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Computer-Assisted Quantitative Assessment of Prostatic Calcifications in Patients with Chronic Prostatitis
Matteo Boltri1, Vittorio Magri2, Emanuele Montanari3
1Urology Medical School, University of Trieste, Trieste, Italy.
Urologia Internationalis
|April 27, 2018
Summary
Quantitative assessment of prostatic calcifications using image analysis revealed higher calcified areas in chronic bacterial prostatitis patients. These calcifications correlate with urinary symptoms, indicating their clinical relevance.
Area of Science:
- Urology
- Medical Imaging
- Prostate Health
Background:
- Prostatic calcifications are common findings during ultrasound examinations.
- Quantitative assessment methods for these calcifications are developing.
- Understanding the clinical significance of prostatic calcifications is crucial.
Purpose of the Study:
- To develop a quantitative method for assessing prostatic calcifications using image analysis software.
- To investigate the relationship between prostatic calcifications and chronic prostatitis.
Main Methods:
- 82 patients underwent transrectal ultrasound, medical history, and physical examination.
- Patients were classified based on NIH/NIDDK criteria and symptom severity (CPSI).
- Image J software was used for quantitative analysis of calcified areas in ultrasound images.
Main Results:
- Computer-assessed calcified areas were significantly higher in chronic bacterial prostatitis compared to chronic pelvic pain syndrome groups.
- Prostate calcification area showed significant correlations with micturition symptoms (CPSI), PSA levels, postvoiding residual urine, and prostate/adenoma volumes.
Conclusions:
- Prostatic calcifications are more prevalent in patients diagnosed with chronic bacterial prostatitis.
- The extent of prostatic calcifications is associated with the severity of urinary symptoms.
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