Ces Urol 2020, 24(1):51-59 | DOI: 10.48095/cccu2020003
Our experience with MRI/TRUS software fusion for targeted prostate biopsies
- 1 Urologická ambulance SAGENA, s. r. o., Frýdek-Místek
- 2 Ústav zobrazovacích metod LF OU, Ostrava
- 3 Urologické oddělení, Nemocnice ve Frýdku-Místku, p. o., Frýdek-Místek
- 4 Oddělení patologie, Nemocnice ve Frýdku-Místku, p. o., Frýdek-Místek
- 5 AeskuLab Patologie, k. s., laboratoř Ostrava
Pavlosek T, Hanzliková P, Hořava V. Our experience with MRI/TRUS software fusion for targeted prostate biopsies. We would like to present the benefits of the MRI/TRUS fusion software targeted at prostate biopsies and demonstrate our practical experience with the fusion software over the course of two years. All patients with PSA < 20 ng/ml underwent three-parametric prostate MRI, they were classified by the PI-RADS v.2 system. The fusion was carried out with the ultrasound device BK Medical Flex Focus 400 with transrectal probe 8808 - 10Hz. We present a group of examined patients and their histological results, where we demonstrate the effect of the targeted biopsy. For all the biopsies performed, it verified prostate carcinoma in 48.25% of patients, and systematic biopsy verified prostate carcinoma in 35.46% of patients. For rebiopsy of the prostate, the targeted biopsy verified prostate carcinoma in 49.21% of the patients, and systematic biopsy verified prostate carcinoma in 29.68% of patients. Our work confirmed the effect of targeted prostate biopsy for primobiopsy, where we have shown that in our group prostate carcinoma in 9.09% of patients would have been missed if we had not performed targeted biopsy. Our results are consistent with the 2019 recommendations of the European Association of Urology (EAU).
Keywords: Prostate cancer, ultrasonography, magnetic resonance imaging, MRI/TRUS fusion biopsy.
Received: June 6, 2019; Revised: December 29, 2019; Accepted: January 16, 2020; Prepublished online: January 15, 2020; Published: March 19, 2020
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