Magnetic Resonance Imaging-Guided Prostate Biopsy: Present and Future

• Published in: Korean journal of radiology Vol. 16; no. 1; pp. 90 - 98
• Main Author: Kim, Chan Kyo
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Radiology 01.01.2015; 대한영상의학회
• Subjects: Accuracy; Antigens; Biopsy; Cancer therapies; Genitourinary Imaging; Humans; Image-Guided Biopsy; Localization; Magnetic Resonance Imaging; Male; Men; Neoplasm Staging; Patients; Prostate - diagnostic imaging; Prostate - pathology; Prostate cancer; Prostatic Neoplasms - diagnostic imaging; Prostatic Neoplasms - pathology; Radiation therapy; Radiography; Registration; Software; Surveillance; Ultrasonic imaging; 방사선과학; United States > US; Germany; Targeted biopsy; MRI-guided biopsy; MRI; Prostate cancer
• ISSN: 1229-6929; 2005-8330; 2005-8330
• DOI: 10.3348/kjr.2015.16.1.90

Systemic transrectal ultrasound-guided biopsy (TRUSBx) is the standard procedure for diagnosing prostate cancer (PCa), but reveals a limited accuracy for the detection of cancer. Currently, multiparametric MR imaging (mp-MRI) is increasingly regarded as a promising method to detect PCa with an excellent positive predictive value. The use of mp-MRI during a MRI-guided biopsy (MRGB) procedure improves the quality of a targeted biopsy. The aim of this article is to provide an overview about the MRGB technique for PCa detection, to review the accuracy and clinical indications of MRGB and discuss its current issues and further directions. A MRGB seems accurate and efficient for the detection of clinically significant PCa in men with previous negative TRUSBx. Moreover, it may decrease the detection of clinically insignificant cancers with fewer biopsy cores.