Multiparametric ultrasound in the detection of prostate cancer:a systematic review

\u3cp\u3ePURPOSE: To investigate the advances and clinical results of the different ultrasound modalities and the progress in combining them into multiparametric UltraSound (mpUS).\u3c/p\u3e\u3cp\u3eMETHODS: A systematic literature search on mpUS and the different ultrasound modalities included: greyscale ultrasound, computerized transrectal ultrasound, Doppler and power Doppler techniques, dynamic contrast-enhanced ultrasound and (shear wave) elastography.\u3c/p\u3e\u3cp\u3eRESULTS: Limited research available on combining ultrasound modalities has presented improvement in diagnostic performance. The data of two studies suggest that even adding a lower performing ultrasound modality to a better performing modality using crude methods can already improve the sensitivity by 13-51 %. The different modalities detect different tumours. No study has tried to combine ultrasound modalities employing a system similar to the PIRADS system used for mpMRI or more advanced classifying algorithms.\u3c/p\u3e\u3cp\u3eCONCLUSION: Available evidence confirms that combining different ultrasound modalities significantly improves diagnostic performance.\u3c/p\u3