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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
MRI-US fusion guided prostate biopsy
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<blockquote data-quote="madman" data-source="post: 200392" data-attributes="member: 13851"><p><strong>Abstract</strong></p><p><strong></strong></p><p><strong><em>Multiparametric magnetic resonance imaging (MRI) and MRI-guided prostate biopsy have become the standard for prostate cancer diagnosis. As their implementation is relatively recent, experience is still limited in various centers. <u>An MRI-guided biopsy requires basic knowledge in prostate MRI and ultrasound (US), but also in the image processing protocol specific for each device</u>. <u>Standardization of the method is needed to ensure the best results in terms of diagnostic accuracy</u>. We hereby present our technique for MRI-US fusion-guided prostate biopsy and the outcomes after performing more than 600 procedures.</em></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong>Introduction</strong></p><p></p><p>Multiparametric magnetic resonance imaging (MRI) and MRI-guided prostate biopsy has become an integral part of prostate cancer (PCa) diagnosis. Currently, the European Association of Urology (EAU) Guidelines recommend MRI-guided prostate biopsy both in the initial and repeat biopsy setting [1]. Despite leading to significant improvement in the diagnosis of PCa [2], their implementation worldwide has been hampered by the increased costs [3]. As such, experience is still limited in various centers [4].</p><p></p><p>MRI-ultrasound (US) fusion biopsy entails that the ultrasound machine is able to perform a real-time overlay of the MRI and US volumes in order to assist a targeted biopsy. These systems are the most widely used due to the best cost/effectiveness ratio [3,5]. <strong><em>MRI-US fusion biopsy requires basic knowledge of prostate MRI and US, together with image processing protocol, which is specific for each device. Prostate MRI is a relatively new addition to the urologic practice and urologists, who are performing the biopsy, are frequently inexperienced in interpretation. Thus, the learning curve of the procedure might be cumbersome [6]. <u>Therefore, minimal training in MRI reading and standardization of the MRI-US fusion technique has the potential to ensure good diagnostic accuracy</u>.</em></strong></p><p><strong><em></em></strong></p><p><strong><em>*The aim of the current paper is to present our standardized technique and outcomes of MRI-US fusion-guided prostate biopsy. A real-time software-based MRI-US fusion system with rigid registration was employed in all cases.</em></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong>*Prostate MRI</strong></p><p><strong></strong></p><p><strong>*Indications of MRI-guided biopsy</strong></p><p><strong></strong></p><p><strong>*MRI-US fusion biopsy technique</strong></p><p><em>-Preparation of the MRI images</em></p><p><em>-Performing the procedure</em></p><p><em>-Our experience</em></p><p></p><p></p><p></p><p></p><p><strong>Conclusion </strong></p><p><strong></strong></p><p><strong><em>MRI-guided prostate biopsy has recently become the standard for the diagnosis of PCa. As MRI-US fusion systems are most commonly used for guidance, standardization of the technique is necessary to ensure high diagnostic accuracy from the beginning of the learning curve.</em></strong></p></blockquote><p></p>
[QUOTE="madman, post: 200392, member: 13851"] [B]Abstract [I]Multiparametric magnetic resonance imaging (MRI) and MRI-guided prostate biopsy have become the standard for prostate cancer diagnosis. As their implementation is relatively recent, experience is still limited in various centers. [U]An MRI-guided biopsy requires basic knowledge in prostate MRI and ultrasound (US), but also in the image processing protocol specific for each device[/U]. [U]Standardization of the method is needed to ensure the best results in terms of diagnostic accuracy[/U]. We hereby present our technique for MRI-US fusion-guided prostate biopsy and the outcomes after performing more than 600 procedures.[/I] Introduction[/B] Multiparametric magnetic resonance imaging (MRI) and MRI-guided prostate biopsy has become an integral part of prostate cancer (PCa) diagnosis. Currently, the European Association of Urology (EAU) Guidelines recommend MRI-guided prostate biopsy both in the initial and repeat biopsy setting [1]. Despite leading to significant improvement in the diagnosis of PCa [2], their implementation worldwide has been hampered by the increased costs [3]. As such, experience is still limited in various centers [4]. MRI-ultrasound (US) fusion biopsy entails that the ultrasound machine is able to perform a real-time overlay of the MRI and US volumes in order to assist a targeted biopsy. These systems are the most widely used due to the best cost/effectiveness ratio [3,5]. [B][I]MRI-US fusion biopsy requires basic knowledge of prostate MRI and US, together with image processing protocol, which is specific for each device. Prostate MRI is a relatively new addition to the urologic practice and urologists, who are performing the biopsy, are frequently inexperienced in interpretation. Thus, the learning curve of the procedure might be cumbersome [6]. [U]Therefore, minimal training in MRI reading and standardization of the MRI-US fusion technique has the potential to ensure good diagnostic accuracy[/U]. *The aim of the current paper is to present our standardized technique and outcomes of MRI-US fusion-guided prostate biopsy. A real-time software-based MRI-US fusion system with rigid registration was employed in all cases.[/I] *Prostate MRI *Indications of MRI-guided biopsy *MRI-US fusion biopsy technique[/B] [I]-Preparation of the MRI images -Performing the procedure -Our experience[/I] [B]Conclusion [I]MRI-guided prostate biopsy has recently become the standard for the diagnosis of PCa. As MRI-US fusion systems are most commonly used for guidance, standardization of the technique is necessary to ensure high diagnostic accuracy from the beginning of the learning curve.[/I][/B] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
MRI-US fusion guided prostate biopsy
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