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Image-Guided Targeted Prostate Biopsies.

Claire S Kaufman1, Alejandro Sanchez2, Raj Ayyagari3

  • 1Department of Radiology, University of Utah/Huntsman Cancer Institute, Salt Lake City, UT.

Techniques in Vascular and Interventional Radiology
|December 13, 2021
PubMed
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Targeted prostate biopsies using MRI fusion or in-bore MRI improve cancer detection over traditional methods. This review covers techniques and outcomes for these advanced image-guided biopsies.

Area of Science:

  • Urology
  • Oncology
  • Radiology

Background:

  • Prostate cancer is a leading cancer in the US, with screening relying on PSA tests and biopsies.
  • Traditional transrectal ultrasound biopsies use a standard sextant pattern with 10-12 cores.
  • Multiparametric MRI has advanced prostate imaging, enabling targeted biopsies.

Purpose of the Study:

  • To review the indications for image-guided targeted prostate biopsies.
  • To describe the techniques of in-bore MRI and MRI-fusion-guided biopsies.
  • To discuss the outcomes of these advanced biopsy methods.

Main Methods:

  • Review of current literature on image-guided prostate biopsies.
  • Focus on in-bore MRI and MRI-fusion techniques.
  • Analysis of biopsy indications, procedural techniques, and patient outcomes.
Keywords:
Magnetic resonance imagingProstate cancerfusion biospyprostate biopsy

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A Cognitive Fusion-guided Prostate Biopsy Using Multiparametric Magnetic Resonance Imaging and Transrectal Ultrasound
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Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
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Main Results:

  • Image-guided targeted biopsies offer improved accuracy in detecting prostate cancer.
  • In-bore MRI and MRI-fusion provide precise targeting compared to traditional methods.
  • Outcomes data suggest better cancer detection rates with targeted approaches.

Conclusions:

  • Targeted prostate biopsies guided by in-bore MRI and MRI-fusion represent a significant advancement.
  • These techniques enhance diagnostic accuracy and potentially improve patient management for prostate cancer.
  • Further research and standardization of techniques are ongoing.