Recent advances in image-guided targeted prostate biopsy

Abdominal Imaging - Tập 40 - Trang 1788-1799 - 2015
Anna M. Brown1,2, Osama Elbuluk1,3, Francesca Mertan1,4, Sandeep Sankineni1, Daniel J. Margolis3, Bradford J. Wood5, Peter A. Pinto5,6, Peter L. Choyke1, Baris Turkbey1
1Molecular Imaging Program, National Cancer Institute, NIH, Bethesda, USA
2Duke University School of Medicine, Durham, USA
3David Geffen School of Medicine at UCLA, Los Angeles, USA
4Grove City College, Grove City, USA
5Center for Interventional Oncology, National Cancer Institute, NIH, Bethesda, USA
6Urologic Oncology Branch, National Cancer Institute, NIH, Bethesda, USA

Tóm tắt

Prostate cancer is a common malignancy in the United States that results in over 30,000 deaths per year. The current state of prostate cancer diagnosis, based on PSA screening and sextant biopsy, has been criticized for both overdiagnosis of low-grade tumors and underdiagnosis of clinically significant prostate cancers (Gleason score ≥7). Recently, image guidance has been added to perform targeted biopsies of lesions detected on multi-parametric magnetic resonance imaging (mpMRI) scans. These methods have improved the ability to detect clinically significant cancer, while reducing the diagnosis of low-grade tumors. Several approaches have been explored to improve the accuracy of image-guided targeted prostate biopsy, including in-bore MRI-guided, cognitive fusion, and MRI/transrectal ultrasound fusion-guided biopsy. This review will examine recent advances in these image-guided targeted prostate biopsy techniques.

Tài liệu tham khảo

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