Magnetic resonance-guided biopsy of the prostate: feasibility, technique, and clinical applications

Top Magn Reson Imaging. 2008 Dec;19(6):291-5. doi: 10.1097/RMR.0b013e3181aacdb0.

Abstract

Objective: To describe the technique of magnetic resonance (MR)-guided biopsy as performed in our institution and highlight trends from current literature.

Methods: Local protocols for MR prostate cancer localization and its image data analysis are described. Acquisition of a 3-dimensional localization for a tumor suspected region and its reidentification on a second MR-guided biopsy session are explained. Furthermore, detailed information about the procedure, the biopsy technique itself, and the current trends are discussed and highlighted.

Results: Magnetic resonance-guided biopsies have a higher tumor detection rate of prostate cancer in patients with clinical suspicion of prostate cancer and repeated negative transrectal ultrasound-guided biopsies. It is a feasible and accurate technique.

Conclusions: Performance of MR-guided prostate biopsies, using suggested techniques, protocols, and equipment, is a feasible and accurate technique. It has been proven to be an accurate method for the detection of significant prostate cancer in men with repetitive previous negative biopsies.

MeSH terms

  • Aged
  • Biopsy / instrumentation*
  • Contrast Media / administration & dosage
  • Diffusion Magnetic Resonance Imaging
  • Feasibility Studies
  • Humans
  • Image Interpretation, Computer-Assisted
  • Magnetic Resonance Imaging, Interventional / instrumentation
  • Magnetic Resonance Imaging, Interventional / methods*
  • Male
  • Meglumine / administration & dosage
  • Organometallic Compounds / administration & dosage
  • Prostate / pathology
  • Prostatic Neoplasms / pathology*

Substances

  • Contrast Media
  • Organometallic Compounds
  • Meglumine
  • gadoterate meglumine