Histological analysis of ultrasonic images of the prostate: an accurate technique

Ultrasound Med Biol. 1990;16(7):667-74. doi: 10.1016/0301-5629(90)90099-x.

Abstract

Ultrasonography of the prostate furnishes images which still cannot be fully interpreted morphologically. In a cadaver study, the ultrasound images of two groups (21 and 19) prostates, obtained in a water bath, were compared with histology slides taken at corresponding levels. In the first part of the study, using a 4 MHz probe, there was a correlation between hyperechoic lesions and stone formations in 9 out of 15 cases. A relation between hypoechoic lesions and the existence of a carcinoma could also be established in 4 out of 12 cases. In the second part of the study, using a 7 MHz probe, there was a correlation between hyperechoic lesions and stone formations in all cases. Hypoechoic lesions correlated with the presence of a carcinoma in 1 out of 8 cases. The technique used appears to be well suited for the comparative study of ultrasound images and histology. Application of the 7 MHz probe is preferable as, because of a better resolution, smaller lesions can be detected. The results of this study are not very encouraging for the use of transrectal ultrasound for the detection of small prostatic carcinomas.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Cadaver
  • Humans
  • Male
  • Middle Aged
  • Prostate / diagnostic imaging*
  • Prostate / pathology
  • Prostatic Hyperplasia / diagnostic imaging*
  • Prostatic Neoplasms / diagnostic imaging*
  • Ultrasonography / methods