Man 45yo  with pain at sternum. SPECT bone scan detected multiple bone lesions (SPECT photo).
Ultrasound at sternum detects osteolytic lesions. 
Blood test=  PSA rises 92 ng/mL
Transabdominal Ultrasound of prostate  
US 1   section  prostate in small size 
US 2  sagital view also prostate in small size without abnormal focal lesions 
US 3 elastoscan detected abnormal zone inside prostate  
US 4 sagital elastography mapping one zone with kPa high,  #C50 kPa
Biopsy with TRUS elasto guiding;   report is prostate cancer, classified of Gleason core 7
Summary=  US elastoscanning of prostate guiding for biopsy is more accuracy than conventional TRUS guiding alone.

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