Clinical practice of the transrectal shear-wave elastography in benign prostatic hyperplasia.

IF 2.7 4区医学 Q3 ENDOCRINOLOGY & METABOLISM Aging Male Pub Date : 2024-12-01 Epub Date: 2024-06-12 DOI:10.1080/13685538.2024.2363267

Xuhui Zhang, Zeyu Chen, Jia You, Qiang Lu, Liangren Liu, Diming Cai

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引用次数: 0

Abstract

Objective: To investigate the practical value of the transrectal two-dimensional shear-wave elastography (SWE) in benign prostatic hyperplasia (BPH).

Methods: Consecutive male participants with and without BPH constituted the BPH and control group respectively were enrolled prospectively between March and December 2022. Transrectal conventional ultrasound and SWE examinations for the prostate were performed on these participants. Data of quantitative stiffness of the transitional zone (TZ) and peripheral zone (PZ) of prostate, volume of prostate (VP) and volume of TZ (VTZ) and prostate specific androgen (PSA), etc., were collected. Linear regression analyses were used to investigate the associations between quantitative stiffness data and other clinical parameters.

Results: There were 200 participants evaluated, including 100 healthy participants and 100 BPH patients. For every one-year increment in age, it was correlated with 0.50 kPa increasement of TZ stiffness. VP and VTZ were correlated with TZ stiffness. Higher TZ stiffness was associated with higher free prostate specific antigen (PSA) and total PSA.

Conclusions: The prostate is stiffer and larger in BPH group compared to control group. Quantitative stiffness of the TZ was related with age, VP, VTZ and PSA.

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良性前列腺增生症经直肠剪切波弹性成像的临床实践。

目的研究经直肠二维剪切波弹性成像（SWE）在良性前列腺增生症（BPH）中的实用价值：方法：2022年3月至12月期间，连续招募患有和未患有良性前列腺增生症的男性患者，分别组成良性前列腺增生症组和对照组。对这些参与者进行了经直肠传统超声波和前列腺特异性超声波检查。收集了前列腺过渡区（TZ）和外周区（PZ）的定量硬度、前列腺体积（VP）和TZ体积（VTZ）以及前列腺特异性雄激素（PSA）等数据。采用线性回归分析研究定量硬度数据与其他临床参数之间的关联：共评估了 200 名参与者，包括 100 名健康参与者和 100 名良性前列腺增生症患者。年龄每增加一年，TZ 硬度就会增加 0.50 kPa。VP 和 VTZ 与 TZ 硬度相关。TZ硬度越高，游离前列腺特异抗原（PSA）和总PSA越高：结论：与对照组相比，良性前列腺增生组的前列腺更硬、更大。TZ的定量硬度与年龄、VP、VTZ和PSA有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging Male 医学-泌尿学与肾脏学

CiteScore

6.40

自引率

3.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Aging Male , the official journal of the International Society for the Study of the Aging Male, is a multidisciplinary publication covering all aspects of male health throughout the aging process. The Journal is a well-recognized and respected resource for anyone interested in keeping up to date with developments in this field. It is published quarterly in one volume per year. The Journal publishes original peer-reviewed research papers as well as review papers and other appropriate educational material that provide researchers with an integrated perspective on this new, emerging specialty. Areas of interest include, but are not limited to: Diagnosis and treatment of late-onset hypogonadism Metabolic syndrome and related conditions Treatment of erectile dysfunction and related disorders Prostate cancer and benign prostate hyperplasia.