Prostate Cancer Case Studies

prostate cancer study

Patient Identification:
Age:
PSA:
DRE:
Ultrasound:
Color Flow Doppler:

MRI (3.0 Tesla):

Spectroscopy:

Dynamic Perfusion:
Biopsy:

Diagnostic Options:
Treatment Options:

JM
77 Years Old
15.5 ng/ml; Rising
Non-diagnostic
Scattered calification
Areas of hypervascularity in the Left Apico-Mid Prostate, left Mid
Prostate and Right Mid Base
Decreased Signal Intensity in Left Perpheral
Zone, associated with a 4.5 mm deep Apico-Mid Prostate
Fingerprint of Disease Identified @ the Left PZ associated with a
Creatine + Choline / Citrate ratio of 1.01 consistent with suspicion for
Prostate Cancer
Hyperemic Flow in the ROI
Negative in 2001 with a PSA of 7.15 ng/ml (grayscale US), negative
in 2002 with a PSA of 11.5 ng/ml (Color Flow Doppler)
Targeted Biopsy - Confirms Cancer; Gleason Score:7 (3+4)
Brachytherapy, Cryosurgery
High Intensity Focused Ultrasound
Focal Therapy with any of above options

prostate cancer study

Patient Identification:
Age:
PSA:
DRE:
Ultrasound:

Color Flow Doppler:
MRI (3.0 Tesla):

Spectroscopy:

Dynamic Perfusion:
Biopsy:
Treatment Options:

BG
57 Years Old
9.4 ng/ml
Bilateral Prostate Atypia/Asymmety; Non-Diagnostic for Prostate Cancer.
Calcification Prominent on the Right Side but no Suspicious Areas of
Hypoechogenicity
Area of Hypervascularity in the Right Mid Prostate Associated with Calcification
Decreased Signal Intensity in the Right Peripheral Zone at the Base;
Organ Confined
Finger Print of Cancer Identified @ the Right Peripheral Zone/Central Zone
Associated with a Creatine + Choline / Citrate Ratio of 2.92 consistent with
Prostate Cancer
Rapid Uptake and Rapid Washout consistent with Prostate Cancer
Gleason Score 6 (3+3) Identified @ the Right Hemi-Prostate
Radical Prostatectomy • Brachytherapy • Cryosurgery (Option - Focal Therapy)
High Intensity Focused Ultrasound (Option - Focal Therapy)
CyberKnife Radiation (Option - Focal Therapy)

prostate cancer study

Patient Identification:
Age:
PSA:
DRE:
Ultrasound:
Color Flow Doppler:
MRI (3.0 Tesla):

Spectroscopy:

Biopsy:
Treatment Options:

KW
74 Years Old
17.0 ng/ml
Mild Atypia @ the left Lateral Edge; Non-Diagnostic for Prostate Cancer
Hypoechoic Lesion @ the Apex in the Left Peripheral Zone (PZ)
Areas of Hypervascularity at the Left Apex, Left Base and Right Apico-Mid Prostate
Decreased Signal Intensity @ the Left Apex Extending to the Mid Prostate;
Subtle T2 Weighted Signal Decrease @ the Right Peripheral Zone; Evidence that
the Cancer Process is Extending Laterally in the NVB
Finger Print of Cancer Identified @ the Left Mid Peripheral Zone Associated
with a Creatine + Choline/Citrate Ratio of 2.13 Consistent with Prostate Cancer
Gleason Score 7 (4 +3) @ the Left Apex and Left Apico-Mid Prostate (PZ)
• CryoSurgery with a Wide Treatment Margin Laterally on the Left Side
• High Intensity Focused Ultrasound (HIFU) with a Wide Thermal Ablation on
the Left
• Chronic Disease Management (Active Surveillance)
• CyberKnife Radiation
• Brachytherapy with High Dose Radiation (HDR)
• Instensity Modulated Radiation Therapy (IMRT)

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