Journal ArticleDOI
MRI-Guided Biopsy for Prostate Cancer Detection: A Systematic Review of Current Clinical Results
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TLDR
Based on the reviewed literature, MRGB can be regarded an accurate and safe diagnostic tool to detect clinically significant PCa, however, as general availability is limited, this procedure should be reserved for specific patients.Abstract:
In-bore magnetic resonance-guided biopsy (MRGB) has been increasingly used in clinical practice to detect prostate cancer (PCa). This review summarizes the current clinical results of this biopsy method. A systematic literature search was performed in the PubMed and Embase databases. Of 2,035 identified records, 49 required full review. In all, ten unique studies reporting clinical results of MRGB could be included. Reported PCa detection rates ranged from 8 to 59 % (median 42 %). The majority of tumors detected by MRGB were clinically significant (81–93 %). Most frequent complications of MRGB are transient hematuria (1–24 %) and short-term perirectal bleeding (11–17 %). Major complications are rare. Based on the reviewed literature, MRGB can be regarded an accurate and safe diagnostic tool to detect clinically significant PCa. However, as general availability is limited, this procedure should be reserved for specific patients. Appropriate indications will have to be determined.read more
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Journal ArticleDOI
Comparing Three Different Techniques for Magnetic Resonance Imaging-targeted Prostate Biopsies: A Systematic Review of In-bore versus Magnetic Resonance Imaging-transrectal Ultrasound fusion versus Cognitive Registration. Is There a Preferred Technique?
O. Wegelin,Harm H.E. van Melick,Lotty Hooft,J.L.H. Ruud Bosch,Hans B. Reitsma,Jelle O. Barentsz,Diederik M. Somford +6 more
TL;DR: It is shown that magnetic resonance imaging-guided biopsy detects more clinically significant prostate cancer (PCa) and less insignificant PCa compared with systematic biopsy in men at risk for PCa.
Journal ArticleDOI
Complications After Systematic, Random, and Image-guided Prostate Biopsy
Marco Borghesi,Hashim U. Ahmed,Robert K. Nam,Edward M. Schaeffer,Riccardo Schiavina,Samir S. Taneja,Wolfgang Weidner,Stacy Loeb +7 more
TL;DR: Complications after prostate biopsy are frequent but often self-limiting, and transperineal and in-bore MRI-targeted biopsy may reduce the risk of severe infectious complications.
Journal ArticleDOI
The emerging threat of multidrug-resistant Gram-negative bacteria in urology
Hosam M. Zowawi,Patrick N A Harris,Matthew J. Roberts,Paul A. Tambyah,Mark A. Schembri,M. Diletta Pezzani,Deborah A Williamson,David L. Paterson +7 more
TL;DR: Responding to the challenges of Gram-negative resistance will require a multifaceted approach including considered use of current antimicrobial agents, improved diagnostics and surveillance, better adherence to basic measures of infection prevention, development of new antibiotics and research into non-antibiotic treatment and preventive strategies.
Journal ArticleDOI
The FUTURE Trial: A Multicenter Randomised Controlled Trial on Target Biopsy Techniques Based on Magnetic Resonance Imaging in the Diagnosis of Prostate Cancer in Patients with Prior Negative Biopsies
O. Wegelin,Leonie Exterkate,Marloes van der Leest,Jean A. Kummer,W. Vreuls,Peter C. de Bruin,J.L.H. Ruud Bosch,Jelle O. Barentsz,Diederik M. Somford,Harm H.E. van Melick +9 more
TL;DR: The detection rates of (aggressive) prostate cancer among men with prior negative biopsies and a persistent suspicion of cancer using three different techniques of targeted biopsy based on magnetic resonance imaging were found to be no significant differences.
Journal ArticleDOI
Optimization of Prostate Biopsy: the Role of Magnetic Resonance Imaging Targeted Biopsy in Detection, Localization and Risk Assessment
Marc A. Bjurlin,Xiaosong Meng,Julien Le Nobin,James S. Wysock,Herbert Lepor,Andrew B. Rosenkrantz,Samir S. Taneja +6 more
TL;DR: Use of magnetic resonance imaging for targeting prostate biopsies has the potential to reduce the sampling error associated with conventional biopsy by providing better disease localization and sampling.
References
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The sextant protocol for ultrasound-guided core biopsies of the prostate underestimates the presence of cancer
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Magnetic resonance imaging guided prostate biopsy in men with repeat negative biopsies and increased prostate specific antigen.
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Correlation of prostate needle biopsy and radical prostatectomy Gleason grade in academic and community settings.
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