MRI-Targeted Prostate Biopsy: What Radiologists Should Know

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
C J DasS Verma

Abstract

Transrectal ultrasound (TRUS)-guided systematic biopsy, the current gold standard for the detection of prostate cancer, suffers from low sensitivity for clinically significant cancer. The use of diagnostic multiparametric MRI has increased the relevance of targeted biopsy techniques such as MRI-TRUS fusion biopsy and direct (in-bore) MRI-guided biopsy, which have higher detection rate for clinically significant cancer. Although primarily used in patients who remain at high clinical suspicion for prostate cancer despite a negative systematic biopsy, with the increasing use of upfront diagnostic MRI, these biopsies are expected to replace routine systematic biopsies. This pictorial essay aims to enhance our understanding of the concepts of these biopsy techniques so that they can be performed safely and provide maximum diagnostic yield.

References

Nov 9, 2010·European Urology·Axel HeidenreichUNKNOWN European Association of Urology
May 17, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·David BonekampKatarzyna J Macura
Dec 30, 2014·AJR. American Journal of Roentgenology·Derek W CoolAaron Fenster
Jul 21, 2017·European Urology Focus·Timur H KuruAxel Heidenreich
Mar 20, 2018·The New England Journal of Medicine·Veeru KasivisvanathanUNKNOWN PRECISION Study Group Collaborators
May 14, 2019·Clinical Radiology·C J DasS Verma
Oct 7, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Yasuhiro YamadaOsamu Ukimura

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Methods Mentioned

BETA
biopsy
biopsies

Software Mentioned

AUA
PRECISION
Invivo

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