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Updated: May 17, 2026
A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
Published on: March 21, 2025
[MRI-guided targeted prostate biopsies in the diagnosis of prostate cancer: a systematic literature review]
G Fiard1, J-L Descotes, J-J Rambeaud
1Service d'urologie, CHU de Grenoble, Grenoble cedex, France. gfiard@chu-grenoble.fr
Introduction:
Advances in MRI technology for detection of prostate cancer allow targeted biopsies of suspicious areas.
Material And Methods:
A systematic literature review was performed on Medline(®) with the keywords "targeted", "prostate biopsy" and related articles. We studied 65 abstracts and 102 related abstracts, read 38 articles and selected 27 articles.
Results:
Mental reconstruction gives way for targeted biopsies by direct MRI guidance inside the MRI, and MRI-TRUS fusion. The first option offers high precision targeting but is limited by the accessibility, cost and duration of the procedure. MRI-TRUS image fusion is a promising compromise. Cancer detection rates vary from 15 to 64 %.
Conclusion:
Biopsies targeting suspicious areas on MRI are promising to improve the sensitivity and performance of prostate biopsies.
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