Significance of MRI/Transrectal Ultrasound Fusion Three-Dimensional Model-Guided, Targeted Biopsy Based on Transrectal Ultrasound-Guided Systematic Biopsy in Prostate Cancer Detection: A Systematic Review and Meta-Analysis
| Autor: | Chuan Zhou, Zi-jun Zou, Zhihong Liu, Yu-jie Wang, Yiping Lu, Yongquan Tang, Ruo-chen Zhang, Liang-you Tang, Jiayu Liang |
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| Rok vydání: | 2017 |
| Předmět: |
Image-Guided Biopsy
Male medicine.medical_specialty Prostate biopsy Urology Population 030232 urology & nephrology urologic and male genital diseases Multimodal Imaging Lesion 03 medical and health sciences Prostate cancer Imaging Three-Dimensional 0302 clinical medicine Biopsy medicine Humans education Ultrasonography Interventional education.field_of_study medicine.diagnostic_test business.industry Ultrasound Rectum Prostatic Neoplasms Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging 030220 oncology & carcinogenesis Meta-analysis Radiology medicine.symptom business |
| Zdroj: | Urologia Internationalis. 100:57-65 |
| ISSN: | 1423-0399 0042-1138 |
| Popis: | Purpose: To assess MRI/Transrectal Ultrasound (TRUS) fusion three-dimensional model-guided targeted biopsy (3D-Tb) versus TRUS-guided systematic biopsy (Sb) in detecting overall and high-Gleason-score (≥7) prostate cancer (PCa). Methods: Pubmed and Web of science were searched. Studies with men having a suspicious lesion on MRI were included, which were divided into initial biopsy, previous negative biopsy, and mixed groups in meta-analysis. Results: Totally 13 cohorts in 12 studies, with 3,225 men were included. In total population, 3D-Tb and Sb did not differ significantly in the PCa detection rate (43.1 vs. 42.6%, p = 0.36), but after excluding initial biopsy group, the superiority of 3D-Tb became significant (p = 0.01); 3D-Tb had a significantly higher detection rate of high-Gleason-score PCa compared to Sb (30.0 vs. 24.1%, p < 0.05); 3D-Tb plus Sb significantly improved the PCa detection rate based on Sb alone (52.7 vs. 42.6%, p < 0.05). Conclusions: In men with increased serum PSA and/or abnormal DRE and suspicious lesion on MRI but non-previous evidence of PCa, 3D-Tb plus Sb improves the PCa detection rate based on Sb alone. 3D-Tb alone has better performance in detecting high-Gleason-score PCa, and tends to have a higher PCa detection rate in population with previous negative biopsy compared to Sb. |
| Databáze: | OpenAIRE |
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