MRI-guided core biopsy of the prostate in the supine position--introduction of a simplified technique using large-bore magnet systems.

Objectives: To introduce a simplified technique for MRI-guided core biopsies (MRGB) of the prostate in the supine position using large-bore magnet systems.Methods: Fifty men with a history of negative transrectal ultrasound-guided biopsies underwent MRGB in either a 1.5-T (13/50) or 3.0-T (37/50) wi...

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Publicado en:European Radiology Vol. 23; no. 5; pp. 1415 - 1420
Autores principales: Schwab, Siegfried A, Kuefner, Michael A, Adamietz, Boris, Engelhard, Karl, Keck, Bastian, Kunath, Frank, Wach, Sven, Wullich, Bernd, Uder, Michael, Engehausen, Dirk G
Formato: research Journal Article
Publicado: Springer Nature May2013
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        10.1007/s00330-012-2698-5
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        atl: MRI-guided core biopsy of the prostate in the supine position--introduction of a simplified technique using large-bore magnet systems.
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          Schwab, Siegfried A
          Kuefner, Michael A
          Adamietz, Boris
          Engelhard, Karl
          Keck, Bastian
          Kunath, Frank
          Wach, Sven
          Wullich, Bernd
          Uder, Michael
          Engehausen, Dirk G
        affil: Department of Radiology, University Hospital Erlangen-Nuremberg, Maximiliansplatz 1, 91054, Erlangen, Germany, Dr.Siegfried.Schwab@gmx.net.
      sug:
        subj:
          Magnetic Resonance Imaging Methods
          Magnetic Resonance Imaging Equipment and Supplies
          Patient Positioning Methods
          Prostate
          Prostatic Neoplasms Pathology
          Aged
          Equipment Design
          Equipment Failure
          Human
          Image Enhancement Equipment and Supplies
          Image Enhancement Methods
          Male
          Middle Age
          Reproducibility of Results
          Sensitivity and Specificity
          Supine Position
          Aged: 65+ years
          Middle Aged: 45-64 years
          Male
      ab: Objectives: To introduce a simplified technique for MRI-guided core biopsies (MRGB) of the prostate in the supine position using large-bore magnet systems.Methods: Fifty men with a history of negative transrectal ultrasound-guided biopsies underwent MRGB in either a 1.5-T (13/50) or 3.0-T (37/50) wide-bore MRI unit. MRGBs were conducted with the patients in a supine position using a dedicated MR-compatible biopsy device.Results: We developed a dedicated positioning device for the supine position. Using this device, the biopsies were performed successfully in all patients. Apart from minor rectal bleeding, only one patient developed a major side effect (urosepsis). Histology revealed prostate cancer in 25/50 (50 %) patients.Conclusions: The new technique appears feasible. Its major advantage is the more comfortable and patient-friendly supine position during the biopsy without the need to modify the MRI system's patient table.Key Points: • A novel positioning device for MRI-guided prostate biopsies has been developed. • Biopsies can be performed in the patient-friendly supine position. • The positioning device can be utilised without modifying the MRI's patient table.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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