Three-dimensional sonography with needle tracking: Role in diagnosis and treatment of prostate cancer

Feimo Shen, Katsuto Shinohara, Dinesh Kumar, Animesh Khemka, Anne R. Simoneau, Priya N. Werahera, Lu Li, Yujun Guo, Ramkrishnan Narayanan, Liyang Wei, Al Barqawi, David Crawford, Christos Davatzikos, Jasjit S. Suri

Research output: Contribution to journalReview articlepeer-review


Objective. Image-guided prostate biopsy has become routine in medical diagnosis. Although it improves biopsy outcome, it mostly operates in 2 dimensions, therefore lacking presentation of information in the complete 3-dimensional (3D) space. Because prostatic carcinomas are nonuniformly distributed within the prostate gland, it is crucial to accurately guide the needles toward clinically important locations within the 3D volume for both diagnosis and treatment. Methods. We reviewed the uses of 3D image-guided needle procedures in prostate cancer diagnosis and cancer therapy as well as their advantages, work flow, and future directions. Results. Guided procedures for the prostate rely on accurate 3D target identification and needle navigation. This 3D approach has potential for better disease diagnosis and therapy. Additionally, when fusing together different imaging modalities and cancer probability maps obtained from a population of interest, physicians can potentially place biopsy needles and other interventional devices more accurately and efficiently by better targeting regions that are likely to host cancerous tissue. Conclusions. With the information from anatomic, metabolic, functional, biochemical, and biomechanical statuses of different regions of the entire gland, prostate cancers will be better diagnosed and treated with improved work flow.

Original languageEnglish (US)
Pages (from-to)895-905
Number of pages11
JournalJournal of Ultrasound in Medicine
Issue number6
StatePublished - Jun 2008
Externally publishedYes


  • 3-dimensional sonography
  • Diagnosis
  • Multi- modality image fusion
  • Prostate cancer

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging


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