Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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MRI-Targeted Prostate Biopsy: What Radiologists Should Know

  • Chandan J Das (Department of Radiology, All India Institute of Medical Sciences (AIIMS)) ;
  • Arjunlokesh Netaji (Department of Radiology, All India Institute of Medical Sciences (AIIMS)) ;
  • Abdul Razik (Department of Radiology, All India Institute of Medical Sciences (AIIMS)) ;
  • Sadhna Verma (Department of Radiology, University of Cincinnati Medical Center)
  • Received : 2019.11.01
  • Accepted : 2020.03.12
  • Published : 2020.09.01
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Abstract

Transrectal ultrasound (TRUS)-guided systematic biopsy, the current gold standard for the detection of prostate cancer, suffers from low sensitivity for clinically significant cancer. The use of diagnostic multiparametric MRI has increased the relevance of targeted biopsy techniques such as MRI-TRUS fusion biopsy and direct (in-bore) MRI-guided biopsy, which have higher detection rate for clinically significant cancer. Although primarily used in patients who remain at high clinical suspicion for prostate cancer despite a negative systematic biopsy, with the increasing use of upfront diagnostic MRI, these biopsies are expected to replace routine systematic biopsies. This pictorial essay aims to enhance our understanding of the concepts of these biopsy techniques so that they can be performed safely and provide maximum diagnostic yield.

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References

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