usfdУльтразвуковая и функциональная диагностикаUltrasound & Functional Diagnostics1607-07712408-9494Vidar Ltd.10.24835/1607-0771-2021-3-37-70usfd-61Research ArticleУльтразвуковая диагностика заболеваний внутренних органовGeneral UltrasoundМультипараметрическая ультразвуковая диагностика рака предстательной железыMultiparametric ultrasound in prostate cancer diagnosishttps://orcid.org/0000-0002-6375-8164КадревА. В.KadrevA. V.akadrev@yandex.ruhttps://orcid.org/0000-0002-3870-6522МитьковаМ. Д.MitkovaM. D.noemail@neicon.ruhttps://orcid.org/0000-0003-4251-7545КамаловА. А.KamalovA. A.noemail@neicon.ruhttps://orcid.org/0000-0003-1959-9618МитьковВ. В.MitkovV. V.noemail@neicon.ruФГБОУ ВО “Московский государственный университет имени М.В. Ломоносова”; ФГБОУ ДПО “Российская медицинская академия непрерывного профессионального образования” Министерства здравоохранения Российской ФедерацииРоссияLomonosov Moscow State University; Russian Medical Academy of Continuous Professional EducationRussian FederationФГБОУ ДПО “Российская медицинская академия непрерывного профессионального образования” Министерства здравоохранения Российской ФедерацииРоссияRussian Medical Academy of Continuous Professional EducationRussian FederationФГБОУ ВО “Московский государственный университет имени М.В. Ломоносова”РоссияLomonosov Moscow State UniversityRussian Federation202103022024033770Copyright © Кадрев А.В., Митькова М.Д., Камалов А.А., Митьков В.В., 20242024Кадрев А.В., Митькова М.Д., Камалов А.А., Митьков В.В.Kadrev A.V., Mitkova M.D., Kamalov A.A., Mitkov V.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://usfd.vidar.ru/jour/article/view/61

В обзоре литературы рассматривается применение различных модальностей трансректального ультразвукового исследования в диагностике рака предстательной железы. Представлена диагностическая эффективность В-режима (включая микроультразвуковое исследование, использующее сверхвысокие частоты), различных методов оценки кровотока (включая микродопплеровское картирование), гистосканирования, эластографии (качественный и количественный анализ), контрастного усиления (качественный и количественный анализ). Показана роль магнитно-резонансного и ультразвукового совмещения (фьюжен) при биопсии предстательной железы. Обсуждаются перспективы объединения различных ультразвуковых методов в мультипараметрическое трансректальное ультразвуковое исследование, возможности создания стандартизированных шкал для описания выявленных изменений. Имеющиеся данные подтверждают, что использование современных технологий трансректального ультразвукового исследования значительно повышает его диагностическую точность, в том числе в выявлении клинически значимого рака предстательной железы.

The review presents transrectal ultrasound various modalities application in the diagnosis of prostate cancer. It provides the data on diagnostic value of B-mode ultrasound (including micro-ultrasound using ultra-high frequency), various technologies of blood flow evaluation (including micro-Doppler), HistoScanning, qualitative and quantitative elastography, and qualitative and quantitative contrastenhanced ultrasound. The role of magnetic resonance/transrectal ultrasound fusion in prostate biopsy is shown. The perspective for various modalities combining into a multiparametric transrectal ultrasound and possibility of development of standardized scales for ultrasound report are discussed. The available data confirms that the use of modern technologies increases accuracy of transrectal ultrasound in prostate cancer diagnosis, including detection of clinically significant prostate cancer.

трансректальное ультразвуковое исследование (ТРУЗИ)допплеровское исследованиеультразвуковое исследование с контрастным усилениемультразвуковая эластографиямикродопплеровское картированиемикроультразвуковое исследованиемультипараметрическое ультразвуковое исследованиемагнитно-резонансное и ультразвуковое совмещение (фьюжен)рак предстательной железыtransrectal ultrasound (TRUS)Doppler ultrasoundcontrast-enhanced ultrasound (CEUS)ultrasound elastographymicro-Dopplermicro-ultrasoundmultiparametric ultrasoundmagnetic resonance/transrectal ultrasound fusion (MRI/TRUS fusion)prostate cancerReferencesSung H., Ferlay J., Siegel R.L., Laversanne M., Soerjomataram I., Jemal A., Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J. Clin. 2021; 71 (3): 209-249. https://doi.org/10.3322/caac.21660Sung H., Ferlay J., Siegel R.L., Laversanne M., Soerjomataram I., Jemal A., Bray F. 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The authors declare that there are no conflicts of interest present.