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Consistency of ultrasonography and magnetic resonance imaging in measuring prostate size and volume

Published on Jun. 01, 2024Total Views: 1475 timesTotal Downloads: 617 timesDownloadMobile

Author: MAO Xiaoli 1 ZI Hao 2, 3 ZHANG Jie 4 LIU Shuangtai 2 HUANG Qiao 3 LI Binghui 3 ZENG Xiantao 3

Affiliation: 1. Department of Ultrasonography, Wuhan Institute of Technology Hospital, Wuhan 430074, China 2. Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China 3. Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China 4. Department of Retirement Affairs, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

Keywords: Benign prostatic hyperplasia Prostate Size Volume Ultrasonography Magnetic resonance imaging Consistency

DOI: 10.12173/j.issn.1004-5511.202404017

Reference: Mao XL, Zi H, Zhang J, Liu ST, Huang Q, Li BH, Zeng XT. Consistency of ultrasonography and magnetic resonance imaging in measuring prostate size and volume[J]. Yixue Xinzhi Zazhi, 2024, 34(5): 530-537. DOI: 10.12173/j.issn.1004-5511.202404017. [Article in Chinese]

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Abstract

Objective  To evaluate the consistency of ultrasonography and magnetic resonance imaging (MRI) in measuring of prostate size and volume.

Methods  The data of this study was from the research data of the bladder cancer and benign prostatic hyperplasia study in Chinese population. The study examined the prostates of participants using both ultrasonography and MRI. Prostate size was measured by the transverse diameter, antero-posterior diameter, and supero-inferior diameter, and volume was calculated using a formula. Groups comparisons were conducted using Wilcoxon signed rank test and the consistency of measurement results was evaluated using Bland-Altman analysis.

Results  103 patients with benign prostatic hyperplasia were included. The mean transverse diameter, mean antero-posterior diameter, and mean supero-inferior diameter of the prostate measured by ultrasonography was (5.789±0.835) cm, (5.054±0.915) cm, and (4.530±0.882) cm respectively, and the median volume was 66.690(49.179, 96.110) mL. The median transverse diameter, median antero-posterior diameter and median supero-inferior diameter of the prostate measured by MRI was 5.800(5.300, 6.400) cm, 5.000(4.650, 5.600) cm, and 4.300(3.900, 4.800) cm respectively, and the median volume was 65.520(49.678, 90.714) mL. The prostate size results had good agreement between ultrasound and MRI measurements, with no statistical difference between the two measurements. The prostate volume measured by ultrasonography had a small deviation compared to the MRI measurement, with an average difference of 1.329 mL. Conclusion  The consistency between ultrasonography and MRI in measuring prostate size and volume is strong. In clinical practice, the appropriate method for measuring prostate size and volume should be chosen based on the specific circumstances.

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