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Updated: Nov 8, 2025

06:08
A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
Published on: March 21, 2025
580
Initial phantom studies for an office-based low-field MR system for prostate biopsy.
Selin Chiragzada1, Eva Hellman2, Duncan Michael2
1Promaxo Inc, Oakland, CA, 94607, USA. schiragzada@promaxo.com.
Summary
This study evaluated Promaxo
Area of Science:
- Medical Imaging
- Oncology
- Biopsy Technology
Background:
- Prostate cancer is a leading cause of cancer death in US men, with significantly lower survival rates for advanced stages.
- Early detection through screening and accurate diagnosis is crucial for improving patient outcomes.
- Image-guided biopsies are essential for precise tissue sampling in prostate cancer diagnosis.
Purpose of the Study:
- To assess the navigation accuracy of Promaxo's office-based Magnetic Resonance (MR) system for image-guided transperineal prostate biopsy.
- To determine the feasibility of using this system in a clinical setting for prostate biopsies.
Main Methods:
- A low-field MR system was used to image prostate phantoms with transperineally inserted needles.
- Needle coordinates from the office-based MR system were compared against a 1.5T external reference scan (ground truth).
- Navigation error was calculated as the distance from the planned target to the ground truth core center and trajectory.
Main Results:
- The average error between the planned target and the ground truth core center was 2.57 ± 1.02 mm.
- The average error for the actual core segment was 2.05 ± 1.24 mm.
- Both error measurements were within the 95% confidence intervals.
Conclusions:
- The average navigation errors were below the clinically significant threshold of 5 mm.
- The Promaxo office-based MR system demonstrates feasibility for accurate prostate biopsies.
- These initial phantom results support the potential of this system for clinical use in physician's offices.
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