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Updated: Jun 24, 2026
09:11
Use of MRI-ultrasound Fusion to Achieve Targeted Prostate Biopsy
Published on: April 9, 2019
Is it time to consider a role for MRI before prostate biopsy?
Hashim U Ahmed1, Alex Kirkham, Manit Arya
1Division of Surgical and Interventional Sciences, University College London, UK. hashim.ahmed@ucl.ac.uk
Nature Reviews. Clinical Oncology
|April 1, 2009
Summary
Magnetic resonance imaging (MRI) can improve prostate cancer management by triaging patients before biopsy, potentially avoiding unnecessary procedures and improving treatment selection for better outcomes.
Area of Science:
- Urology
- Radiology
- Oncology
Background:
- Current guidelines underutilize MRI in prostate cancer management.
- Recent technological advancements necessitate a re-evaluation of MRI's role.
Purpose of the Study:
- To advocate for increased use of MRI in prostate cancer management.
- To propose MRI as a pre-biopsy triage tool for men with elevated PSA levels.
Main Methods:
- Review of recent technological advances in MRI.
- Proposal for integrating MRI into diagnostic and management pathways.
Main Results:
- MRI can identify men with significant prostate cancer requiring biopsy.
- MRI can help avoid unnecessary biopsies and treatments for benign conditions or insignificant cancer.
- MRI improves local staging accuracy and disease burden assessment by minimizing post-biopsy artifact.
Conclusions:
- Increased utilization of MRI before biopsy can optimize patient selection for prostate cancer diagnosis.
- MRI enhances risk stratification, aiding decisions on adjuvant therapy or dose escalation.
- MRI is valuable for monitoring disease burden in active surveillance protocols, guiding intervention decisions.
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