Diagnóstico por imagen del cáncer de próstata

Abstract

Prostate cancer is one of the five most diagnosed cancers in the world, in Ecuador it is the most diagnosed cancer with high mortality, being a serious health problem, which the general practitioner must be prepared to make a correct diagnosis. Objectives: To determine the most current diagnostic imaging methods for prostate cancer, which are the most recommended and their viability in our environment. Materials and Methods: A descriptive study was carried out through the review of scientific articles about the new diagnostic imaging methods in prostate cancer, using the PUBMED, SCIENCEDIRECT and GOOGLE ACADEMICO databases of the last 5 years, in addition to be reviewed for their level of impact through Scimago Journal & Country Rank. Results: In the 28 bibliographies found, systematic transrectal ultrasound for taking biopsies was described as an inaccurate method. Histoscanning obtained inferior results to traditional transrectal ultrasound, shear wave elastography and contrast-enhanced ultrasound were superior to traditional transrectal ultrasound and multiparametric magnetic resonance imaging showed promising results, however, it has limitations such as its high cost and low availability. Conclusion: Multiparametric magnetic resonance and multiparametric ultrasound are promising studies that manage to improve in several aspects the transrectal ultrasound for taking biopsies, the latter to a greater extent due to its better performance, availability and affordable cost, becoming the most recommended to be implemented in our environment.