Contribution to the clarification of heterogeneous foci within the prostate

The determination of the nature of heterogeneous foci within the prostate is up till now insufficient. With the help of a standard method using a scanner with a changeable plane of cut and frequency of 7.0 MHz, 292 patients were examined with an enlarged or standard size of prostate and with morphologically proved prostate cancer. A high level of sensitivity and quite a low specification of examinations were found out. To distinguish the kind of heterogeneous foci within the prostate is of decisive importance for the carcinoma diagnostics. In 152 patients, the following characteristics were evaluated: the size, shape and contour of the focus, its localisation, echogenicity and homogeneity of echostructure. 70 patients were examined using a method evaluating the vascularisation of a tumour with CFM and the frequency analysis according to Furier. The results of examinations performed with the help of the above mentioned methods yielded some new experience, however, they did not contribute to the qualitative determination of heterogeneous intracapsular foci within the prostate. Their character can be defined only by punctual or aspirational biopsy.