Fig. 30.1 Local recurrence (10 mm) after radical prostatectomy, confirmed by histology (a). After single fiducial marker implantation (gold, 12 mm) (b). The same case, after 5 years (c) with…
Fig. 12.1 Manual-gun biopsy device; the three parts of the Franklin-modified Vim-Silverman needle: the outer sheath, the obturator, and the cutting prongs Fig. 12.2 Automated-gun biopsy device In the classic…
Fig. 40.1 Seminomas with different ultrasonographic appearance. (a) Small hypervascular, hypoechoic lesion (asterisk). (b) Large tumor involving most of the testis. (c) Two hypoechoic, hypervascular nodules in the same testis…
Fig. 29.1 Ultrasound probe with puncture adaptor The bladder must be well distended to ensure an optimal view (more than 300 ml), so that the bladder dome is palpable at…
Fig. 14.1 Brodel’s avascular plane Before positioning the patient and individuating the point of access, it is important to check that the operative trolley contains all the instruments needed to…
Fig. 47.1 Hyperechoic lesion(s) with posterior acoustic shadowing Fig. 47.2 Hyperechoic lesion of septum These two presentations account for the majority of PD cases. Some patients however demonstrate less common…
Fig. 50.1 Strain elastography of the prostate. The movie shows the normal pattern of the prostate. Using manual compression it is possible to estimate the strain of the prostate. The…
Authors No. of patients TRUS Mean PSA values (ng/ml) with positive biopsy Connolly et al. [28] 114 Positive: 66.9 PPV Negative: 69.6 NPV 5.7 (range 0.2–35) Saleem et al. [26]…
Fig. 44.1 (a, b) A 32-year-old infertile patient with a hypoechoic, non-palpable lesion of 1 cm, soft at elastography (a). The lesion is markedly vascularised at colour Doppler interrogation (b)…
