MR imaging-guided prostate biopsy techniques

Sadhna Verma; Anil S Bhavsar; James Donovan

doi:10.1016/j.mric.2014.01.002

MR imaging-guided prostate biopsy techniques

Magn Reson Imaging Clin N Am. 2014 May;22(2):135-44, v. doi: 10.1016/j.mric.2014.01.002.

Authors

Sadhna Verma¹, Anil S Bhavsar², James Donovan³

Affiliations

¹ Department of Radiology, University of Cincinnati Medical Center, 234 Goodman Street, PO Box 670761, Cincinnati, OH 45267-0761, USA. Electronic address: drsadhnaverma@gmail.com.
² Department of Radiology, University of Cincinnati Medical Center, 234 Goodman Street, PO Box 670761, Cincinnati, OH 45267-0761, USA.
³ Department of Urology, University of Cincinnati Medical Center, 234 Goodman Street, PO Box 670761, Cincinnati, OH 45267-0761, USA.

PMID: 24792674
DOI: 10.1016/j.mric.2014.01.002

Abstract

Nearly all prostate biopsies are performed via the transrectal ultrasound (TRUS)-guided technique which suffers from its inability to accurately visualize and target suspicious lesions. Advances in prostate MR imaging now allow for the detection of suspicious regions of the prostate gland, opening the door for lesion-directed biopsy techniques. The ability to obtain a definitive histologic grade has become increasingly important due to the rise of active surveillance as a popular method to approach low-grade cancer. Biopsies obtained with MR guidance or MR imaging/transrectal ultrasound fusion can accurately identify and characterize cancers and thus appropriately stratify patients for specific therapies.

Keywords: Diagnostic; MR imaging; MR imaging/ultrasound fusion; MR imaging–guided prostate biopsy; Prostate cancer; Transrectal ultrasound–guided biopsy.

Publication types

Review

MeSH terms

Humans
Image Enhancement / methods*
Image-Guided Biopsy / methods*
Magnetic Resonance Imaging, Interventional / methods*
Male
Middle Aged
Multimodal Imaging / methods*
Prostatic Neoplasms / pathology*