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A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
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MR imaging-guided prostate interventional imaging: Ready for a clinical use?

F Cornud1, J Bomers2, J J Futterer2

  • 1Paris Descartes University, Department of Radiology, Hôpital Cochin, Assistance publique-Hôpitaux de Paris, 75014 Paris, France.

Diagnostic and Interventional Imaging
|September 8, 2018
PubMed

Insights

Robotic assistance significantly reduces prostate interventional magnetic resonance imaging (MRI) procedure times, enhancing accuracy and potentially lowering costs. This technology improves MRI-guided biopsy and focal treatments, offering a promising alternative to traditional methods.

Area of Science:

  • Medical Imaging
  • Urology
  • Robotics

Background:

  • Prostate interventional magnetic resonance imaging (MRI) is increasingly common but limited by high costs due to long procedure durations.
  • Robotic assistance offers a solution by reducing procedure time and improving accuracy.

Purpose of the Study:

  • To review current practices and future applications of MRI-guided interventional procedures for the prostate.
  • To highlight the benefits of robotic assistance in prostate MRI procedures.

Main Methods:

  • Review of current literature on MRI-guided prostate interventions.
  • Discussion of robotic assistance in MRI-guided biopsy and focal treatments.
  • Analysis of transrectal and transperineal approaches and their influencing factors.

Main Results:

  • Robotic assistance substantially shortens prostate MRI procedure times and enhances accuracy.
  • MRI-guided biopsy is a viable alternative to TRUS-guided fusion biopsy.
  • Real-time temperature monitoring during ablation is a key benefit of MRI-guided focal treatment.

Conclusions:

  • Robotic assistance is crucial for improving the efficiency and cost-effectiveness of prostate MRI-guided procedures.
  • The choice of transrectal or transperineal approach depends on tumor location and procedure time.
  • Future applications of MRI-guided interventions hold significant promise for prostate cancer management.
Keywords:
Focal Laser ablation (FLA)MRI-guided prostate interventional imagingMagnetic resonance imaging (MRI)-guided biopsiesMagnetic resonance imaging (MRI)-guided focal therapyProstate biopsy

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