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Related Experiment Video

Updated: Jan 18, 2026

Author Spotlight: Advancing Prostate Cancer Research Through Improved Tissue Sampling and Biobanking
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Author Spotlight: Advancing Prostate Cancer Research Through Improved Tissue Sampling and Biobanking

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Optimizing prostate biopsy techniques.

Altan Omer1,2, Alastair D Lamb1,3

  • 1Department of Urology, Oxford University Hospitals NHS Foundation Trust, Oxford.

Current Opinion in Urology
|October 1, 2019
PubMed
Summary
This summary is machine-generated.

Advances in prostate cancer diagnostics, including multiparametric MRI and transperineal biopsies, aim to improve detection of clinically significant prostate cancer while reducing unnecessary procedures. New techniques offer safer, more accurate biopsies.

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Area of Science:

  • Urology
  • Oncology
  • Radiology

Background:

  • Prostate cancer (PCa) diagnostics evolve to better detect clinically significant PCa (csPCa) and reduce indolent cancer detection.
  • Multiparametric MRI (mpMRI) and active surveillance have reshaped PCa diagnosis, reducing biopsy needs but increasing accuracy demands.

Purpose of the Study:

  • Review studies impacting PCa diagnostic knowledge and clinical practice.
  • Analyze shifts in PCa diagnostic strategies and their clinical implications.

Main Methods:

  • Review of studies on evolving PCa diagnostic techniques.
  • Analysis of the impact of mpMRI and new biopsy approaches on clinical practice.

Main Results:

  • mpMRI improves PCa prediction, leading to lesion-targeted biopsies (PI-RADS 3-5).
  • Transperineal (TP) biopsies under local anesthesia (LATP) address limitations of transrectal ultrasound (TRUS) biopsies, such as infection and missed anterior lesions.
  • LATP shows potential to become the standard for front-line diagnostic biopsies within five years.

Conclusions:

  • Evolving diagnostic tools like mpMRI and targeted biopsies enhance csPCa detection.
  • Transperineal biopsies under local anesthesia represent a significant advancement, improving safety and accuracy.
  • Future PCa diagnostics will likely prioritize minimally invasive, accurate, and targeted biopsy techniques.