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Using Gray-Scale and Color and Power Doppler Sonography to Detect Prostatic Cancer

Ethan J. Halpern1 and Stephen E. Strup2

1 Department of Radiology, Jefferson Prostate Center, Thomas Jefferson University, 132 S. 10th St., Philadelphia, PA 19107-5244.
2 Department of Urology, Jefferson Prostate Center, Thomas Jefferson University, Philadelphia, PA 19107-5244.



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  		Fig. 1. —Adenocarcinoma of prostate involving left base and left mid gland in 73-year-old man. Gleason score was 7 (3 + 4). Transverse gray-scale sonogram shows large hypoechoic mass on left (arrows) with associated bulge of posterolateral prostatic contour. Power Doppler shows increased flow within and around hypoechoic tumor.

 


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  		Fig. 2A. —Adenocarcinoma of the prostatic base with bilateral involvement in 61-year-old man. Gleason score was 6 (3 + 3). Transverse color sonogram shows increased parenchymal flow on right. Left-sided flow is predominantly in capsular vessels and neurovascular bundle.

 


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  		Fig. 2B. —Adenocarcinoma of the prostatic base with bilateral involvement in 61-year-old man. Gleason score was 6 (3 + 3). Transverse power sonogram also shows increased flow on right side.

 

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