Cognitive-Targeted versus Magnetic Resonance Imaging-Guided Prostate Biopsy in Prostate Cancer Detection.

Current Urology
Daniël F OssesJasper D Tijsterman

Abstract

Purpose of this study is to evaluate the detection rates of prostate cancer (PCa) for cognitive-targeted biopsy (CTB) in comparison with magnetic resonance imaging (MRI)-guided biopsy (MRGB) related to prostate imaging reporting and data system (PI-RADS) score, lesion location and lesion volume. Furthermore, the addition of systematic transrectal ultrasound-guided biopsy (TRUS-GB) to CTB is evaluated. We included all patients with cancer-suspicious lesions on 3-Tesla multiparametric MRI who underwent either CTB and additional TRUS-GB or only MRGB (in-bore) in Haga Teaching Hospital between January 2013 and January 2015. In total 219 patients were included: 64 CTB + TRUS-GB and 155 MRGB. In 32 (50%) men with CTB was positive for PCa. PI-RADS 3-, 4- and 5-lesions were in 17, 69 and 95% positive, respectively. In 100 men (65%) with MRGB was positive for PCa. Detection rates for PI-RADS 3-, 4- and 5-lesions were 10, 77 and 89%, respectively. CTB missed 4 (11%) low-grade tumors detected by TRUS-GB. In lesions between 0-1.5 ml PCa were significantly more often detected with MRGB than with CTB (69 vs. 39%). CTB has a high detection rate of PCa in men with cancer-suspicious lesions on MRI. Correction for lesion volume shows that in les...Continue Reading

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Citations

Jul 4, 2019·AJR. American Journal of Roentgenology·Matthias BarralFrançois Cornud
Jul 2, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Byung Kwan Park
Mar 5, 2020·The New England Journal of Medicine·Michael AhdootPeter A Pinto
Sep 1, 2020·Scandinavian Journal of Urology·Marco Antonio Soares NovaesDaniel Abensur Athanazio
Oct 1, 2019·Current Opinion in Urology·Altan Omer, Alastair D Lamb
Mar 11, 2020·Critical Reviews in Oncology/hematology·Maurizio BrausiPhilip Poortmans
Apr 4, 2021·Cancers·Dordaneh SuganoAndre Luis Abreu
May 21, 2021·Technology in Cancer Research & Treatment·Hongqing YinJianming Wang

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