Head-to-head comparison of biparametric versus multiparametric MRI of the prostate before robot-assisted transperineal fusion prostate biopsy.

Journal: World journal of urology
Published Date:

Abstract

PURPOSE: Prostate biparametric magnetic resonance imaging (bpMRI) including T2-weighted imaging (T2WI) and diffusion-weighted imaging (DWI) might be an alternative to multiparametric MRI (mpMRI, including dynamic contrast imaging, DCE) to detect and guide targeted biopsy in patients with suspected prostate cancer (PCa). However, there is no upgrading peripheral zone PI-RADS 3 to PI-RADS 4 without DCE in bpMRI. The aim of this study was to evaluate bpMRI against mpMRI in biopsy-naïve men with elevated prostate-specific antigen (PSA) scheduled for robot-assisted-transperineal fusion-prostate biopsy (RA-TB).

Authors

  • Wolfgang M Thaiss
    Department of Diagnostic and Interventional Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str.3, 72076, Tübingen, Germany.
  • Simone Moser
    Department of Diagnostic and Interventional Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str.3, 72076, Tübingen, Germany.
  • Tobias Hepp
    University of Tübingen, Department of Radiology, Tübingen, Germany.
  • Stephan Kruck
    Department of Urology, Eberhard Karls University Tübingen, Germany.
  • Steffen Rausch
    Department of Urology, Eberhard Karls University, Tübingen, Germany.
  • Marcus Scharpf
    Department of Pathology and Neuropathology, Eberhard Karls University, Tübingen, Germany.
  • Konstantin Nikolaou
    Department of Diagnostic and Interventional Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str.3, 72076 Tübingen, Germany.
  • Arnulf Stenzl
    Department of Urology, University Hospital of Tübingen, Tübingen, Germany.
  • Jens Bedke
    Department of Urology, Eberhard Karls University, Tübingen, Germany.
  • Sascha Kaufmann
    Department of Radiology, Diagnostic and Interventional Radiology, Eberhard Karls University Tübingen, Germany.