INTRODUCTION: Advances in MRI technology for detection of prostate cancer allow targeted biopsies of suspicious areas.
MATERIAL AND METHODS: A systematic literature review was performed on Medline(®) with the keywords "targeted", "prostate biopsy" and related articles. We studied 65 abstracts and 102 related abstracts, read 38 articles and selected 27 articles.
RESULTS: Mental reconstruction gives way for targeted biopsies by direct MRI guidance inside the MRI, and MRI-TRUS fusion. The first option offers high precision targeting but is limited by the accessibility, cost and duration of the procedure. MRI-TRUS image fusion is a promising compromise. Cancer detection rates vary from 15 to 64 %.
CONCLUSION: Biopsies targeting suspicious areas on MRI are promising to improve the sensitivity and performance of prostate biopsies.
Written by:
Fiard G, Descotes JL, Rambeaud JJ, Hohn N, Troccaz J, Long JA. Are you the author?
Service d'urologie, CHU de Grenoble, 38043 Grenoble cedex 9, France.
Reference: Prog Urol. 2012 Nov;22(15):903-12.
doi: 10.1016/j.purol.2012.06.005
PubMed Abstract
PMID: 23102012
Article in French.
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