In:
Tijdschrift voor Urologie, Springer Science and Business Media LLC, Vol. 11, No. 8 ( 2021-11), p. 136-143
Abstract:
MRI of the prostate has dramatically changed and improved the biopsy indication and biopsy strategy. Still, even with a normal MRI an indication for biopsy may exist. Also, systematic biopsies are recommended in addition to targeted cores. This article presents which prostate tumors would have been missed in the hypothetical situation that no systematic biopsies would have been performed in our cohort, with a fully MRI dependent diagnostic strategy. As a reference the results of the standard pathway were used, in which all patients ( n = 496) underwent MRI, but a risk indicator could also independently indicate biopsy, and targeted plus systematic biopsies were always performed, if possible. In total, 16% of ISUP gr ≥2 (Gleason ≥3+4=7) tumors would have been missed, but only 66% would have been biopsied, with 50–75% less cores, and 52% ISUP gr 1 (3 + 3 = 6) tumors would have remained undetected.
Type of Medium:
Online Resource
ISSN:
2211-3037
,
2211-4718
DOI:
10.1007/s13629-021-00339-6
Language:
Dutch
Publisher:
Springer Science and Business Media LLC
Publication Date:
2021
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