Techniques and Outcomes of MRI-TRUS Fusion Prostate Biopsy

被引:19
作者
Kaneko, Masatomo [1 ,2 ,3 ]
Sugano, Dordaneh [1 ,2 ]
Lebastchi, Amir H. [1 ,2 ]
Duddalwar, Vinay [4 ]
Nabhani, Jamal [1 ,2 ]
Haiman, Christopher [5 ]
Gill, Inderbir S. [1 ,2 ]
Cacciamani, Giovanni E. [1 ,2 ,4 ]
Abreu, Andre Luis [1 ,2 ,4 ]
机构
[1] Univ Southern Calif, Keck Sch Med, Ctr Image Guided Surg & Focal Therapy, USC Inst Urol, Los Angeles, CA 90007 USA
[2] Univ Southern Calif, Keck Sch Med, Ctr Image Guided Surg & Focal Therapy, Catherine & Joseph Aresty Dept Urol, Los Angeles, CA 90007 USA
[3] Kyoto Prefectural Univ Med, Grad Sch Med Sci, Dept Urol, Kyoto, Japan
[4] Univ Southern Calif, Keck Sch Med, Dept Radiol, 1441 Eastlake Ave,Suite 7416, Los Angeles, CA 90089 USA
[5] Univ Southern Calif, Keck Sch Med, Dept Prevent Med, USC Ctr Genet Epidemiol, Los Angeles, CA 90007 USA
基金
美国国家卫生研究院;
关键词
Prostate cancer; Magnetic resonance imaging; Fusion biopsy; Image registration; Ultrasonography; Systematic biopsy; DIAGNOSTIC-ACCURACY; SYSTEM DESCRIPTION; ROBOTIC SYSTEM; CANCER; INTERVENTIONS; SPECIMENS; IMAGES; PROOF; RISK;
D O I
10.1007/s11934-021-01037-x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose of Review The goal of this study is to review recent findings and evaluate the utility of MRI transrectal ultrasound fusion biopsy (FBx) techniques and discuss future directions. Recent Findings FBx detects significantly higher rates of clinically significant prostate cancer (csPCa) than ultrasound-guided systematic prostate biopsy (SBx), particularly in repeat biopsy settings. FBx has also been shown to detect significantly lower rates of clinically insignificant prostate cancer. In addition, a dedicated prostate MRI can assist in more accurately predicting the Gleason score and provide further information regarding the index cancer location, prostate volume, and clinical stage. The ability to accurately evaluate specific lesions is vital to both focal therapy and active surveillance, for treatment selection, planning, and adequate follow-up. FBx has been demonstrated in multiple high-quality studies to have improved performance in diagnosis of csPCa compared to SBx. The combination of FBx with novel technologies including radiomics, prostate-specific membrane antigen positron emission tomography (PSMA PET), and high-resolution micro-ultrasound may have the potential to further enhance this performance.
引用
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页数:12
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