Magnetic resonance imaging (MRI)/ultrasound (US) fusion guided prostate biopsy with an elastic fusion platform: is it useful in the Chinese population?
//www.bjui.org/ ; United Kingdom, 2017
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Zugriff:
Objective: To compare a new modality ofMRI/US fusion guided prostate biopsywith conventional TRUS biopsy in a Chi-nese cohort.Patients and Methods: From July 2015 toJuly 2016, 94 Chinese men with elevatedserum prostate-specific antigen (PSA) of4–20 ng/mL underwent pre-biopsy MRIprostate. Those with suspicious lesion(s)underwent fusion biopsy (targeted + 12-core template biopsy) using the ArtemisTMfusion platform. The biopsy outcomes werecompared with a matched cohort of 250patients with conventional TRUS guided12-core systematic biopsy.Results: An average of 1.7 1.0 MRIlesions/patient was detected in 81 patients.In 58 patients having lesions of intermedi-ate to high suspicion, the overall cancerdetection rate was significantly higher thanconventional biopsy group (41.4 vs 17.6%,p < 0.0001). Targeted biopsy alonedetected more clinically significant cancers(24.1% vs 10.4%, p = 0.005) and yieldedsignificantly longer mean cancer corelength (5.84.2 mm vs 3.63.1 mm,p = 0.03). Targeted biopsy alone wouldhave avoided diagnosis of 75% (6/8) of theclinically insignificant cancers at theexpense of missing 12.5% (2/16) of theclinically significant cancers. The compli-cation rates were similar between the twogroups.Conclusion: MRI/US fusion guided pros-tate biopsy is promising in improving thediagnostic yield in Chinese men with ele-vated PSA.
Titel: |
Magnetic resonance imaging (MRI)/ultrasound (US) fusion guided prostate biopsy with an elastic fusion platform: is it useful in the Chinese population?
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Autor/in / Beteiligte Person: | Ho, SHB ; Ma, WK ; Yiu, MK ; Tsu, HLJ ; Tsang, CF ; Ng, ATL ; Lai, TCT ; Yip, LKC ; Chan, YS ; Wong, CKW ; Lai, ASH ; Lam, KC ; Wong, JKW |
Link: | |
Veröffentlichung: | //www.bjui.org/ ; United Kingdom, 2017 |
Medientyp: | Konferenz |
ISSN: | 1464-4096 (print) |
DOI: | 10.1111/bju.13768 |
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