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Magnetic Resonance Imaging01:24

Magnetic Resonance Imaging

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Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
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Related Experiment Video

Updated: Nov 28, 2025

Use of MRI-ultrasound Fusion to Achieve Targeted Prostate Biopsy
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Use of MRI-ultrasound Fusion to Achieve Targeted Prostate Biopsy

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In-bore MRI targeted biopsy.

Martina Gurgitano1, Eleonora Ancona2, Duilia Maresca3

  • 1Division of Radiology, IEO European institute of oncology IRCCS, Milan, Italy . martina.gurgitano@gmail.com.

Acta Bio-Medica : Atenei Parmensis
|November 27, 2020
PubMed
Summary

Multiparametric MRI (mpMRI) with targeted biopsy (MRI-TBx) improves prostate cancer diagnosis over standard biopsy. This MRI-guided approach reduces unnecessary biopsies and overdiagnosis of insignificant cancers while maintaining detection of significant prostate cancer.

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A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
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Area of Science:

  • Urology
  • Medical Imaging
  • Oncology

Background:

  • Prostate cancer (PCa) diagnosis traditionally relies on PSA levels, DRE, and imaging, with biopsy being mandatory.
  • Standard Biopsy (SBx) involves random prostate sampling, risking missed tumors (up to 30%) and inaccurate risk stratification.

Purpose of the Study:

  • To evaluate the efficacy of the 'MRI pathway' (mpMRI and MRI-TBx) compared to the 'standard pathway' (SBx) for diagnosing prostate cancer.

Main Methods:

  • Utilized multiparametric Magnetic Resonance Imaging (mpMRI) for detecting suspicious lesions.
  • Employed MRI-guided Target Biopsy (MRI-TBx) for direct sampling of suspicious areas.
  • Compared outcomes with traditional Standard Biopsy (SBx) in patients with elevated PSA and/or abnormal DRE.

Main Results:

  • The 'MRI pathway' demonstrated superiority over the 'standard pathway' in multiple trials.
  • MRI-TBx significantly reduced the total number of biopsies performed.
  • It decreased the diagnosis of clinically insignificant PCa, thereby reducing overdiagnosis, while maintaining or improving the detection of clinically significant PCa (cs-PCa).

Conclusions:

  • The 'MRI pathway' represents a significant advancement in prostate cancer diagnostics.
  • mpMRI combined with MRI-TBx offers a more accurate and efficient diagnostic strategy, minimizing unnecessary procedures and overdiagnosis.
  • This approach enhances the diagnosis of clinically significant prostate cancer.