An Magnetic Resonance Imaging–directed Targeted-plus-perilesional Biopsy Approach for Prostate Cancer Diagnosis: “Less Is More”

Marinus J. Hagens,M. Arjen Noordzij,Jan Willem Mazel,Auke Jager,Thierry N. Boellaard,Jeroen A.W. Tielbeek, Margot Henebiens,Ivo G. Schoots,Pim J. van Leeuwen,Henk G. van der Poel,Sybren P. Rynja

European Urology Open Science（2022）

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摘要

This retrospective study found arguments to limit systematic biopsies only to ipsilateral prostate lobe sectors directly adjacent to the magnetic resonance imaging (MRI)-positive lesion. An MRI-directed targeted-plus-perilesional biopsy approach detects clinically significant prostate cancer cases equivalent to the recommended practice of an MRI-directed targeted-plus-systematic biopsy approach, while reducing overdiagnosis rates and the number of biopsy cores.

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关键词

Prostate biopsies,Transperineal,Cognitive fusion,Perilesional systematic biopsies

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