The Procedure of Transrectal Ultrasound Guided Biopsy of the Prostate: A Survey of Patient Preparation and Biopsy Technique

Davis, Michael J.; Sofer, Mario; Kim, Sandy S.; Soloway, Mark S.

doi:10.1016/s0022-5347(01)69087-6

Cited by 107 publications

(68 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…For patients randomized to the standard biopsy group, the only anesthetic used was 10 cm 3 of 2% lidocaine gel placed intrarectally 15 min prior to the biopsy procedure. To approximate current biopsy practice and to allow tailoring of biopsy number according to gland size and patient tolerance, the urologist performing the standard biopsy procedure was allowed to determine the number of biopsies to obtain (6)(7)(8)(9)(10)(11)(12) in each patient. In this group, all patients had biopsies taken from the standard sextant locations with additional biopsies directed laterally at the discretion of the urologist performing the biopsy procedure.…”

Section: Methodsmentioning

confidence: 99%

“…[2][3][4][5] Several recent studies demonstrate that cancer detection can be improved in most cases by obtaining a greater number of biopsies and by directing these additional biopsies more laterally in the prostate. [6][7][8][9][10] While many urologists are now obtaining more than six samples on initial prostate biopsy, 11 the optimal number of biopsies needed to adequately sample the prostate and to ensure detection of clinically significant cancer is currently unknown. The ability to obtain an increased number of biopsies is often limited by pain and discomfort.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A prospective randomized comparison of extensive prostate biopsy to standard biopsy with assessment of diagnostic yield, biopsy pain and morbidity

Sur

Borboroglu

Roberts

et al. 2004

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A prospective randomized comparison of extensive prostate biopsy to standard biopsy with assessment of diagnostic yield, biopsy pain and morbidity

Sur

Borboroglu

Roberts

et al. 2004

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

“…Currently, most physicians obtain Ն 10 cores. 71 It is important to recognize that these changes in prostate biopsy were occurring simultaneously with the rapid acceptance of PSA screening. As a result, the performance of the test (e.g., sensitivity, specificity) was changing, not due to the test itself but because of the method of disease ascertainment.…”

Section: Changes In Biopsy Techniquementioning

confidence: 99%

Prostate‐specific antigen: A review of the validation of the most commonly used cancer biomarker

Hernández

Thompson

2004

Cancer

277

173

View full text Add to dashboard Cite

Objective To review the literature and collect expert advice for proposing preventive and curative treatments of mouth and dental involvement in patients with systemic sclerosis (SSc; scleroderma). Methods The literature pertaining to mouth and/or dental involvement related to SSc was reviewed, and recommendations were developed according to the suggestions of a French multidisciplinary working group of experts and validated by a lecture committee. Results Dentists face 3 main issues in caring for SSc patients: oral mucosa involvement, manducatory apparatus and mouth involvement responsible for limitations in mouth opening, and treatment‐related adverse events. An increased risk of tongue carcinoma has been noted. In patients with severe limitation in mouth opening (<30 mm), recommended treatments are a specific mouth‐opening rehabilitation program, flexible sectional dentures, and splint therapy. Indications for dental implants depend on the severity of SSc, comorbidities, and/or ongoing bisphosphonate treatment. Prevention of mouth infections and caries implies patient education and teaching about mouth and dental hygiene, periodontal maintenance, and treatment of sicca syndrome. Cessation of tobacco use is mandatory. Patient‐tailored rehabilitation may improve limitations in mouth opening. Systematic dental panoramic radiography allows for the early detection of dental caries. Conclusion Prevention of oral and dental complications is a major issue in patients with SSc. Dental treatment should be tailored to limitations in mouth opening, disease severity, and ongoing treatments.

show abstract

“…The fact that no procedural algorithm is uniformly followed, in terms of indication, method and number of cores, among urologists in major European countries, as well as in the United States is noteworthy. 3 Since the early 1980s, magnetic resonance imaging (MRI) has been available for use as a staging modality in PCa. 4 Currently used indications of prostate MRI include PCa detection and staging in patients with diagnosed cancer for treatment planning, and guided PB based on abnormalities detected by MRI.…”

Section: Introductionmentioning

confidence: 99%

Prostate cancer detection using an extended prostate biopsy schema in combination with additional targeted cores from suspicious images in conventional and functional endorectal magnetic resonance imaging of the prostate

Engelhard

Zugor

et al. 2009

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

The purpose of this study is to report our method in detecting prostate cancer (PCa) using an 18-core transrectal ultrasound (TRUS) prostate biopsy (PB) schema, in combination with additional targeted cores from suspicious images in conventional (e-cMRI) and functional (e-fMRI) endorectal magnetic resonance imaging (e-MRI) of the prostate. From 2004 to 2008, 260 consecutive patients with a clinical suspicion of PCa underwent PB and were prospectively studied. e-cMRI and e-fMRI was performed in all patients before PB. The patients were divided into two groups (A and B) according to the results of their radiological findings (group A ¼ suspicious findings, group B ¼ non-suspicious findings). After the images were processed, an 18-core TRUS-guided PB was performed. When a patient exhibited a suspicious site on e-cMRI and e-fMRI images, three additional targeted PBs were obtained from that site. In group A, 17.5% of PCa was detected by the 18-core PB and 56.5% of PCa was detected by the targeted cores. The overall PCa detection rate (18 þ targeted cores) was 73.9%. The overall specificity was 73.9%. In group B, overall false-positive detection rate reached 19.2%, with the overall sensitivity being 80.8%. The method described above is not only practical but also a promising modality in PCa detection. As seen, PCa was optimally detected when combining the 18-core and targeted-core PB schema together. Non-suspicious images do not rule out the probability of PCa, thus justifying a PB in these patients as well.

show abstract

The Procedure of Transrectal Ultrasound Guided Biopsy of the Prostate: A Survey of Patient Preparation and Biopsy Technique

Cited by 107 publications

References 19 publications

A prospective randomized comparison of extensive prostate biopsy to standard biopsy with assessment of diagnostic yield, biopsy pain and morbidity

A prospective randomized comparison of extensive prostate biopsy to standard biopsy with assessment of diagnostic yield, biopsy pain and morbidity

Prostate‐specific antigen: A review of the validation of the most commonly used cancer biomarker

Prostate cancer detection using an extended prostate biopsy schema in combination with additional targeted cores from suspicious images in conventional and functional endorectal magnetic resonance imaging of the prostate

Contact Info

Product

Resources

About