
Comparison of Initial Experience with Transrectal Magnetic Resonance Imaging Cognitive Guided Micro-Ultrasound Biopsies versus Established Transperineal Robotic Ultrasound Magnetic Resonance Imaging Fusion Biopsies for Prostate Cancer
2019; Lippincott Williams & Wilkins; Volume: 203; Issue: 5 Linguagem: Inglês
10.1097/ju.0000000000000692
ISSN1527-3792
AutoresOliver Rojas Claros, Rafael Tourinho‐Barbosa, A. Frégeville, Anna Colomer Gallardo, Fabio Muttin, Ariê Carneiro, Armando Stabile, Marco Moschini, Petr Macek, Nathalie Cathala, Annick Mombet, Rafael Sánchez-Salas, Xavier Cathelineau,
Tópico(s)Advanced Radiotherapy Techniques
ResumoNo AccessJournal of UrologyAdult Urology1 May 2020Comparison of Initial Experience with Transrectal Magnetic Resonance Imaging Cognitive Guided Micro-Ultrasound Biopsies versus Established Transperineal Robotic Ultrasound Magnetic Resonance Imaging Fusion Biopsies for Prostate CancerThis article is commented on by the following:Editorial CommentEditorial Comment Oliver Rojas Claros, Rafael Rocha Tourinho-Barbosa, Aude Fregeville, Anna Colomer Gallardo, Fabio Muttin, Ariê Carneiro, Armando Stabile, Marco Moschini, Petr Macek, Nathalie Cathala, Annick Mombet, Rafael Sanchez-Salas, and Xavier Cathelineau Oliver Rojas ClarosOliver Rojas Claros Institut Mutualiste Montsouris, Paris, France Hospital Israelita Albert Einstein, São Paulo, Brazil , Rafael Rocha Tourinho-BarbosaRafael Rocha Tourinho-Barbosa Institut Mutualiste Montsouris, Paris, France Hospital Cardiopulmonar, Bahia, Brazil , Aude FregevilleAude Fregeville Institut Mutualiste Montsouris, Paris, France , Anna Colomer GallardoAnna Colomer Gallardo Hospital Universitari Germans Trias I Pujol, Badalona, Spain , Fabio MuttinFabio Muttin Institut Mutualiste Montsouris, Paris, France IRCCS Ospedale San Raffaele, Milan, Italy , Ariê CarneiroAriê Carneiro Institut Mutualiste Montsouris, Paris, France Hospital Israelita Albert Einstein, São Paulo, Brazil , Armando StabileArmando Stabile Institut Mutualiste Montsouris, Paris, France , Marco MoschiniMarco Moschini Institut Mutualiste Montsouris, Paris, France , Petr MacekPetr Macek Institut Mutualiste Montsouris, Paris, France , Nathalie CathalaNathalie Cathala Institut Mutualiste Montsouris, Paris, France , Annick MombetAnnick Mombet Institut Mutualiste Montsouris, Paris, France , Rafael Sanchez-SalasRafael Sanchez-Salas †Correspondence: Department of Urology, Institut Mutualiste Montsouris, 42, Boulevard, Jourdan75674, Paris, France telephone: +33-1-56-61-62-63; E-mail Address: [email protected] Institut Mutualiste Montsouris, Paris, France , and Xavier CathelineauXavier Cathelineau Institut Mutualiste Montsouris, Paris, France View All Author Informationhttps://doi.org/10.1097/JU.0000000000000692AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We compared cancer detection rates in patients who underwent magnetic resonance imaging cognitive guided micro-ultrasound biopsy vs robotic ultrasound magnetic resonance imaging fusion biopsy for prostate cancer. Materials and Methods: Among 269 targeted biopsy procedures 222 men underwent robotic ultrasound magnetic resonance imaging fusion biopsy and 47 micro-ultrasound biopsy. Robotic ultrasound magnetic resonance imaging fusion biopsy was performed using the transperineal Artemis™ device while micro-ultrasound biopsy was performed transrectally with the high resolution ExactVu™ system. Random biopsies were performed in addition to targeted biopsy in both modalities. Prostate cancer detection rates and concordance between random and target biopsies were also assessed. Results: Groups were comparable in terms of age, prostate specific antigen, prostate volume and magnetic resonance PI-RADS (Prostate Imaging Reporting and Data System) version 2 score. The micro-ultrasound biopsy group presented fewer biopsied cores in random and target approaches. In targeted biopsies micro-ultrasound biopsy cases presented higher detection of clinically significant disease (Gleason score greater than 6) than the robotic ultrasound magnetic resonance imaging fusion biopsy group (38% vs 23%, p=0.02). When considering prostate cancer detection regardless of Gleason score or prostate cancer detection by random+target biopsies, no difference was found between the groups. However, on a per core basis overall prostate cancer detection rates favored micro-ultrasound biopsy in random and targeted scenarios. In addition, the PRI-MUS (Prostate Risk Identification Using Micro-Ultrasound) score yielded by micro-ultrasound visualization was independently associated with improved cancer detection rates of clinically significant prostate cancer. Conclusions: In our initial experience micro-ultrasound biopsy featured a higher clinically significant prostate cancer detection rate in target cores than robotic ultrasound magnetic resonance imaging fusion biopsy, which was associated with target features in micro-ultrasound (PRI-MUS score). These findings reinforce the role of micro-ultrasound technology in targeted biopsies. References 1. : EAU-ESTRO-ESUR-SIOG Guidelines on Prostate Cancer. Part 1: screening, diagnosis, and local treatment with curative intent. Eur Urol 2017; 71: 618. Google Scholar 2. : A multicentric study on accurate grading of prostate cancer with systematic and MRI/US fusion targeted biopsies: comparison with final histopatology after radical prostatectomy. World J Urol 2019; 37: 2109. Google Scholar 3. : Does magnetic resonance imaging-guided biopsy improve prostate cancer detection? A comparison of systematic, cognitive fusion and ultrasound fusion prostate biopsy. Prostate Int 2018; 6: 88. 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Google Scholar No direct or indirect commercial, personal, academic, political, religious or ethical incentive is associated with publishing this article. © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited bySountoulides P, Pyrgidis N, Polyzos S, Mykoniatis I, Asouhidou E, Papatsoris A, Dellis A, Anastasiadis A, Lusuardi L and Hatzichristou D (2021) Micro-Ultrasound–Guided vs Multiparametric Magnetic Resonance Imaging-Targeted Biopsy in the Detection of Prostate Cancer: A Systematic Review and Meta-AnalysisJournal of Urology, VOL. 205, NO. 5, (1254-1262), Online publication date: 1-May-2021.Kinnaird A, Sharma V, Chuang R, Priester A, Tran E, Barsa D, Delfin M, Kwan L, Sisk A, Felker E and Marks L (2020) Risk of Prostate Cancer after a Negative Magnetic Resonance Imaging Guided BiopsyJournal of Urology, VOL. 204, NO. 6, (1180-1186), Online publication date: 1-Dec-2020.Ghai S (2020) Editorial CommentJournal of Urology, VOL. 204, NO. 4, (732-733), Online publication date: 1-Oct-2020.Related articlesJournal of Urology20 Feb 2020Editorial CommentJournal of Urology20 Feb 2020Editorial Comment Volume 203Issue 5May 2020Page: 918-925 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.Keywordsultrasoundmagnetic resonance imagingtransrectalhigh-intensity focusedbiopsyprostatic neoplasmsMetricsAuthor Information Oliver Rojas Claros Institut Mutualiste Montsouris, Paris, France Hospital Israelita Albert Einstein, São Paulo, Brazil Equal study contribution. More articles by this author Rafael Rocha Tourinho-Barbosa Institut Mutualiste Montsouris, Paris, France Hospital Cardiopulmonar, Bahia, Brazil Equal study contribution. More articles by this author Aude Fregeville Institut Mutualiste Montsouris, Paris, France More articles by this author Anna Colomer Gallardo Hospital Universitari Germans Trias I Pujol, Badalona, Spain More articles by this author Fabio Muttin Institut Mutualiste Montsouris, Paris, France IRCCS Ospedale San Raffaele, Milan, Italy More articles by this author Ariê Carneiro Institut Mutualiste Montsouris, Paris, France Hospital Israelita Albert Einstein, São Paulo, Brazil More articles by this author Armando Stabile Institut Mutualiste Montsouris, Paris, France More articles by this author Marco Moschini Institut Mutualiste Montsouris, Paris, France More articles by this author Petr Macek Institut Mutualiste Montsouris, Paris, France More articles by this author Nathalie Cathala Institut Mutualiste Montsouris, Paris, France More articles by this author Annick Mombet Institut Mutualiste Montsouris, Paris, France More articles by this author Rafael Sanchez-Salas Institut Mutualiste Montsouris, Paris, France †Correspondence: Department of Urology, Institut Mutualiste Montsouris, 42, Boulevard, Jourdan75674, Paris, France telephone: +33-1-56-61-62-63; E-mail Address: [email protected] More articles by this author Xavier Cathelineau Institut Mutualiste Montsouris, Paris, France More articles by this author Expand All No direct or indirect commercial, personal, academic, political, religious or ethical incentive is associated with publishing this article. 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