PTU - Polskie Towarzystwo Urologiczne
list of articles:

Comparison of diagnostic imaging value between magnetic rezonans (MR) of the pelvis and transrectal ultrasound exam (TRUS) in prostate cancer detection
Article published in Urologia Polska 2007/60/4.


Elżbieta Łuczyńska, Joanna Anioł, Andrzej Stelmach, Janusz Jaszczyński
Zakład Radiologii i Diagnostyki Obrazowej Centrum Onkologii w Krakowie
Klinika Chirurgii Onkologicznej Centrum Onkologii w Krakowie


prostate, prostate cancer, local stage, transrectal ultrasound, MRI of the prostate, MRI efficiency


Introduction. Growing number of prostate cancer detection is associated connected with biochemical development (PSA antigen) and growing possibilities of diagnostic imaging technologies. Correct assessment of the prostate cancer local stage is essential for choosing the best therapy.

The aim of the study. The aim of the study is to compare the diagnostic accurancy of transrectal ultrasound and MRI exam in prostate cancer detection based on our own material.

Material and method. 42 patients with prostate cancer were diagnosed in Oncology Institute in Cracow in 2005. All patients were examined by TRUS and MRI of the pelvis. According to these exams stage of prostate cancer was estimated (using TNM classification). The main role was to asses the T value. Then we have compared the results of the two exams.

Results. 12 patients were qualified to radical surgery. The remaining group was treated by radiotherapy. In operated patients the results of both exams were compatible in 83.3% (11 from 12 patients), in radiated patients only in 66.6 % (in 20 patients from the group of 30).

Conclusions. 1. Analysis of the material shows that in operated patients agreement between TRUS and histopathology exam and MR and histopathology exam is equal and appears in 83%. 2. Using both examinations (TRUS and MRI) before radical treatment allows for precise choosing the correct therapy metod (surgery or radiotherapy).


  1. Kuligowska E, Cieszanowski A: Ultrasonograficzne badanie przezodbytnicze.
  2. W: Ultrasonografia gruczołu krokowego. Ultrasonografia Praktyczna, Gdańsk, 1997, pp. 37-43.
  3. Husband JE, Islam Sohaib SA: Prostate cancer, Imaging in Oncology red. Husband JE, USA 2004, str. 375-399.
  4. Malone PR: Rozpoznawanie wczesnej postaci raka gruczołu krokowego. W: Rak gruczołu krokowego Międzynarodowe kompendium, red. Kirk D. Wydawnictwo Via Medica, Gdańsk 2003, str. 83-104.
  5. Kuligowska E, Cieszanowski A: Biopsja gruczołu krokowego. W: Ultrasonografia gruczołu krokowego, Ultrasonografia Praktyczna, Gdańsk, 1997, str. 45-51.
  6. Kuligowska E, Cieszanowski A: Strefowa koncepcja budowy stercza–
  7. zastosowanie kliniczne. W: Ultrasonografia gruczołu krokowego, Ultrasonografia Praktyczna, Gdańsk, 1997, str. 33-36.
  8. MacVicar D, Revel P Pelvis, in Reimer P, Parizel PM: Clinical MR Imaging, Springer-Verlag Berlin Heidelberg New York, 2003, str. 335-364.
  9. Prado A, Wallace S: et al: Helical CT of prostate cancer: early clinical experience. Am J Roentgenol 2000, 175(2), 343-346.
  10. Miller JC, Pien HH, Sahani D et al: Imaging angiogenesis:application and potential for drug development. J Nat Cancer Inst 2005, 97, 172-187.
  11. Łuczyńska E, Anioł J, Szczudło J at al: Perfusion of prostate cancer: correlation
  12. between p-CT and whole-mount pathology – case report. Pol J Radiol 2006, 71, 66-69.
  13. Kurhanewicz J, Vigneron DB, Hricac H et al: Three-dimensional H-1 MR spectroscopic imagingof the in situ human prostate with high spatial resolution. Radiology 1996, 198, 795-805.
  14. Coakley FV, Qayyum A, Kurhanerwicz J: Magnetic resonance imaging and spectroscopic imaging of prostate cancer. J Urol 2003, 170, S69-75.
  15. Kurhanewicz J, Vigneron DB, Nelson SJ: Three-dimensional magnetic resonance spectroscopic imaging of brain and prostate cancer. Neoplasia (New York), 2000, 2, 166-189.


Elżbieta Łuczyńska
Centrum Onkologii
Zakład Radiologii i Diagnostyki Obrazowej
ul. Garncarska 11
31-115 Kraków
tel. (012) 423 10 55