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Updated: May 22, 2026

A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
Published on: March 21, 2025
Postbiopsy confirmation of MR-detected lesions biopsied using ultrasound
1Department of Radiology, Texas A&M University College of Medicine, Bryan, TX, USA. dmonticciolo@swmail.sw.org
Objective:
The purpose of this article is to outline a quick and effective method of confirming MR-sonographic correlation for lesions detected with MRI but percutaneously biopsied using ultrasound.
Conclusion:
Ensuring that a lesion seen on targeted ultrasound is the same as that detected at MRI can be difficult. For benign concordant lesions, a mismatch may only be discovered at 6-month postbiopsy MRI follow-up. However, lesion correlation can be established on the same day as biopsy by obtaining a single unenhanced T1-weighted non-fat-saturated pulse sequence just after percutaneous ultrasound-guided biopsy. Scanning time is less than 4 minutes. Postbiopsy changes and the biopsy clip are easily seen and help verify MR-sonographic lesion correlation.
