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Erschienen in: Current Urology Reports 4/2021

01.04.2021 | Surgery (M Desai, Section Editor)

Techniques and Outcomes of MRI-TRUS Fusion Prostate Biopsy

verfasst von: Masatomo Kaneko, Dordaneh Sugano, Amir H. Lebastchi, Vinay Duddalwar, Jamal Nabhani, Christopher Haiman, Inderbir S. Gill, Giovanni E. Cacciamani, Andre Luis Abreu

Erschienen in: Current Urology Reports | Ausgabe 4/2021

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Abstract

Purpose of Review

The goal of this study is to review recent findings and evaluate the utility of MRI transrectal ultrasound fusion biopsy (FBx) techniques and discuss future directions.

Recent Findings

FBx detects significantly higher rates of clinically significant prostate cancer (csPCa) than ultrasound-guided systematic prostate biopsy (SBx), particularly in repeat biopsy settings. FBx has also been shown to detect significantly lower rates of clinically insignificant prostate cancer. In addition, a dedicated prostate MRI can assist in more accurately predicting the Gleason score and provide further information regarding the index cancer location, prostate volume, and clinical stage. The ability to accurately evaluate specific lesions is vital to both focal therapy and active surveillance, for treatment selection, planning, and adequate follow-up.

Summary

FBx has been demonstrated in multiple high-quality studies to have improved performance in diagnosis of csPCa compared to SBx. The combination of FBx with novel technologies including radiomics, prostate-specific membrane antigen positron emission tomography (PSMA PET), and high-resolution micro-ultrasound may have the potential to further enhance this performance.
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Metadaten
Titel
Techniques and Outcomes of MRI-TRUS Fusion Prostate Biopsy
verfasst von
Masatomo Kaneko
Dordaneh Sugano
Amir H. Lebastchi
Vinay Duddalwar
Jamal Nabhani
Christopher Haiman
Inderbir S. Gill
Giovanni E. Cacciamani
Andre Luis Abreu
Publikationsdatum
01.04.2021
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 4/2021
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-021-01037-x

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