to be affected by adenocarcinoma. Even if our data have to be confirmed by further studies, they suggest that the target compression test may be a useful complementary test, during TRUS, in the evaluation of hypoechogenic areas in the peripheral gland.
Subject(s)
Prostatic Neoplasms/diagnostic imaging , Aged , Humans , Male , Middle Aged , Rectum , Reproducibility of Results , Ultrasonography/methodsABSTRACT
Intrarenal Doppler US was performed in 20 patients with suspected renal obstruction and standard sonographic appearance of collecting-system dilatation. In 15 patients with true renal obstruction the resistive index (I.R.) was > 0.7. The A.A. think duplex Doppler US is a valuable addition to the standard sonographic evaluation to increase the diagnostic accuracy in patients with suspected renal obstruction.
Subject(s)
Hydronephrosis/diagnostic imaging , Ultrasonography, Doppler, Color , Humans , Hydronephrosis/etiologyABSTRACT
The Authors emphasize sonographic aspects of Renal Abscess in early phase and in proclaimed disease. The advent of the sonography and its extensive use marked an inversion of tendency in Perinephric Abscess evolution. So it is possible to point out small Abscesses and in early phase. Leukocytes tags Scintiscan and CT can confirm the diagnostic tentative.