Office-Based, Single-Sided, Low-Field MRI-Guided Prostate Biopsy.

Area of Science:

• Medical Imaging
• Urology
• Oncology

Background:

• Prostate cancer (PCa) is a leading cause of cancer death in men.
• Standard systematic biopsy (SBx) has limitations, including false negatives and infection risk.
• Novel imaging modalities are needed to improve PCa diagnosis.

Purpose of the Study:

• To describe the workflow of transperineal prostate biopsy (TBx) using the Promaxo MRI system.
• To evaluate the potential of low-field MRI for prostate biopsy.
• To address limitations of current prostate biopsy techniques.

Main Methods:

• Utilized a single-sided, low-field Promaxo MRI system (58-74 mT) for transperineal prostate biopsy.
• Described the workflow for performing TBx in an office-based setting.
• Discussed the evolution of prostate biopsy modalities.

Main Results:

• The Promaxo MRI system offers an alternative for MR-guided prostate biopsy.
• Low-field MRI may mitigate logistical constraints of standard MR-guided biopsies.
• The described workflow facilitates an office-based approach.

Conclusions:

• Transperineal prostate biopsy with the Promaxo low-field MRI system is a feasible workflow.
• This approach has the potential to improve prostate cancer diagnosis and patient safety.
• Office-based, low-field MRI may represent a future direction in prostate biopsy.