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MRI-TRUS fusion guided prostate biopsy - initial experience and assessment of the role of contralateral lobe systematic biopsy.
Andras, Iulia; Crisan, Dana; Cata, Emanuel; Tamas-Szora, Attila; Caraiani, Cosmin; Coman, Radu-Tudor; Bungardean, Catalina; Mirescu, Claudiu; Coman, Ioan; Crisan, Nicolae.
Afiliación
  • Andras I; Department of Urology, Iuliu Hatieganu Unviersity of Medicine and Pharmacy, Cluj-Napoca, Romania; Department of Urology, Clinical Municipal Hospital, Cluj-Napoca, Romania. dr.iuliaandras@gmail.com.
  • Crisan D; Internal Medicine Department, 5th Medical Clinic, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania; Internal Medicine Department, Clinical Municipal Hospital Cluj-Napoca, Romania. crisan.dc@gmail.com.
  • Cata E; Urology Department, Clinical Municipal Hospital Cluj-Napoca, Romania. emanuelcata@yahoo.com.
  • Tamas-Szora A; Radiology Department, Clinical Municipal Hospital Cluj-Napoca, Romania. attitamas@yahoo.com.
  • Caraiani C; Medical Imaging Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. ccaraiani@yahoo.com.
  • Coman RT; Epidemiology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. rtcoman@yahoo.com.
  • Bungardean C; Pathology Department, Clinical Municipal Hospital Cluj-Napoca, Romania. maria.bungardean@yahoo.com.
  • Mirescu C; Pathology Department, Clinical Municipal Hospital Cluj-Napoca, Romania. claudiu.mirescu@gmail.com.
  • Coman I; Department of Urology, Iuliu Hatieganu Unviersity of Medicine and Pharmacy, Cluj-Napoca, Romania; Department of Urology, Clinical Municipal Hospital, Cluj-Napoca, Romania. jcoman@yahoo.com.
  • Crisan N; Department of Urology, Iuliu Hatieganu Unviersity of Medicine and Pharmacy, Cluj-Napoca, Romania; Department of Urology, Clinical Municipal Hospital, Cluj-Napoca, Romania. drnicolaecrisan@gmail.com.
Med Ultrason ; 21(1): 37-44, 2019 Feb 17.
Article en En | MEDLINE | ID: mdl-30779829
AIMS: To present our initial experience and results of MRI-TRUS fusion guided prostate biopsy and assess the role of contralateral lobe systematic biopsy. MATERIAL AND METHOD: A number of 119 patients with clinical or biochemical suspicion for prostate cancer (PCa) were included. All patients harbored at least one PIRADS score ≥ 3 lesion and underwent MRI-TRUS fusion guided biopsy, as well as a concurrent systematic biopsy. The biopsy was performed by the same operator, using a rigidregistration software system. RESULTS: The mean age of the patients was 62.2 years. The mean pre-biopsy PSA was 9.15 ng/dl. The diagnosis rate of MRI-TRUS fusion guided biopsy was 47% for overall PCa and 29.4% for clinically significant (cs) PCa. A higher PIRADS score was significantly associated with the presence of overall and csPCa. MRI-TRUS fusion guided biopsy had a higher percentage of positive biopsy cores (51% vs 29%), higher likelihood of csPCa (OR 5.36, p=0.008) and upgrading (14.8%) in comparison with systematic biopsy but missed 6.7% csPCa. The contralateral lobe systematic biopsy could have been avoided without losing the PCa diagnosis all patients with PIRADS score 5, both in initial and repeat biopsy setting. Anterior and transitional lesions were more likely to be diagnosed only by targeted cores. CONCLUSION: MRI-TRUS guided prostate biopsy improves the detection of PCa, but systematic biopsy is still essential. In selected cases (PIRADS 5), contralateral lobe systematic biopsy can safely be avoided. Pre-biopsy mpMRI might reduce the number of biopsy sessions in patients with anterior and transitional lesions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Próstata / Imagen por Resonancia Magnética / Ultrasonografía Intervencional / Imagen Multimodal Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Aged / Humans / Male / Middle aged Idioma: En Revista: Med Ultrason Asunto de la revista: DIAGNOSTICO POR IMAGEM Año: 2019 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Rumanía
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Próstata / Imagen por Resonancia Magnética / Ultrasonografía Intervencional / Imagen Multimodal Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Aged / Humans / Male / Middle aged Idioma: En Revista: Med Ultrason Asunto de la revista: DIAGNOSTICO POR IMAGEM Año: 2019 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Rumanía