Prostate biopsies are usually performed by urologists in the office setting using transrectal ultrasound (US) guidance.
The current standard of care involves obtaining 10-14 cores from different anatomic sections. Biopsies are usually not directed into a specific lesion because most prostate cancers are not visible on transrectal US. Color Doppler, US contrast agents, elastography, magnetic resonance (MR) imaging, and MR imaging/US fusion are proposed as imaging methods to guide prostate biopsies. Prostate MR imaging and fusion biopsy create opportunities for diagnostic and interventional radiologists to play an increasingly important role in the screening, evaluation, diagnosis, targeted biopsy, surveillance, and focal therapy of patients with prostate cancer.
Written by:
Hong CW1, Amalou H1, Xu S1, Turkbey B2, Yan P3, Kruecker J3, Pinto PA4, Choyke PL2, Wood BJ. Are you the author?
Center for Interventional Oncology, Clinical Center; Molecular Imaging Program; Philips Research North America, Briarcliff Manor, New York; Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, 10 Center Drive MSC 1182, Bethesda, MD 20892.
Reference: J Vasc Interv Radiol. 2014 Feb 26. pii: S1051-0443(13)02350-6.
doi: 10.1016/j.jvir.2013.12.568
PubMed Abstract
PMID: 24581731
UroToday.com Prostate Cancer Section