The diagnosis of prostate cancer is currently limited by the low sensitivit
y and specificity of systematic conventional grey-scale ultrasonography. We
assessed contrast-enhanced colour Doppler ultrasonography by means of a mi
crobubble ultrasound contrast agent to detect tumour vascularity and improv
e the diagnosis of prostate cancer. The use of a microbubble ultrasound con
trast agent for transrectal colour Doppler targeted biopsy significantly im
proved the detection of prostate cancer compared with systematic biopsy fol
lowing conventional grey-scale ultrasonography (p<0.001). Contrast-agent en
hanced colour Doppler imaging may allow for limited targeted biopsies (five
or less), which reduces costs and morbidity.