Surgeon seniority and experience have no effect on CaP detection rates using MRI/TRUS fusion-guided targeted biopsies

Taha, Fayek; Larre, Stéphane; Branchu, Benjamin; Kumble, Ankitha; Saffarini, Mo; Ramos-Pascual, Sonia

doi:10.1016/j.urolonc.2023.11.007

Cited by 2 publications

(1 citation statement)

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“…One single-center study demonstrated that the learning curve in terms of timing, csPCa detection, and pain for operators for mpMRI targeted biopsy is a minimum of 50 cases [29]. Another study demonstrated improving csPCa detection rates with experience but showed no difference in detection rates by operator seniority [30].…”

Section: Mpmri-trus Fusionmentioning

confidence: 99%

MRI–Ultrasound Fused Approach for Prostate Biopsy—How It Is Performed

Lang,

McClure,

Margolis

2024

Cancers

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The use of MRI–ultrasound image fusion targeted biopsy of the prostate in the face of an elevated serum PSA is now recommended by multiple societies, and results in improved detection of clinically significant cancer and, potentially, decreased detection of indolent disease. This combines the excellent sensitivity of MRI for clinically significant prostate cancer and the real-time biopsy guidance and confirmation of ultrasound. Both transperineal and transrectal approaches can be implemented using cognitive fusion, mechanical fusion with an articulated arm and electromagnetic registration, or pure software registration. The performance has been shown comparable to in-bore MRI biopsy performance. However, a number of factors influence the performance of this technique, including the quality and interpretation of the MRI, the approach used for biopsy, and experience of the practitioner, with most studies showing comparable performance of MRI–ultrasound fusion to in-bore targeted biopsy. Future improvements including artificial intelligence promise to refine the performance of all approaches.

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Section: Mpmri-trus Fusionmentioning

confidence: 99%