M Minhaj Siddiqui, Soroush Rais-Bahrami, Hong Truong, Lambros Stamatakis, Srinivas Vourganti, Jeffrey Nix, Anthony N Hoang, Annerleim Walton-Diaz, Brian Shuch, Michael Weintraub, Jochen Kruecker, Hayet Amalou, Baris Turkbey, Maria J Merino, Peter L Choyke, Bradford J Wood, Peter A Pinto
BACKGROUND: Gleason scores from standard, 12-core prostate biopsies are upgraded historically in 25-33% of patients. Multiparametric prostate magnetic resonance imaging (MP-MRI) with ultrasound (US)-targeted fusion biopsy may better sample the true gland pathology. OBJECTIVE: The rate of Gleason score upgrading from an MRI/US-fusion-guided prostate-biopsy platform is compared with a standard 12-core biopsy regimen alone. DESIGN, SETTING, AND PARTICIPANTS: There were 582 subjects enrolled from August 2007 through August 2012 in a prospective trial comparing systematic, extended 12-core transrectal ultrasound biopsies to targeted MRI/US-fusion-guided prostate biopsies performed during the same biopsy session...
November 2013: European Urology