J Korean Soc Radiol.  2023 Nov;84(6):1220-1232. 10.3348/jksr.2023.0095.

MR-Guided Targeted Prostate Biopsy from Radiologists’ Perspective

Affiliations
  • 1Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea

Abstract

The prostate cancer diagnosis has traditionally been based on a systematic biopsy method in which tissue samples are randomly obtained from the prostate 10–12 sites. However, there are concerns as the method can fail to diagnose all prostate cancers or lead to over-detection of clinically insignificant cancers. MRI-guided prostate targeted biopsy has been proposed to address these shortcomings. This method involves identifying suspicious lesions using MRI and performing targeted biopsies under ultrasound or MRI guidance. We review the methods of MRI-based targeted biopsy and discuss recent guidelines and trends in prostate cancer diagnosis.

Keyword

Prostate; Image-Guided Biopsy; Prostatic Neoplasms; Magnetic Resonance Imaging
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